I

106TH CONGRESS

2D SESSION H. R. 5172

To amend title XVIII of the Social Security Act to ensure access to digital

mammography through adequate payment under the Medicare system.

IN THE HOUSE OF REPRESENTATIVES

SEPTEMBER 13, 2000

Mr. SHAW (for himself and Mr. KLECZKA) introduced the following bill; which

was referred to the Committee on 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 ensure

access to digital mammography through adequate payment under the Medicare system.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled,

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘Medicare Access to

5 Digital Mammography Act of 2000’’.
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1 SEC. 2. MEDICARE ACCESS TO DIGITAL MAMMOGRAPHY

2 THROUGH ADEQUATE PAYMENT.

3 (a) IN GENERAL.—Section 1834(c)(3) of the Social

4 Security Act (42 U.S.C. 1395m(c)(3)) is amended—

5 (1) in subparagraph (A)—

6 (A) in the heading, by striking ‘‘$55, IN7 DEXED’’ and inserting ‘‘IN GENERAL’’;

8 (B) in clause (i), by striking ‘‘(i) for

9 screening mammography’’ and inserting ‘‘(i)(I)

10 for nondigital screening mammography’’; and

11 (C) by adding at the end of clause (i) the

12 following new subclause:

13 ‘‘(II) for digital screening mammog14 raphy performed in 2001, is $155 (com15 prised of $130 for the technical component

16 and $25 for the professional component),

17 and’’; and

18 (2) by amending subparagraph (B) to read as

19 follows:

20 ‘‘(B) ADJUSTMENT OF LIMIT.—At least

21 annually, the Secretary shall review and solicit

22 public comment on the appropriateness of the

23 amount of the applicable limit established under

24 this paragraph (including the technical and pro25 fessional components of such limit) and shall

26 adjust accordingly the amount of such limit
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1 (and its components) as it applies nationally or

2 in any area to the amount that the Secretary

3 estimates is required—

4 ‘‘(i) to assure that screening mam5 mography of an appropriate quality is

6 readily and conveniently available;

7 ‘‘(ii) to assure access to advancing or

8 enhanced mammography technologies; and

9 ‘‘(iii) to reflect changes in produc10 tivity, training requirements for physicians

11 and other personnel, equipment require12 ments, and other factors resulting from

13 such advancements or enhancements.’’.

14 (b) CONFORMING AMENDMENTS.—Section 1834(c)

15 of such Act (42 U.S.C. 1395m(c)) is amended—

16 (1) in paragraph (1) in the matter preceding

17 subparagraph (B), by inserting ‘‘, including digital

18 screening mammography’’ after ‘‘1861(jj))’’;

19 (2) in paragraphs (1)(C)(iii) and (3)(A)(ii), by

20 inserting ‘‘applicable’’ before ‘‘limit’’; and

21 (3) in paragraph (3)(C), by inserting ‘‘for non22 digital screening mammography’’ before ‘‘estab23 lished’’.

24 (c) EFFECTIVE DATE.—The amendments made by

25 this section apply to digital screening mammography per-
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1 formed on or after January 1, 2001, without regard to

2 whether regulations to carry out such amendments are

3 promulgated by such date.

Æ