A bill to amend title XVIII of the Social Security Act to provide coverage for lung cancer screening tests for certain high-risk individuals under the Medicare program

2006·0.17 MB·English

by  United States. Congress. House

I
109thcongress ff "T^ D^D^I1 4>|
2DSESSION
To amend title X\'lll ofthe Social Security Act to provide coverage for
lungcancer screeningtestsforcertain high-risk individuals underthe
MedicareProgram.
IN THE HOUSE OF REPRESENTATIVES
May25,2006
Mr.Shawintroducedthefollowingbill;whichwasreferredtotheCommittee
onEnergyandCommerce, andinadditiontotheCommitteeonWays
andMeans,foraperiodtobesubsequentlydeterminedbytheSpeaker,
ineachcaseforconsiderationofsuchprovisionsasfallwithinthejuris-
dictionofthecommitteeconcerned
A
BILL
To amend title XVIII ofthe Social SecurityAct to provide
coverageforlungcancerscreeningtestsforcertainhigh-
riskindividualsundertheMedicareProgram.
1 BeitenactedbytheSenateandHouseofRepresenta-
2 tivesoftheUnitedStatesofAmericainCongressassembled,
3 SECTION1.SHORTTITLE.
4 ThisActmaybecitedasthe"MedicareLungCancer
5 ScreeningBenefitActof2006".
—
2
1 SEC.2.MEDICARECOVERAGEOFLUNGCANCERSCREEN-
2 INGTESTSFORfflGH-RISKINDIVTOUALS.
—
3 (a) In General. Section 1861(s)(2) ofthe Social
4 SecurityAct(42U.S.C. 1395x(s)(2))isamended—
5 (1) by striking "and" at the end of subpara-
6 graph(Z);
7 (2) by adding ''and" at the end of subpara-
8 graph(AA);and
9 (3)byaddingattheendthefollowingnewsub-
10 paragraph:
11 "(BB) lung cancer screening tests (as defined
12 insubsection(ccc)).".
—
13 (b) Services Described. Section 1861 of such
14 ActisfurtheramendedbyaddingattheendthefolloAving
15 newsubsection:
16 "LungCancerScreeningTests
17 "(ccc)(l) The term 'lung cancer screening tests'
18 meanstestingfurnishedto anindividual atriskforlung
19 cancer (as defined in paragraph (2)) for the purpose of
20 earlydetectionoflungcancer,including
21 "(A) alowdosecomputerizedaxialtomography
22 scan;
23 "(B)sputumanalysis;
24 "(C)fluorescentbronchoscopy;and
m
•HR5514
1 "(D) such other tests, and modifications to
2 tests, as the Secretary determines appropriate, in
3 consultationwithappropriateorganizations.
4 "(2) Forpurposes ofparagraph (1), theterm 'indi-
5 \idual at risk for lung cancer' means an individual who
6 hasanyofthefollowingriskfactorsforlungcancer:
7 "(A)Afamilyhistoryoflungcancer.
8 "(B)Asignificantsmokinghistory.
9 "(C) Exposure to toxic agents being monitored
10 by the National Academy of Sciences under the
11 Agent Orange Act of 1991 (Public Law 102-4),
12 under the Persian GulfWar Veterans Act of 1998
13 (titleXVI ofdivision C ofPublic Law 105-277), or
14 under the Veterans Program Enhancement Act of
15 1998 (PubhcLaw105-368).
16 ''(D) Significant exposure to radon, asbestos,
17 beryUium, uranium, second hand smoke, or other
18 knowncarcinogens.
19 "(E)Previouslungdisease.
20 "(3) TheSecretaryshallestabhshstandards, incon-
21 sulfation with appropriate organizations, regarding the
22 frequencyofcoverageoflungcancerscreeningtestsunder
23 thistitle.".
24 (c) Frequency.—Section 1862(a)(1) of such Act
25 (42U.S.C. 1395y(a)(l))isamended—
m
>HR5514
ensLIBRARV
L7D43
4 3 flOTS 7
1 (1) by striking "and" at the end of subpara-
2 graph(M);
3 (2)bystrikingthesemicolonattheendofsub-
4 paragraph(N) andinserting and";and
5 (3)byaddingattheendthefollowingnewsub-
6 paragraph:
7 "(O) in the case oflungcancer screeningtests
8 (as defined in section 1861(ccc)(l)), which are per-
9 formed more frequently than is covered under sec-
10 tion1861(ccc)(3);".
—
11 (d) Effective Date. The amendments made by
12 thissectionshallapplytotestsfurnishedonorafterJanu-
13 aiy1,2007.
O
>HR5514IH