[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5514 Introduced in House (IH)]








109th CONGRESS
  2d Session
                                H. R. 5514

To amend title XVIII of the Social Security Act to provide coverage for 
lung cancer screening tests for certain high-risk individuals under the 
                           Medicare Program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 25, 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 provide coverage for 
lung cancer screening tests for certain high-risk individuals under the 
                           Medicare Program.

    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 Lung Cancer Screening 
Benefit Act of 2006''.

SEC. 2. MEDICARE COVERAGE OF LUNG CANCER SCREENING TESTS FOR HIGH-RISK 
              INDIVIDUALS.

    (a) In General.--Section 1861(s)(2) of the Social Security Act (42 
U.S.C. 1395x(s)(2)) is amended--
            (1) by striking ``and'' at the end of subparagraph (Z);
            (2) by adding ``and'' at the end of subparagraph (AA); and
            (3) by adding at the end the following new subparagraph:
            ``(BB) lung cancer screening tests (as defined in 
        subsection (ccc)).''.
    (b) Services Described.--Section 1861 of such Act is further 
amended by adding at the end the following new subsection:

                     ``Lung Cancer Screening Tests

    ``(ccc)(1) The term `lung cancer screening tests' means testing 
furnished to an individual at risk for lung cancer (as defined in 
paragraph (2)) for the purpose of early detection of lung cancer, 
including--
            ``(A) a low dose computerized axial tomography scan;
            ``(B) sputum analysis;
            ``(C) fluorescent bronchoscopy; and
            ``(D) 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 lung cancer' means an individual who has any of the following risk 
factors for lung cancer:
            ``(A) A family history of lung cancer.
            ``(B) A significant smoking history.
            ``(C) Exposure to toxic agents being monitored by the 
        National Academy of Sciences under the Agent Orange Act of 1991 
        (Public Law 102-4), under the Persian Gulf War Veterans Act of 
        1998 (title XVI of division C of Public Law 105-277), or under 
        the Veterans Program Enhancement Act of 1998 (Public Law 105-
        368).
            ``(D) Significant exposure to radon, asbestos, beryllium, 
        uranium, second hand smoke, or other known carcinogens.
            ``(E) Previous lung disease.
    ``(3) The Secretary shall establish standards, in consultation with 
appropriate organizations, regarding the frequency of coverage of lung 
cancer screening tests under this title.''.
    (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 (M);
            (2) by striking the semicolon at the end of subparagraph 
        (N) and inserting ``, and''; and
            (3) by adding at the end the following new subparagraph:
            ``(O) in the case of lung cancer screening tests (as 
        defined in section 1861(ccc)(1)), which are performed more 
        frequently than is covered under section 1861(ccc)(3);''.
    (d) Effective Date.--The amendments made by this section shall 
apply to tests furnished on or after January 1, 2007.
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