[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2236 Introduced in House (IH)]







108th CONGRESS
  1st Session
                                H. R. 2236

  To amend title XVIII of the Social Security Act to provide coverage 
under the Medicare Program for diabetes laboratory diagnostic tests and 
                 other services to screen for diabetes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 22, 2003

Mr. Green of Texas (for himself, Mr. Fletcher, Mr. Waxman, Mr. Serrano, 
Mr. Rodriguez, Mr. Bell, Mr. Weldon of Pennsylvania, Ms. Jackson-Lee of 
 Texas, Mr. Frost, Mr. Towns, Mr. Hinojosa, Mr. Gutierrez, Ms. Kaptur, 
Mr. Kildee, Mr. Ackerman, Mr. McNulty, Mr. George Miller of California, 
  Mr. Hoeffel, Ms. Slaughter, Mr. Hall, Mr. Paul, Mr. Nethercutt, Ms. 
Eshoo, Mr. Becerra, Mr. Reyes, Mr. Burgess, Mr. Wynn, Mr. Menendez, Ms. 
   Lee, Mr. Boswell, Mr. Sanders, Mr. Boozman, Ms. DeGette, and Mr. 
   Kennedy of Rhode Island) 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 coverage 
under the Medicare Program for diabetes laboratory diagnostic tests and 
                 other services to screen for diabetes.

    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 ``Access to Diabetes Screening 
Services Act of 2003''.

SEC. 2. MEDICARE COVERAGE OF DIABETES LABORATORY DIAGNOSTIC TESTS.

    (a) Coverage.--Section 1861(s)(2) of the Social Security Act (42 
U.S.C. 1395x(s)(2)) is amended--
            (1) in subparagraph (U), by striking ``and'' at the end;
            (2) in subparagraph (V)(iii), by inserting ``and'' at the 
        end; and
            (3) by adding at the end the following new subparagraph:
            ``(W) diabetes screening tests and services (as defined in 
        subsection (ww));''.
    (b) Services Described.--Section 1861 of such Act (42 U.S.C. 1395x) 
is amended by adding at the end the following new subsection:

                ``Diabetes Screening Tests and Services

    ``(ww)(1) The term `diabetes screening tests' means diagnostic 
testing furnished to an individual at risk for diabetes (as defined in 
paragraph (2)) for the purpose of early detection of diabetes, 
including--
            ``(A) a fasting plasma glucose test; and
            ``(B) such other tests, and modifications to tests, as the 
        Secretary determines appropriate, in consultation with 
        appropriate organizations.
    ``(2) For purposes of paragraph (1), the term `individual at risk 
for diabetes' means an individual who has any, a combination of, or all 
of the following risk factors for diabetes:
            ``(A) A family history of diabetes.
            ``(B) Overweight defined as a body mass index greater than 
        or equal to 25 kg/m2.
            ``(C) Habitual physical inactivity.
            ``(D) Belonging to a high-risk ethnic or racial group.
            ``(E) Previous identification of an elevated impaired 
        fasting glucose.
            ``(F) Identification of impaired glucose tolerance.
            ``(G) Hypertension.
            ``(H) Dyslipidemia.
            ``(I) History of gestational diabetes mellitus or delivery 
        of a baby weighing greater than 9 pounds.
            ``(J) Polycystic ovary syndrome.
    ``(3) The Secretary shall establish standards, in consultation with 
appropriate organizations, regarding the frequency of diabetes 
screening tests, except that such frequency may not be more often than 
twice within the 12-month period following the date of the most recent 
diabetes screening test of that individual.''.
    (c) Frequency.--Section 1862(a)(1) of such Act (42 U.S.C. 
1395y(a)(1)) is amended--
            (1) by striking ``and'' at the end of subparagraph (H);
            (2) by striking the semicolon at the end of subparagraph 
        (I) and inserting ``, and''; and
            (3) by adding at the end the following new subparagraph:
            ``(J) in the case of a diabetes screening tests or service 
        (as defined in section 1861(ww)(1)), which is performed more 
        frequently than is covered under section 1861(ww)(3).''.
    (d) Effective Date.--The amendments made by this section shall 
apply to tests furnished on or after the date that is 90 days after the 
date of enactment of this Act.
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