I

107TH CONGRESS

1ST SESSION H. R. 1328

To amend title XVIII of the Social Security Act to provide enhanced reimbursement for mammography services under the Medicare Program, and

for other purposes.

IN THE HOUSE OF REPRESENTATIVES

MARCH 30, 2001

Mr. HOBSON (for himself, Mrs. CAPITO, Mrs. JONES of Ohio, and Mr. TANNER) 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

enhanced reimbursement for mammography services

under the Medicare Program, and for other purposes.

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 Mammogram

5 Access Protection Act of 2001’’.
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1 SEC. 2. ENHANCED REIMBURSEMENT UNDER THE MEDI2 CARE PROGRAM FOR SCREENING

3 MAMMOGRAPHIES FURNISHED IN 2002.

4 (a) ONE-YEAR DELAY OF INCLUSION OF PAYMENT

5 FOR SCREENING MAMMOGRAPHY IN PHYSICIAN FEE

6 SCHEDULE.—Section 104(c) of BIPA (114 Stat. 2763A–

7 470) is amended by striking ‘‘January 1, 2002’’ and in8 serting ‘‘January 1, 2003’’.

9 (b) CHANGE IN PAYMENT AMOUNT.—Section

10 1834(c)(3)(A) of the Social Security Act (42 U.S.C.

11 1395m(c)(3)(A)) is amended—

12 (1) in the heading, by striking ‘‘$55, IN13 DEXED.—’’ and inserting ‘‘IN GENERAL.—’’;

14 (2) in clause (i), by striking ‘‘and’’ at the end;

15 (3) in clause (ii)—

16 (A) by striking ‘‘a subsequent year’’ and

17 inserting ‘‘1992 through 2001,’’; and

18 (B) by striking ‘‘that subsequent year.’’

19 and inserting ‘‘that year, and’’; and

20 (4) by adding at the end the following new

21 clause:

22 ‘‘(iii) for screening mammography

23 performed in 2002, is $90.’’.

24 (c) EFFECTIVE DATES.—

25 (1) BIPA AMENDMENT.—The amendment

26 made by subsection (a) shall take effect as if in-
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1 cluded in the enactment of section 104 of BIPA

2 (114 Stat. 2763A–469).

3 (2) MAMMOGRAPHY IN 2002.—The amendments

4 made by subsection (b) shall apply with respect to

5 screening mammographies furnished during 2002.

6 (d) CONSTRUCTION.—Nothing in this section shall be

7 construed as affecting the provisions of section 104(d) of

8 BIPA (114 Stat. 2763–470) (relating to payment for new

9 technologies).

10 (e) REFERENCES TO BIPA.—In this section, the

11 term ‘‘BIPA’’ means the Medicare, Medicaid, and SCHIP

12 Benefits Improvement and Protection Act of 2000 (Ap13 pendix F, 114 Stat. 2763A–463), as enacted into law by

14 section 1(a)(6) of Public Law 106–554.

15 SEC. 3. MEDPAC STUDY AND REPORT ON MEDICARE REIM16 BURSEMENT FOR SCREENING SERVICES.

17 (a) STUDY.—The Medicare Payment Advisory Com18 mission shall conduct a study of the relative value units

19 established by the Secretary of Health and Human Serv20 ices under the medicare physician fee schedule under sec21 tion 1848 of the Social Security Act (42 U.S.C. 1395w–

22 4) for screening services that are reimbursed under such

23 fee schedule.

24 (b) REPORT.—Not later than March 1, 2002, the

25 Commission shall submit to Congress a report on the
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1 study conducted under subsection (a), together with such

2 recommendations regarding the appropriateness of adjust3 ing the relative value units for screening services that are

4 reimbursed under the physician fee schedule as the Comp5 troller General determines appropriate.

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