[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2185 Introduced in House (IH)]

  1st Session
                                H. R. 2185

To amend title XVIII of the Social Security Act to provide for coverage 
 of bone mass measurements for certain individuals under part B of the 
                           medicare program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             August 3, 1995

  Mrs. Morella (for herself, Mrs. Lowey, Ms. Eddie Bernice Johnson of 
 Texas, Ms. Norton, Mr. Stearns, Mrs. Meek of Florida, Ms. Pelosi, Ms. 
 Rivers, Mr. McDermott, Mr. Yates, Mr. Frost, Ms. McKinney, Ms. Roybal-
   Allard, and Mr. Sanders) introduced the following bill; which was 
referred to the Committee on Commerce, and in addition to the Committee 
 on Ways and Means, for a period to be subsequently determined by the 
  Speaker, in each case for consideration of such provisions as fall 
           within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to provide for coverage 
 of bone mass measurements for certain individuals under part B of the 
                           medicare 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 ``Medicare Bone Mass Measurement 
Standardization Act of 1995''.

SEC. 2. MEDICARE COVERAGE OF BONE MASS MEASUREMENTS.

    (a) In General.--
            (1) Coverage.--Section 1861(s)(2) of the Social Security 
        Act (42 U.S.C. 1395x(s)(2)), as amended by section 
        147(f)(6)(B)(iii) of the Social Security Act Amendments of 
        1994, is amended--
                    (A) in subparagraph (N), by striking ``and'' at the 
                end;
                    (B) in subparagraph (O), by striking ``and'' at the 
                end; and
                    (C) by inserting after subparagraph (O) the 
                following new subparagraph:
            ``(P) bone mass measurement (as defined in subsection 
        (oo)); and''.
            (2) Bone mass measurements described.--Section 1861 of such 
        Act (42 U.S.C. 1395x), as amended by section 146(a) of the 
        Social Security Act Amendments of 1994, is amended by adding at 
        the end the following new subsection:

                        ``Bone Mass Measurement

    ``(oo)(1) The term `bone mass measurement' means a radiologic or 
radioisotopic procedure or other scientifically proven technology 
performed on a qualified individual (as defined in paragraph (2)) for 
the purpose of identifying bone mass or detecting bone loss, 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;
            ``(D) an individual with primary hyperparathyroidism; or
            ``(E) an individual who is monitored to assess the 
        individual's response to or the efficacy of approved 
        osteoporosis drug therapies.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to bone mass measurements performed on or after January 1, 1996.
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