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Trans people can't get their documentation reverted in many cases, leaving them in limbo. Women have dead babies rotting inside them, and no matter how bad you might imagine that to be... It's probably worse
These aren't intended consequences... They're terribly written laws full of threats. They're made to hurt people, so when they write something like "the VA will not treat sexual organs not present in the birth sex or face 2 years of jail time", that's vague enough that second sexual characteristics might apply
The laws are unclear, because obviously males can have boobs... It's a thing that happens regardless on gender or HRT. It's uncommon, but way more common than being intersex. And men can get breast cancer without their boobs developing... The odds are way lower, but it happens
So combine the fact they don't want to acknowledge anything that calls into question the binary nature of sex (leading to wordings that don't conform with reality) and the punishments they put in there...
You get very nervous legal compliance people erring on the side of caution, which means even more people not getting treatment than intended
Especially when, even if you're not found guilty of actually breaking the law, you can still be brought to your medical board over these laws. They're MEANT to be vague, meant to be open to a million interpretations, just like old poll tests, just like Jim Crow laws, just like a hundred other things.
From what I could find, gynecomastia (the medical term for breasts on amab people) is not required for breast cancer. Therefor any human can develop breast cancer, as long as they are born with mammary glands, which is essential everyone.
Gynecomastia is linked with an increased chance of breast cancer in males though.