[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[S. 1109 Introduced in Senate (IS)]

110th CONGRESS
  1st Session
                                S. 1109

To increase funding for the National Institutes of Health to carry out 
breast cancer research and 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 SENATE OF THE UNITED STATES

                             April 16, 2007

   Mr. Bayh introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
To increase funding for the National Institutes of Health to carry out 
breast cancer research and 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 ``Breast Cancer Research and Screening 
Act of 2007''.

SEC. 2. NIH BREAST CANCER FUNDING.

    There is authorized to be appropriated to the National Institutes 
of Health, $2,148,000,000 for fiscal year 2008 for carrying out breast 
cancer research under title IV of the Public Health Service Act (42 
U.S.C. 481 et seq.).

SEC. 3. 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, 2008.

SEC. 4. 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 the Social Security 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 the Social Security 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 hospital settings.--(A) 
        Section 1833(t)(1)(B)(iv) of the Social Security 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, 2008.
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