[Congressional Record Volume 164, Number 109 (Thursday, June 28, 2018)]
[Senate]
[Page S4737]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
By Ms. COLLINS (for herself, Mr. Cardin, Mr. Wicker, Mr. King,
and Ms. Stabenow):
S. 3160. A bill to amend title XVIII of the Social Security Act to
improve access to, and utilization of, bone mass measurement benefits
under part B of the Medicare program by establishing a minimum payment
amount under such part for bone mass measurement; to the Committee on
Finance.
Mr. CARDIN. Mr. President, I rise today to introduce legislation with
my colleague from Maryland, Senator Ben Cardin, which would increase
access to preventive bone density screenings and improve osteoporosis
diagnosis and treatment in the process. We are pleased to have Senators
Wicker, King, and Stabenow as cosponsors.
The public health risk of osteoporosis cannot be understated. Today,
approximately 54 million Americans either have osteoporosis or low bone
mass, which places them at increased risk for osteoporosis. Women are
disproportionally affected, accounting for 71 percent of osteoporotic
fractures and 75 percent of costs. Osteoporosis is often called ``the
silent disease'' because bone loss usually occurs gradually over the
years without symptoms.
As the NIH Osteoporosis and Related Bone Disease National Resource
Center observes, falls are especially dangerous for people who are
unaware that they have low bone density. If the patient and the doctor
fail to connect the broken bone to osteoporosis, the chance to make a
diagnosis with a bone density test and begin a prevention or treatment
program is lost.
Early diagnosis and treatment of osteoporosis are proven to
dramatically reduce fracture rates, and appropriate reimbursement for
tests that measure bone mass and predict fracture risk are necessary to
maintain patient access to care, particularly in rural or underserved
areas. Our legislation, the Increasing Access to Osteoporosis Testing
for Medicare Beneficiaries Act of 2018, tackles a proven barrier to
proper screening by creating a floor reimbursement rate under Medicare
for the dual energy X-ray absorptiometry (DXA) test, the ``gold
standard'' for osteoporosis diagnosis.
Congress has twice recognized the importance of reversing Medicare
cuts to DXA reimbursement in order to maintain patient access, yet the
Medicare reimbursement rate for DXA tests administered in a doctor's
office has declined from $140 in 2006 to only $42 in 2018--a dramatic
70 percent decline. The National Osteoporosis Foundation has found that
declining reimbursement rates have created a 26 percent decline in
physicians performing DXA tests since 2008, resulting in a
corresponding 22 percent decline in diagnoses since 2009.
Regrettably, as a result of reduced screenings due to declining
reimbursements, it is estimated that more than 40,000 additional hip
fractures occur each year, resulting in nearly 10,000 additional hip
fracture-related deaths. As osteoporosis is already under-diagnosed in
the Medicare population, it is clear that we must change this
trajectory.
This legislation is endorsed by the American Association of Clinical
Endocrinologists, the National Osteoporosis Foundation, and more than
forty additional national medical societies and patient advocate
organizations. I thank Senator Cardin for joining me in this effort to
increase patient access to osteoporosis screening and diagnosis, while
lowering costs and consequences resulting from a lack of diagnosis. I
encourage my colleagues to support its adoption.
______