Short title; table of contents

(a)

Short title

This Act may be cited as the

Community Cancer Care Preservation Act of 2005

. (b)

Table of contents

The table of contents of this Act is as follows:

Sec. 1. Short title; table of contents

Sec. 2. Use of average sales price methodology

Sec. 3. Improved payment for oncologist services

Sec. 4. Quality measures for cancer care

Sec. 5. Improved patient participation in clinical trials

Sec. 6. CBO report

Use of average sales price methodology

(a)

Findings

Congress finds that— (1)in 2005, Medicare reimbursement for certain outpatient cancer drugs was changed to reflect average sales price rather than average wholesale price; and (2)the average sales price methodology does not timely reflect changes in manufacturer’s prices for drugs. (b)

Adjustment to average sales price calculation

Section 1847A of the Social Security Act (42 U.S.C. 1395w–3a) is amended— (1)in subsection (b), by adding at the end the following new paragraph:

(6)

Reconciliation

Payments made pursuant to this subsection are subject to reconciliation to assure that such payments do not exceed or fall short of the actual average sales price during any preceding period. Such reconciliation shall be conducted on a quarterly basis and the Secretary shall review all payments made to physicians under this subsection in the preceding quarter and compare such payment to the verified average sales price reported by the manufacturer under subsection (c) for such quarter.

; and

(2)in subsection (c)(3)— (A)in the first sentence, by striking prompt pay discounts,; and (B)in the second sentence, by inserting other than prompt pay discounts, after other price concessions,.

Improved payment for oncologist services

(a)

Findings

Congress finds that— (1)in 2005, the Centers for Medicare & Medicaid Services implemented a $300 million demonstration project to identify and assess certain oncology services in an office-based oncology practice that positively affect cancer outcomes in the Medicare population; and (2)oncologists and cancer patients benefited from the demonstration project. (b)

Continuation of current demonstration project to identify and assess oncology services that positively affect cancer outcomes

(1)

In general

The existing demonstration project, developed by the Secretary of Health and Human Services pursuant to the Secretary’s authority under sections 402(a)(1)(B) and 402(a)(2) of the Social Security Amendments of 1967 and implemented in the Federal Register, Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005, 69 Fed. Reg. 66,236 (November 15, 2004), for purposes of identifying and assessing certain oncology services that positively affect outcomes in the Medicare population, shall be extended until December 31, 2006. (2)

Implementation

The Secretary shall continue to operate such project in the same manner as originally implemented. (3)

Funding

Under the demonstration project over the duration of the project, the Secretary shall apply the methodology and funding consistent with that established for the existing project. (4)

Report

Not later than July 1, 2007, the Secretary shall submit to Congress a report on the project, together with recommendations for such legislation and administrative action as the Secretary determines to be appropriate. (c)

Adjustment to physician fee schedule

Section 1848(c)(2) of the Social Security Act (42 U.S.C. 1395w–4(c)(2)) is amended— (1)in subparagraph (B)(iv)— (A)in subclause (II), by striking and; (B)in subclause (III), by striking the period and inserting ; and; and (C)by adding at the end the following new subclause:

(IV)subparagraph (K) insofar as it relates to a physician fee schedule for 2006 shall not be taken into account in applying clause (ii)(II) for drug administration services under the fee schedule for such year.

; and

(2)by adding at the end the following new subparagraph:

(K)

Adjustment in payment rates for overhead costs

In establishing the physician fee schedule under subsection (b) with respect to payments for drug administration services furnished on or after January 1, 2006, and in order to take into account overhead and related expenses, the Secretary shall provide for an additional payment in an amount equal to 2 percent of the amount determined under section 1847A for the drug administered.

Quality measures for cancer care

(a)

Findings

Congress finds that— (1)existing quality indicators relating to the quality of care furnished to cancer patients in physician offices are inconsistent across practice settings and are not based on uniform, evidence-based and consistently applied standards; and (2)physician reimbursement should reflect improvements in the quality of care provided. (b)

Development of quality indicators

In collaboration with practicing physicians, the Secretary of Health and Human Services shall develop indicators for the evaluation of the quality of oncology services provided in the physician office setting. Such indicators shall not be implemented for any purpose unless the Secretary has provided for an assessment of the proposed indicators by the physician community. (c)

Pilot and demonstration projects

The Secretary may conduct pilot projects and demonstration projects to test such indicators as appropriate.

Improved patient participation in clinical trials

(a)

Findings

Congress finds that— (1)the current report of the President’s Cancer Panel has documented the increasing incidence and costs of cancer to the United States; and (2)the current report of the President’s Cancer Panel has identified problems in translating research into effective cancer care. (b)

Strategic plan for improved patient participation

(1)

In general

In collaboration with practicing physicians, the Director of the National Cancer Institute shall develop a strategic plan to increase the number of cancer patients who enroll in clinical trials. (2)

Components of plan

Such plan shall include components designed to— (A)improve patient education regarding clinical trials; (B)facilitate the clinical trial process; and (C)ensure the viability of conducting clinical research in all settings where treatment is provided. (c)

Report

Not later than January 1, 2007, the Secretary of Health and Human Services shall submit to Congress a report on the strategic plan under subsection (b) together with recommendations for such legislation and administrative action as the Secretary determines to be appropriate.

CBO report

Not later than one year after the date of the enactment of this Act, the Director of the Congressional Budget Office shall submit to Congress a report that describes the impact of the provisions of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108–173) as implemented on oncologists and other physicians who provide cancer care and a comparison of such impact with the impact of such law estimated by such Office before its enactment.