[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3203 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 3203

To amend title XVIII of the Social Security Act to provide for coverage 
  of bone mass measurements and an annual screening mammography under 
 part B of the medicare program, and to make permanent the coverage of 
        certain osteoporosis drugs under part B of such program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 30, 1993

  Mr. Neal of Massachusetts introduced the following bill; which was 
  referred jointly to the Committees on Ways and Means and Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to provide for coverage 
  of bone mass measurements and an annual screening mammography under 
 part B of the medicare program, and to make permanent the coverage of 
        certain osteoporosis drugs under part B of such program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Women's Health Services Act of 
1993''.

SEC. 2. EXPANSION OF MEDICARE COVERAGE OF WOMEN'S HEALTH SERVICES.

    (a) Annual Screening Mammography for Women Over Age 64.--Section 
1834(c)(2)(A) of the Social Security Act (42 U.S.C. 1395m(b)(2)(A)) is 
amended--
            (1) in clause (iv), by striking ``but under 65 years of 
        age,''; and
            (2) by striking clause (v).
    (b) Bone Mass Measurements.--
            (1) In general.--Section 1861 of the Social Security Act 
        (42 U.S.C. 1395x) is amended--
                    (A) in subsection (s)--
                            (i) in paragraph (12)(C), by striking 
                        ``and'' at the end,
                            (ii) by striking the period at the end of 
                        paragraph (14) and inserting ``; and'',
                            (iii) by redesignating paragraphs (15) and 
                        (16) as paragraphs (16) and (17), and
                            (iv) by inserting after paragraph (14) the 
                        following new paragraph:
            ``(15) bone mass measurement (as defined in subsection 
        (ll));''; and
                    (B) by inserting after subsection (kk) the 
                following new subsection:

                        ``Bone Mass Measurement

    ``(ll)(1) The term `bone mass measurement' means a radiologic or 
radioisotopic procedure performed on a qualified individual (as defined 
in paragraph (2) for the purpose of detecting bone loss through the use 
of single and dual photon absorptiometry, dual energy X-ray 
absorptiometry or similar dual energy techniques, or quantitative 
computed tomography, and includes a physician's interpretation of the 
results of the procedure.
    ``(2) For purposes of paragraph (1), the term `qualified 
individual' means (in accordance with regulations prescribed by the 
Secretary)--
            ``(A) an estrogen-deficient woman at clinical risk for 
        osteoporosis;
            ``(B) an individual with vertebral abnormalities;
            ``(C) an individual receiving long-term glucocorticoid 
        steroid therapy; or
            ``(D) an individual with primary hyperparathyroidism.''.
            (2) Conforming amendments.--The Social Security Act is 
        amended by striking ``paragraphs (15) and (16)'' each place it 
        appears in sections 1864(a), 1865(a), 1902(a)(9)(C), and 
        1915(a)(1)(B)(ii)(I) and inserting ``paragraphs (16) and 
        (17)''.
    (c) Permanent Coverage of Covered Osteoporosis Drug.--Section 
1861(s)(2)(O) of the Social Security Act (42 U.S.C. 1395x(s)(2)(O)) is 
amended by striking ``, and on or before December 31, 1995''.

SEC. 3. EFFECTIVE DATE.

    The amendments made by section 2 shall apply to items and services 
furnished on or after January 1, 1994.

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