I 

109TH CONGRESS 

2D SESSION H. R. 5514 

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

lung cancer screening tests for certain high-risk individuals under the 

Medicare Program. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 25, 2006 

Mr. SHAW 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 provide 

coverage for lung cancer screening tests for certain highrisk individuals under the Medicare 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 ‘‘Medicare Lung Cancer 

5 Screening Benefit Act of 2006’’. 


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1 SEC. 2. MEDICARE COVERAGE OF LUNG CANCER SCREEN2 ING TESTS FOR HIGH-RISK INDIVIDUALS. 

3 (a) IN GENERAL.—Section 1861(s)(2) of the Social 

4 Security Act (42 U.S.C. 1395x(s)(2)) is amended— 

5 (1) by striking ‘‘and’’ at the end of subpara6 graph (Z); 

7 (2) by adding ‘‘and’’ at the end of subpara8 graph (AA); and 

9 (3) by adding at the end the following new sub10 paragraph: 

11 ‘‘(BB) lung cancer screening tests (as defined 

12 in subsection (ccc)).’’. 

13 (b) SERVICES DESCRIBED.—Section 1861 of such 

14 Act is further amended by adding at the end the following 

15 new subsection: 

16 ‘‘Lung Cancer Screening Tests 

17 ‘‘(ccc)(1) The term ‘lung cancer screening tests’ 

18 means testing furnished to an individual at risk for lung 

19 cancer (as defined in paragraph (2)) for the purpose of 

20 early detection of lung cancer, including— 

21 ‘‘(A) a low dose computerized axial tomography 

22 scan; 

23 ‘‘(B) sputum analysis; 

24 ‘‘(C) fluorescent bronchoscopy; and 


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1 ‘‘(D) such other tests, and modifications to 

2 tests, as the Secretary determines appropriate, in 

3 consultation with appropriate organizations. 

4 ‘‘(2) For purposes of paragraph (1), the term ‘indi5 vidual at risk for lung cancer’ means an individual who 

6 has any of the following risk factors for lung cancer: 

7 ‘‘(A) A family history of lung cancer. 

8 ‘‘(B) A significant smoking history. 

9 ‘‘(C) Exposure to toxic agents being monitored 

10 by the National Academy of Sciences under the 

11 Agent Orange Act of 1991 (Public Law 102–4), 

12 under the Persian Gulf War Veterans Act of 1998 

13 (title XVI of division C of Public Law 105–277), or 

14 under the Veterans Program Enhancement Act of 

15 1998 (Public Law 105–368). 

16 ‘‘(D) Significant exposure to radon, asbestos, 

17 beryllium, uranium, second hand smoke, or other 

18 known carcinogens. 

19 ‘‘(E) Previous lung disease. 

20 ‘‘(3) The Secretary shall establish standards, in con21 sultation with appropriate organizations, regarding the 

22 frequency of coverage of lung cancer screening tests under 

23 this title.’’. 

24 (c) FREQUENCY.—Section 1862(a)(1) of such Act 

25 (42 U.S.C. 1395y(a)(1)) is amended— 


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1 (1) by striking ‘‘and’’ at the end of subpara2 graph (M); 

3 (2) by striking the semicolon at the end of sub4 paragraph (N) and inserting ‘‘, and’’; and 

5 (3) by adding at the end the following new sub6 paragraph: 

7 ‘‘(O) in the case of lung cancer screening tests 

8 (as defined in section 1861(ccc)(1)), which are per9 formed more frequently than is covered under sec10 tion 1861(ccc)(3);’’. 

11 (d) EFFECTIVE DATE.—The amendments made by 

12 this section shall apply to tests furnished on or after Janu13 ary 1, 2007. 

Æ 


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