[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5088 Introduced in House (IH)]







106th CONGRESS
  2d Session
                                H. R. 5088

To amend title XVIII of the Social Security Act to ensure the adequacy 
              of Medicare payment for digital mammography.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 27, 2000

   Mr. Shaw 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 ensure the adequacy 
              of Medicare payment for digital mammography.

    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 ``Breast Imaging Goes High Tech in the 
Future for Women Act'' (BRIGHT Future for Women Act).

SEC. 2. MEDICARE ACCESS TO DIGITAL MAMMOGRAPHY.

    (a) Payment Rate.--
            (1) In general.--The fee schedule amount otherwise 
        applicable to digital mammography (including a physician's 
        interpretation of the results of such procedure) under part B 
        of title XVIII of the Social Security Act shall be--
                    (A) for digital mammography performed in 2001, 
                $130; or
                    (B) for digital mammography performed in a 
                subsequent year, subject to subsection (d), the amount 
                established under this subsection for the preceding 
                year adjusted by the percentage increase in the MEI (as 
                defined in section 1842(i)(3) of such Act (42 U.S.C. 
                1395u(i)(3)).
            (2) Geographic Adjustment.--The amount specified in 
        paragraph (1) shall be subject to geographic adjustment in the 
        same manner as fee schedule amounts are adjusted under section 
        1834(b) or 1848 of such Act (42 U.S.C. 1395m(b), 1395w-4).
            (3) Allocation.--The Secretary of Health and Human Services 
        shall provide for an appropriate allocation between the 
        professional and technical components of the rate under 
        paragraph (1), where there is a claim for professional services 
        separate from the claim for the digital radiologic procedure.
    (b) Annual Adjustment.--
            (1) In general.--The Secretary may adjust the payment rate 
        under subsection (a), including both the professional and 
        technical components of such rate, on an annual basis for 
        services provided after 2001, to take into account such 
        additional factors as the Secretary determines to be 
        appropriate, including--
                    (A) advances in technology;
                    (B) changes in productivity resulting from use of 
                digital mammography; and
                    (C) physician training required to interpret the 
                results of digital mammograms.
            (2) Reports.--Not later than June 1, 2001, the Secretary 
        shall submit--
                    (A) a report to the Congress regarding the 
                adjustments under paragraph (1) to the professional 
                component of the payment rate; and
                    (B) a report to the Congress regarding the 
                adjustments under paragraph (1) to the technical 
                component of the payment rate.
    (c) Exemption From Limit on Payment.--The limit imposed under 
sections 1834(c)(1)(C)(iii) and 1834(c)(3) of such Act (42 U.S.C. 
1395m(c)(1)(C)(iii), 1395m(c)(3)) shall not apply to payment for 
digital mammography.
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