[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4055 Introduced in House (IH)]







110th CONGRESS
  1st Session
                                H. R. 4055

To amend title XVIII of the Social Security Act to provide for Medicare 
      coverage of screening tests for human papillomavirus (HPV).


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            November 1, 2007

  Ms. DeLauro (for herself and Ms. Schwartz) 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 for Medicare 
      coverage of screening tests for human papillomavirus (HPV).

    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 Cervical Cancer Screening 
and Detection Coverage Act of 2007''.

SEC. 2. MEDICARE COVERAGE OF SCREENING TESTS FOR HUMAN PAPILLOMAVIRUS 
              (HPV).

    (a) In General.--Section 1861 of the Social Security Act (42 U.S.C. 
1395x) is amended--
            (1) in subsection (s)(14), by striking ``smear and 
        screening pelvic exam'' and inserting ``test, screening pelvic 
        exam, and screening HPV test''; and
            (2) in subsection (nn)--
                    (A) in the heading, by striking ``Smear; Screening 
                Pelvic Exam'' and inserting ``Test; Screening Pelvic 
                Exam; Screening HPV Test'';
                    (B) in paragraph (1), by striking ``smear'' and 
                inserting ``test'';
                    (C) in paragraphs (1) and (2), by striking 
                ``paragraph (3)'' and inserting ``paragraph (4)'';
                    (D) by redesignating paragraph (3) as paragraph 
                (4); and
                    (E) by inserting after paragraph (2) the following 
                new paragraph:
    ``(3)(A) The term `screening HPV test' means a molecular laboratory 
test for detecting the presence of high-risk human papillomavirus when 
administered in conjunction with a Pap test if, subject to subparagraph 
(B), the woman involved has not had such a test during the preceding 3 
years or during the preceding year in the case of a woman described in 
paragraph (4).
    ``(B) With respect to coverage of screening HPV tests--
            ``(i) the Secretary, in consultation with organizations 
        with expertise in cytopathology, gynecology, and women's 
        health, shall review the evidence basis and clinical guidelines 
        for the appropriate frequency, age, and such other factors 
        pertinent to such screening HPV tests; and
            ``(ii) the Secretary, based upon the review conducted under 
        clause (i) and in consultation with the organizations referred 
        to in clause (i), may revise from time to time the criteria 
        applied under subparagraph (A) for the coverage of screening 
        HPV tests.''.
    (b) Conforming Amendments.--
            (1) Inclusion in referrals as part of initial preventive 
        physical examination.--Section 1861(ww)(2)(C) of such Act (42 
        U.S.C. 1396x(ww)(2)(C)) is amended by striking ``smear and 
        screening pelvic exam'' and inserting ``test, screening pelvic 
        exam, and screening HPV test''.
            (2) Waiver of deductible.--Section 1833(b)(6) of such Act 
        (42 U.S.C. 1395l(b)(6)) is amended by striking ``smear and 
        screening pelvic exam'' and inserting ``test, screening pelvic 
        exam, and screening HPV test''.
            (3) Application of pap test payment rule.--Section 
        1833(h)(7) of such Act (42 U.S.C. 1305l(h)(7)) is amended--
                    (A) by striking ``smear''; and
                    (B) by adding at the end the following: ``Such 
                minimum payment amount shall also apply to payment for 
                screening HPV tests''.
            (4) Application of pap test frequency limits.--Section 
        1862(a)(1)(F) of such Act (42 U.S.C. 1395y(a)(1)(F)) is amended 
        by striking ``smear and screening pelvic exam'' and inserting 
        ``test, screening pelvic exam, and screening HPV test''.
            (5) Application of pap test exception under competitive 
        acquisition program.--Section 1847(e)(1)(A) of such Act (42 
        U.S.C. 1395w-3(e)(1)(A)) is amended by striking ``pap smear 
        laboratory tests'' and inserting ``pap tests and screening HPV 
        tests''.
    (c) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1, 2008.
                                 <all>