II 110th CONGRESS 1st Session S. 1109 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.

1.

Short title

This Act may be cited as the Breast Cancer Research and Screening Act of 2007.

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.).

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.

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.