The purpose of this study is to assess the effect of The Women’s Health and Cancer Rights Act (WHCRA) on the demographics of breast reconstruction patients at The Ohio State University Medical Center. A retrospective chart review was performed using the Medical Center Information Database and Tumor Registry. Data was collected for patients 631 patients undergoing mastectomy and 205 patients undergoing breast reconstruction between July 1, 1995 and March 20, 2000. Poverty data is from the US Census TIGER Database. Prior to WHCRA, 120 patients underwent breast reconstruction, an average of 36 cases annually. Following enactment of WHCRA, 85 patients underwent breast reconstruction, an average of 60 cases annually. This is a 66% increase in the rate of breast reconstruction. There was no change in the percentage of Caucasian patients, a small decline in the percentage of Black patients and a small increase in the number of “Other” racial groups following enactment of WHCRA. The percentage of breast reconstruction patients from federal poverty areas increased from 6% to 15%. WHCRA has led to an increase in the volume of breast reconstruction surgeries at The Ohio State University Medical Center and improved access to care for poor patients.