A bill to amend titles V, XVIII, and XIX of the Social Security Act to promote cessation of tobacco use under the Medicare program, the Medicaid program, and the maternal and child health services block grant program

2008·0.36 MB·English

by  United States. Congress. House

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110t2hdcSoesnsgironess H. R. 6393
ToamendtitlesV,XVm, andXEXofthe Social Security-Acttopromote
tobaccouse cessation underthe Medicare Program, the Medicaid Pro-
gram,andthematernalandcliildhealthprogram.
IN THE HOUSE OF REPRESENTATR^S
June26,2008
Ms. DeGette (for herselfand Mr. Platts) mtroduced the followingbill;
whichwasreferredtotheCommitteeonEnergyandCommerce,andin
additiontotheCommitteeonWaysandMeans,foraperiodtobesubse-
quentlydeterminedbytheSpeaker,ineachcaseforconsiderationofsuch
provisionsasfallwithinthejurisdictionofthecommitteeconcerned
A
BILL
To amend titles V, X\^n, and XIX of the Social Security
ActtopromotetobaccousecessationundertheMedicare
Program, the Medicaid Program, and the maternal and
childhealthprogram.
1 BeitenactedbytheSenateandHouseofRepresenta-
2 tivesoftheUnitedStatesofAmericainCongressassembled,
3 SECTION1.SHORTTITLE.
4 ThisActmaybecitedasthe"QuitSmokingforLife
5 Actof2008".
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2
1 SEC. 2. COVERAGE OF COUNSELING FOR CESSATION OF
2 TOBACCO USE UNDERTHE MEDICARE PRO-
3 GRAM.
4 (a)Coverage.—Section1861(s)(2)oftheSocialSe-
5 curityAct(42U.S.C. 1395x(s)(2))isamended—
6 (1) in subparagi-apli (Z), by striking "and" at
7 theend;
8 (2) in subparagraph (AA), byadding "and" at
9 theend;and
10 (3)byaddingattheendthefollowingnewsub-
11 paragraph:
12 "(BB) counseling for cessation of tobacco use
13 (asdefinedinsection 1861(ddd));".
14 (b) Sera^ces Described.—Section 1861 of such
15 Act (42 U.S.C. 1395x) is further amendedbyadding at
16 theendthefollowingnewsubsection:
17 "(ddd) Counseling for Cessation of Tobacco
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18 Use. (1) Subjecttoparagraph (2),theterm'counsehng
19 for cessation oftobacco use' means diagnostic, therapy,
20 and counsehng services for cessation oftobacco use, for
21 indiAidualswhousetobaccoproductsorarebeingtreated
22 fortobaccouse,furnished
23 "(A)byorunderthesupendsionofaphysician;
24 or
25 "(B) by any other health care professional
26 who
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1 ''(i) is legally authorized to furnish such
2 services under State law (or the State regu-
3 lator^^mechanismprovidedbyStatelaw) ofthe
4 State in which the services are furnished; and
5 "(ii) is authorized to receive payment for
6 other services under this title or is designated
7 bytheSecretaryforthispurpose.
8 ''(2)Suchtermishmitedto
9 "(A) servicesthatareincludedinthemostcur-
10 rent chnical practice guidehnes on treating tobacco
11 use and dependence issued by the Public Health
12 Service;and
13 "(B) suchotherservicesthatthe Secretaryrec-
14 ognizestobeeffective.".
—
15 (c)Payment;EliminationofDeductible.
16 (1) Payment.—Section 1833(a)(1) ofsuchAct
17 (42U.S.C. 13951(a)(1))isamended—
18 (A)bystriking"and"before"(V)";and
19 (B) by inserting before the semicolon at
20 the end the following: ", and (W) with respect
21 to counsehng for cessation of tobacco use (as
22 definedin section 1861(ddd)), the amountpaid
23 shall be 80 percent ofthe lesser ofthe actual
24 chargefortheserviceortheamountdetermined
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1 by a fee schedule established by the Secretary
2 forpurposesofthisclause".
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3 (2) Elimination op deductible. The first
4 sentence ofsection 1833(b) ofsuch Act (42 U.S.C.
5 13951(b))isamended
6 (A)bystriking"and"before"(8)";and
7 (B) byinsertingbefore the period the fol-
8 lowing: and (9) such deductible shall not
9 applywithrespecttocounsehngforcessationof
10 tobaccouse (as definedin section 1861(ddd))".
11 (d) Effective Date.—The amendments made by
12 this section shall applyto ser\ices furnished on or after
13 January 1 ofthe first calendaryearthatbegins atleast
14 6monthsafterthedateoftheenactmentofthisAct.
15 SEC. 3. COVERAGE OF TOBACCO CESSATION
16 PHARMACOTHERAPYUNDERTHEMEDICARE
17 PROGRAM.
18 (a) Inclusion ofTobacco CessationAgentsas
19 Co^^3RED Drugs.—Section 1860D-2(e)(l) ofthe Social
20 SecurityAct (42 U.S.C. 1395w-102(e)(l)) isamended—
21 (1) in subparagraph (A), bystriking"or" after
22 thesemicolonattheend;
23 (2)insubparagraph(B),bystrikingthecomma
24 attheendandinserting";or";and
