109 HR 5514 IH: To amend title XVIII of the Social Security Act to U.S. House of Representatives 2006-05-25 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I 109th CONGRESS 2d Session H. R. 5514 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.

1.

Short title

This Act may be cited as the Medicare Lung Cancer Screening Benefit Act of 2006.

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: (ccc)

Lung Cancer Screening Tests

(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.