[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4612 Introduced in House (IH)]

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117th CONGRESS
  1st Session
                                H. R. 4612

To amend title XVIII of the Social Security Act to protect coverage for 
             screening mammography, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 21, 2021

   Ms. Wasserman Schultz (for herself and Mr. Upton) introduced the 
   following bill; which was referred to the Committee on Energy and 
  Commerce, and in addition to the Committees on Ways and Means, and 
 Veterans' Affairs, 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 protect coverage for 
             screening mammography, and for other purposes.

    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 ``Protecting Access to Lifesaving 
Screenings Act of 2021'' or the ``PALS Act''.

SEC. 2. PROTECTING COVERAGE FOR SCREENING MAMMOGRAPHY.

    (a) In General.--Effective during the period beginning on the date 
of the enactment of this Act and ending January 1, 2028, any provision 
of law that refers (including through cross-reference to another 
provision of law) to the current recommendations of the United States 
Preventive Services Task Force with respect to breast cancer screening 
mammography shall be administered as if--
            (1) such reference to such current recommendations were a 
        reference to the recommendations of such Task Force with 
        respect to breast cancer screening mammography last issued 
        before 2009; and
            (2) such recommendations last issued before 2009 applied to 
        any screening mammography modality under section 1861(jj) of 
        the Social Security Act (42 U.S.C. 1395x(jj)).
    (b) Continuing Medicare Coverage Without Coinsurance.--Section 
1833(a)(1)(Y) of the Social Security Act (42 U.S.C. 1395l(a)(1)(Y)) is 
amended by inserting after ``in the case of such services described in 
subparagraph (A)'' the following: ``(other than screening 
mammography)''.
    (c) Maintaining Frequency of Medicare Coverage.--Section 
1834(c)(2)(B)(ii) of the Social Security Act (42 U.S.C. 
1395m(c)(2)(B)(ii)) is amended by inserting before the period at the 
end the following: ``, except that in the case of a woman over 39 years 
of age, such revision may not decrease such frequency''.
    (d) Clarifying the Definition of Screening Mammography.--Section 
1861(jj) of the Social Security Act (42 U.S.C. 1395x(jj)) is amended by 
inserting ``, including any digital modality (such as screening breast 
tomosynthesis) of such a procedure,'' after ``radiologic procedure''.
    (e) Application to Services Furnished Through Department of 
Veterans Affairs.--Section 7322(b) of title 38, United States Code, is 
amended to read as follows:
    ``(b) The policy developed under subsection (a), and any other 
policy of the Department of Veterans Affairs relating to mammography 
screening, shall--
            ``(1) specify standards of mammography screening that 
        ensure that the frequency of such screenings is not less than 
        the frequency of such screenings provided pursuant to section 
        2(a) of the Protecting Access to Lifesaving Screenings Act of 
        2021;
            ``(2) provide recommendations, consistent with paragraph 
        (1), with respect to screening, and the frequency of screening, 
        for veterans, without regard to age, who have clinical 
        symptoms, risk factors, or family history of breast cancer; and
            ``(3) provide for clinician discretion in individual 
        cases.''.
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