[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5437 Introduced in House (IH)]








109th CONGRESS
  2d Session
                                H. R. 5437

To amend title XVIII of the Social Security Act to extend for 6 months 
    the eligibility period for the ``Welcome to Medicare'' physical 
examination and to eliminate coinsurance for screening mammography and 
    colorectal cancer screening tests in order to promote the early 
                          detection of cancer.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 19, 2006

   Mr. Shaw 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 extend for 6 months 
    the eligibility period for the ``Welcome to Medicare'' physical 
examination and to eliminate coinsurance for screening mammography and 
    colorectal cancer screening tests in order to promote the early 
                          detection of cancer.

    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 Early Detection of Cancer 
Promotion Act of 2006''.

SEC. 2. EXTENDING THE ELIGIBILITY PERIOD FOR A ``WELCOME TO MEDICARE'' 
              PHYSICAL EXAMINATION FROM SIX MONTHS TO ONE YEAR.

    (a) In General.--Section 1862(a)(1)(K) of the Social Security Act 
(42 U.S.C. 1395y(a)(1)(K)) is amended by striking ``6 months'' and 
inserting ``1 year''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to initial preventive physician examinations performed on or 
after January 1, 2007.

SEC. 3. ELIMINATION OF THE 20 PERCENT COINSURANCE FOR SCREENING 
              MAMMOGRAPHY AND COLORECTAL CANCER SCREENING TESTS.

    (a) Screening Mammography.--
            (1) In general.--Section 1833(a)(1)(B) of the Social 
        Security Act (42 U.S.C. 1395l(a)(1)(B)) is amended--
                    (A) by inserting ``and with respect to screening 
                mammography (as defined in section 1861(jj))'' after 
                ``section 1861(s)(10)(A)''; and
                    (B) by striking ``100 percent of the reasonable 
                charge for such items and services'' and inserting 
                ``100 percent of the fee schedule or other basis of 
                payment under this title for the vaccine and its 
                administration or for the screening mammography''.
            (2) Application to outpatient hospital settings.--The third 
        sentence of section 1866(a)(2)(A) of such Act (42 U.S.C. 
        1395cc(a)(2)(A)) is amended by inserting after 
        ``1861(s)(10)(A)'' the following: ``, with respect to screening 
        mammography,''.
    (b) Colorectal Cancer Screening Tests.--
            (1) In general.--Section 1834(d) of such Act (42 U.S.C. 
        1395m(d)) is amended--
                    (A) in paragraph (2)(C)--
                            (i) by striking ``Facility payment limit'' 
                        and all that follows through ``Notwithstanding 
                        subsections'' and inserting ``Facility payment 
                        limit.--Notwithstanding subsections'';
                            (ii) by striking ``(I) in accordance'' and 
                        inserting ``(i) in accordance'';
                            (iii) by striking ``(II) are performed'' 
                        and all that follows through ``payment under'' 
                        and inserting ``(ii) are performed in an 
                        ambulatory surgical center or hospital 
                        outpatient department, payment under''; and
                            (iv) by striking clause (ii); and
                    (B) in paragraph (3)(C)--
                            (i) by striking ``Facility payment limit'' 
                        and all that follows through ``Notwithstanding 
                        subsections'' and inserting ``Facility payment 
                        limit.--Notwithstanding subsections''; and
                            (ii) by striking clause (ii).
            (2) Application to outpatient hosptal settings.--(A) 
        Section 1833(t)(1)(B)(iv) of such Act (42 U.S.C. 
        1395l(t)(1)(B)(iv)) is amended by inserting ``and does not 
        include colorectal cancer screening tests'' after ``diagnostic 
        mammography''.
            (B) The third sentence of section 1866(a)(2)(A) of such Act 
        (42 U.S.C. 1395cc(a)(2)(A)), as amended by subsection (a)(2), 
        is amended by inserting ``and colorectal cancer screening 
        tests'' after ``screening mammography''.
    (c) Effective Date.--The amendments made by this section shall 
apply to screening mammography and colorectal cancer screening tests 
performed on or after January 1, 2007.
                                 <all>