[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6457 Introduced in House (IH)]

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114th CONGRESS
  2d Session
                                H. R. 6457

  To amend title XVIII of the Social Security Act to provide Medicare 
  coverage of preventive services that are required to be covered by 
                   group and individual health plans.


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                    IN THE HOUSE OF REPRESENTATIVES

                            December 7, 2016

  Mr. Veasey 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 Medicare 
  coverage of preventive services that are required to be covered by 
                   group and individual health plans.

    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 ``Preventive Services Medicare Parity 
Act of 2016''.

SEC. 2. MEDICARE COVERAGE OF PREVENTIVE SERVICES THAT ARE REQUIRED TO 
              BE COVERED BY GROUP AND INDIVIDUAL HEALTH PLANS.

    (a) In General.--Paragraph (1) of section 1861(ddd) of the Social 
Security Act (42 U.S.C. 1395x(ddd)) is amended by striking ``means 
services not described'' and all that follows through the period at the 
end and inserting the following: ``means, subject to paragraph (2), 
services that--
            ``(A) are not described in subparagraph (A) or (C) of 
        paragraph (3); and
            ``(B) with respect to services furnished to an individual 
        during a calendar year, would be required, under section 
        2713(a)(1) of the Public Health Service Act, to be covered with 
        respect to such individual if such individual were enrolled 
        under group or individual health insurance coverage for a plan 
        year consisting of such calendar year.''.
    (b) Authority for a National Coverage Determination Where Predicted 
Outcomes for Services Are Not Commensurate With Expenditures.--
Paragraph (2) of section 1861(ddd) of the Social Security Act (42 
U.S.C. 1395x(ddd)) is amended to read as follows:
    ``(2) The Secretary may conduct, with respect to an additional 
preventive service, an assessment of the relation between the predicted 
outcomes and the expenditures for such service with respect to 
individuals enrolled under part B. If the Secretary determines, based 
on the results of such assessment, that the predicted outcomes for such 
service would not be commensurate with the expenditures for such 
service, the Secretary may use the process for making a national 
coverage determination (as defined in section 1869(f)(1)(B)) to exclude 
such service from coverage nationally on such basis.''.
    (c) Effective Date.--The amendments made by this section shall 
apply with respect to services furnished on or after January 1, 2018.
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