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103D CONGRESS

1ST SESSION H. R. 3203

To amend title XVIII of the Social Security Act to provide for coverage

of bone mass measurements and an annual screening mammography

under part B of the medicare program, and to make permanent the

coverage of certain osteoporosis drugs under part B of such program.

IN THE HOUSE OF REPRESENTATIVES

SEPTEMBER 30, 1993

Mr. NEAL of Massachusetts introduced the following bill; which was referred

jointly to the Committees on Ways and Means and Energy and Commerce

A BILL

To amend title XVIII of the Social Security Act to provide

for coverage of bone mass measurements and an annual

screening mammography under part B of the medicare

program, and to make permanent the coverage of certain

osteoporosis drugs under part B of such program.

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 ‘‘Women’s Health Serv5 ices Act of 1993’’.
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1 SEC. 2. EXPANSION OF MEDICARE COVERAGE OF WOMEN’S

2 HEALTH SERVICES.

3 (a) ANNUAL SCREENING MAMMOGRAPHY FOR

4 WOMEN OVER AGE 64.—Section 1834(c)(2)(A) of the So5 cial Security Act (42 U.S.C. 1395m(b)(2)(A)) is amend6 ed—

7 (1) in clause (iv), by striking ‘‘but under 65

8 years of age,’’; and

9 (2) by striking clause (v).

10 (b) BONE MASS MEASUREMENTS.—

11 (1) IN GENERAL.—Section 1861 of the Social

12 Security Act (42 U.S.C. 1395x) is amended—

13 (A) in subsection (s)—

14 (i) in paragraph (12)(C), by striking

15 ‘‘and’’ at the end,

16 (ii) by striking the period at the end

17 of paragraph (14) and inserting ‘‘; and’’,

18 (iii) by redesignating paragraphs (15)

19 and (16) as paragraphs (16) and (17), and

20 (iv) by inserting after paragraph (14)

21 the following new paragraph:

22 ‘‘(15) bone mass measurement (as defined in

23 subsection (ll));’’; and

24 (B) by inserting after subsection (kk) the

25 following new subsection:
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1 ‘‘Bone Mass Measurement

2 ‘‘(ll)(1) The term ‘bone mass measurement’ means a

3 radiologic or radioisotopic procedure performed on a quali4 fied individual (as defined in paragraph (2) for the pur5 pose of detecting bone loss through the use of single and

6 dual photon absorptiometry, dual energy X-ray

7 absorptiometry or similar dual energy techniques, or quan8 titative computed tomography, and includes a physician’s

9 interpretation of the results of the procedure.

10 ‘‘(2) For purposes of paragraph (1), the term ‘quali11 fied individual’ means (in accordance with regulations pre12 scribed by the Secretary)—

13 ‘‘(A) an estrogen-deficient woman at clinical

14 risk for osteoporosis;

15 ‘‘(B) an individual with vertebral abnormalities;

16 ‘‘(C) an individual receiving long-term

17 glucocorticoid steroid therapy; or

18 ‘‘(D) an individual with primary

19 hyperparathyroidism.’’.

20 (2) CONFORMING AMENDMENTS.—The Social

21 Security Act is amended by striking ‘‘paragraphs

22 (15) and (16)’’ each place it appears in sections

23 1864(a), 1865(a), 1902(a)(9)(C), and

24 1915(a)(1)(B)(ii)(I) and inserting ‘‘paragraphs (16)

25 and (17)’’.
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1 (c) PERMANENT COVERAGE OF COVERED

2 OSTEOPOROSIS DRUG.—Section 1861(s)(2)(O) of the So3 cial Security Act (42 U.S.C. 1395x(s)(2)(O)) is amended

4 by striking ‘‘, and on or before December 31, 1995’’.

5 SEC. 3. EFFECTIVE DATE.

6 The amendments made by section 2 shall apply to

7 items and services furnished on or after January 1, 1994.

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