I 111th CONGRESS 1st Session H. R. 2291 IN THE HOUSE OF REPRESENTATIVES May 6, 2009 Mr. Thompson of California (for himself and Mr. Reichert) 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 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 Medicare Early Detection of Cancer Promotion Act of 2009.

2.

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 such 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 such 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 inserting (ii) are performed; 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 hosptal settings

(A)Section 1833(t)(1)(B)(iv) of such 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, 2010.