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1 (3)byinsertingaftersubparagraph (B)thefol-
2 lomngnewsubparagraph:
3 "(C) anyagent approvedbytheFood and
4 DrugAdministrationforpurposesofpromoting,
5 and when used to promote, tobacco use ces-
6 sation that may be dispensed without a pre-
7 scription (commonlyreferredtoasan'over-the-
8 counter'drug),butonlyifsuchanagentispre-
9 scribedbyaphysician (orotherperson author-
10 izedtoprescribeunderStatelaw),".
11 (b) Establishment of Categoriesand Classes
—
12 Consisting of Tobacco Cessation Agents. Section
13 1860D-4(b)(3)(C) ofthe Social SecurityAct (42 U.S.C.
14 1395w-104(b)(3)(C))isamendedbyaddingattheendthe
15 followingnewclause:
16 "(iv) Categories and classes of
—
17 tobacco cessation agents. There
18 shall be a therapeutic category or class of
19 covered part D di-ugs consisting ofagents
20 approvedbythe Food and DrugAdminis-
21 tration for cessation oftobacco use. Such
22 categors^orclass shall includetobacco ces-
23 sation agents described in subparagraphs
24 (A) and (C)ofsection 1860D-2(e)(l).".
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1 SEC.4.COVERAGEOFCOUNSELINGANDMEDICATIONFOR
2 CESSATION OF TOBACCO USE UNDER THE
3 MEDICAIDPROGRAM.
4 (a) Dropping Exception From Medicaid Pre-
5 scRiPTiON Drug Coverage for Tobacco Use Ces-
—
6 SATiONMedications.
7 (1) In GENERAL.—Section 1927(d)(2) of the
8 Social Security Act (42 U.S.C. 1396r-8(d)(2)) is
9 amended
10 (A)bystrikingsubpara^aph (E);
11 (B) by redesig:nating subpara^aph (F)
12 through (K) assubparagraphs (E) through(J),
13 respectively;and
14 (C) in subparagraph (F), as so redesig-
15 nated,byinsertingbeforetheperiodattheend
16 thefollowing: otherthan agents approvedby
17 theFoodandDrugAdministrationforpurposes
18 of promoting, and when used to promote, to-
19 baccouse cessation (regardless, forpurposes of
20 this title only, ofwhether such agents may be
21 dispensedonlyuponprescriptionormaybedis-
22 pensed A^ithout a prescription (commonly re-
23 ferred to as an 'over-the-counter' drug), but
24 only ifsuch an agent is prescribed bya physi-
25 cian (or other person authorized to prescribe
26 underStatelaw))".
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1 (2) CONP^ORMING AMENDMENT. Section
2 1860D-2(e)(2)(A) of the Social Security Act (42
3 U.S.C. 1395w-102(e)(2)(A)) is amendedbystriking
4 otherthan subparagraph (E) ofsuch section (re-
5 latingtosmokingcessationagents),".
6 (b) Requiring Co\^rage of Tobacco Use Ces-
7 SATiON Counseling.—Section 1905(a)(4) of such Act
8 (42U.S.C. 1396d(a)(4))isamended—
9 (1)bystriking"and"before"(C)";and
10 (2) by adding at the end the following: and
11 (D) counsehng for cessation oftobacco use (as de-
12 finedinsection1861(ddd));".
13 (c) Treatment of Tobacco Cessation Services
14 AND Medications as Services Related to Preg-
—
15 NANCY. Section 1905 ofsuchActisamendedbyadding
16 attheendthefollowingnewsubsection:
17 "(y) Sendees describedin subsection (a)(4)(D) shall
18 be treated as services related to pregnancywith respect
19 towomenduringpregnancy(andduringthe60-dayperiod
20 beginningonthelastdayofthepregnancy.".
—
21 (d) Epfectr^ Date. The amendments made by
22 thissectionshallapplytoitemsandsendeesfurnishedon
23 or afterJanuarys 1 ofthe firstcalendaryearthatbegins
24 atleast 6 months afterthedateoftheenactmentoftliis
25 Act.
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1 SEC.5.PROMOTINGCESSATIONOFTOBACCOUSEUNDER
2 THE MATERNAL AND CHILD HEALTH PRO-
3 GRAM.
4 (a)QuALm'MaternalandChildHealth Serv-
5 ICES Includes Tobacco Use Cessation Counseling
6 and Medications.—Section 501 ofthe Social Security
7 Act(42U.S.C. 701) isamendedbyaddingattheendthe
8 foDo^^ingnewsubsection:
9 ''(d) For purposes of this title, counseling for ces-
10 sation oftobacco use (as defined in section 1861(ddd)),
11 di-ugs and biolo^cals used to promote tobacco use ces-
12 sation (regardless of whether such drugs or biologicals
13 maybe dispensed onlyupon prescription or maybe dis-
14 pensed without a prescription (commonly referred to as
15 an'over-the-counter'drug),butonlyifsuchadrugorbio-
16 logical is prescribed by a physician (or other person au-
17 thorizedtoprescribeunderStatelaw)), andtheinclusion
18 of antitobacco messages in health promotion counsehng
19 shallbeconsideredtobepartofquahtymaternalandchild
20 healthservices.".
21 (b) Effective Date.—The amendment made by
22 subsection (a) shall take effect on the date ofthe enact-
23 mentoftliisAct.
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