[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2284 Introduced in House (IH)]







107th CONGRESS
  1st Session
                                H. R. 2284

To amend title XVIII of the Social Security Act to provide for payment 
of certain chiropractic examination procedures, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 21, 2001

Mr. Lewis of Georgia introduced the following bill; which was referred 
    to the Committee on Energy and 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 payment 
of certain chiropractic examination procedures, and for other purposes.

    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 Chiropractic Improvement 
Act of 2001''.

SEC. 2. PROVIDING MEDICARE REIMBURSEMENT FOR APPROPRIATE CHIROPRACTIC 
              EXAMINATION PROCEDURES FURNISHED BY DOCTORS OF 
              CHIROPRACTIC WITHIN THE SCOPE OF THEIR LICENSE.

    (a) In General.--Clause (5) of section 1861(r) of the Social 
Security Act (42 U.S.C. 1395x(r)) is amended to read as follows: ``(5) 
a doctor of chiropractic who is licensed as such by the State in which 
chiropractic services (as defined in subsection (ww)) are furnished and 
who meets uniform minimum standards promulgated by the Secretary.''.
    (b) Chiropractic Services Defined.--Section 1861 of the Social 
Security Act (42 U.S.C. 1395x), as amended by sections 102(b) and 
105(b) of the Medicare, Medicaid, and SCHIP Benefits Improvement and 
Protection Act of 2000 (114 Stat. 2763A-468, 471), as enacted into law 
by section 1(a)(6) of Public Law 106-554, is amended by adding at the 
end the following new subsection:

                        ``Chiropractic Services

    ``(ww)(1) Subject to paragraph (2), the term `chiropractic 
services' means the services described in paragraph (3) that are 
furnished by a doctor of chiropractic only with respect to treatment by 
means of chiropractic adjustment or manual manipulation of the spine to 
correct a subluxation which the doctor of chiropractic is legally 
authorized to perform by the State in which that doctor performs such 
functions.
    ``(2) Chiropractic services may only be furnished under this title 
by a doctor of chiropractic.
    ``(3) For purposes of paragraph (1) with respect to such treatment, 
the services described in this paragraph are as follows:
            ``(A) Physicians' services under subsection (s)(1).
            ``(B) Services and supplies described in subsection 
        (s)(2)(A).
            ``(C) Diagnostic X-ray tests under subsection (s)(3).
            ``(D) Such other appropriate chiropractic examination 
        procedures that the Secretary identifies by regulation.''.
    (c) Negotiated Rulemaking.--The Secretary of Health and Human 
Services shall promulgate revised regulations to carry out the 
amendments made by this section using a negotiated rulemaking process 
under subchapter III of chapter 5 of title 5, United States Code.
    (d) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after the date on which the Secretary 
of Health and Human Services causes to have published in the Federal 
Register a final regulation pursuant to subsection (c).
                                 <all>