I 

111TH CONGRESS 

1ST SESSION H. R. 2291 

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. 

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 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 Early Detec5 tion of Cancer Promotion Act of 2009’’. 


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1 SEC. 2. ELIMINATION OF THE 20 PERCENT COINSURANCE 

2 FOR SCREENING MAMMOGRAPHY AND 

3 COLORECTAL CANCER SCREENING TESTS. 

4 (a) SCREENING MAMMOGRAPHY.— 

5 (1) IN GENERAL.—Section 1833(a)(1)(B) of the 

6 Social Security Act (42 U.S.C. 1395l(a)(1)(B)) is 

7 amended— 

8 (A) by inserting ‘‘and with respect to 

9 screening mammography (as defined in section 

10 1861(jj))’’ after ‘‘section 1861(s)(10)(A)’’; and 

11 (B) by striking ‘‘100 percent of the reason12 able charge for such items and services’’ and in13 serting ‘‘100 percent of the fee schedule or 

14 other basis of payment under this title for the 

15 vaccine and its administration or for the screen16 ing mammography’’. 

17 (2) APPLICATION TO OUTPATIENT HOSPITAL

18 SETTINGS.—The third sentence of section 

19 1866(a)(2)(A) of such Act (42 U.S.C. 

20 1395cc(a)(2)(A)) is amended by inserting after 

21 ‘‘1861(s)(10)(A)’’ the following: ‘‘, with respect to 

22 screening mammography,’’. 

23 (b) COLORECTAL CANCER SCREENING TESTS.— 

24 (1) IN GENERAL.—Section 1834(d) of such Act 

25 (42 U.S.C. 1395m(d)) is amended— 

26 (A) in paragraph (2)(C)— 


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1 (i) by striking ‘‘FACILITY PAYMENT

2 LIMIT’’ and all that follows through ‘‘Not3 withstanding subsections’’ and inserting 

4 ‘‘FACILITY PAYMENT LIMIT.—Notwith5 standing subsections’’; 

6 (ii) by striking ‘‘(I) in accordance’’ 

7 and inserting ‘‘(i) in accordance’’; 

8 (iii) by striking ‘‘(II) are performed’’ 

9 and inserting ‘‘(ii) are performed’’; and 

10 (iv) by striking clause (ii); and 

11 (B) in paragraph (3)(C)— 

12 (i) by striking ‘‘FACILITY PAYMENT

13 LIMIT’’ and all that follows through ‘‘Not14 withstanding subsections’’ and inserting 

15 ‘‘FACILITY PAYMENT LIMIT.—Notwith16 standing subsections’’; and 

17 (ii) by striking clause (ii). 

18 (2) APPLICATION TO OUTPATIENT HOSPTAL

19 SETTINGS.—(A) Section 1833(t)(1)(B)(iv) of such 

20 Act (42 U.S.C. 1395l(t)(1)(B)(iv)) is amended by 

21 inserting ‘‘and does not include colorectal cancer 

22 screening tests’’ after ‘‘diagnostic mammography’’. 

23 (B) The third sentence of section 1866(a)(2)(A) 

24 of such Act (42 U.S.C. 1395cc(a)(2)(A)), as amend25 ed by subsection (a)(2), is amended by inserting 


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1 ‘‘and colorectal cancer screening tests’’ after 

2 ‘‘screening mammography’’. 

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

4 this section shall apply to screening mammography and 

5 colorectal cancer screening tests performed on or after 

6 January 1, 2010. 

Æ 


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