II 

110TH CONGRESS 

1ST SESSION S. 1109 

To increase funding for the National Institutes of Health to carry out breast 

cancer research and to amend title XVIII of the Social Security Act 

to extend for 6 months the eligibility period for the ‘‘Welcome to Medicare’’ physical examination and to eliminate coinsurance for screening 

mammography and colorectal cancer screening tests in order to promote 

the early detection of cancer. 

IN THE SENATE OF THE UNITED STATES 

APRIL 16, 2007 

Mr. BAYH introduced the following bill; which was read twice and referred to 

the Committee on Finance 

A BILL 

To increase funding for the National Institutes of Health 

to carry out breast cancer research and to amend title 

XVIII of the Social Security Act to extend for 6 months 

the eligibility period for the ‘‘Welcome to Medicare’’ 

physical examination and 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, 

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•S 1109 IS

1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Breast Cancer Re3 search and Screening Act of 2007’’. 

4 SEC. 2. NIH BREAST CANCER FUNDING. 

5 There is authorized to be appropriated to the Na6 tional Institutes of Health, $2,148,000,000 for fiscal year 

7 2008 for carrying out breast cancer research under title 

8 IV of the Public Health Service Act (42 U.S.C. 481 et 

9 seq.). 

10 SEC. 3. EXTENDING THE ELIGIBILITY PERIOD FOR A ‘‘WEL11 COME TO MEDICARE’’ PHYSICAL EXAMINA12 TION FROM SIX MONTHS TO ONE YEAR. 

13 (a) IN GENERAL.—Section 1862(a)(1)(K) of the So14 cial Security Act (42 U.S.C. 1395y(a)(1)(K)) is amended 

15 by striking ‘‘6 months’’ and inserting ‘‘1 year’’. 

16 (b) EFFECTIVE DATE.—The amendment made by 

17 subsection (a) shall apply to initial preventive physician 

18 examinations performed on or after January 1, 2008. 

19 SEC. 4. ELIMINATION OF THE 20 PERCENT COINSURANCE 

20 FOR SCREENING MAMMOGRAPHY AND 

21 COLORECTAL CANCER SCREENING TESTS. 

22 (a) SCREENING MAMMOGRAPHY.— 

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

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

25 amended— 

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•S 1109 IS

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

2 screening mammography (as defined in section 

3 1861(jj))’’ after ‘‘section 1861(s)(10)(A)’’; and 

4 (B) by striking ‘‘100 percent of the reason5 able charge for such items and services’’ and in6 serting ‘‘100 percent of the fee schedule or 

7 other basis of payment under this title for the 

8 vaccine and its administration or for the screen9 ing mammography’’. 

10 (2) APPLICATION TO OUTPATIENT HOSPITAL

11 SETTINGS.—The third sentence of section 

12 1866(a)(2)(A) of the Social Security Act (42 U.S.C. 

13 1395cc(a)(2)(A)) is amended by inserting after 

14 ‘‘1861(s)(10)(A)’’ the following: ‘‘, with respect to 

15 screening mammography,’’. 

16 (b) COLORECTAL CANCER SCREENING TESTS.— 

17 (1) IN GENERAL.—Section 1834(d) of the So18 cial Security Act (42 U.S.C. 1395m(d)) is amend19 ed— 

20 (A) in paragraph (2)(C)— 

21 (i) by striking ‘‘FACILITY PAYMENT

22 LIMIT’’ and all that follows through ‘‘Not23 withstanding subsections’’ and inserting 

24 ‘‘FACILITY PAYMENT LIMIT.—Notwith25 standing subsections’’; 

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

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

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

4 and all that follows through ‘‘payment 

5 under’’ and inserting ‘‘(ii) are performed 

6 in an ambulatory surgical center or hos7 pital outpatient department, payment 

8 under’’; and 

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

10 (B) in paragraph (3)(C)— 

11 (i) by striking ‘‘FACILITY PAYMENT

12 LIMIT’’ and all that follows through ‘‘Not13 withstanding subsections’’ and inserting 

14 ‘‘FACILITY PAYMENT LIMIT.—Notwith15 standing subsections’’; and 

16 (ii) by striking clause (ii). 

17 (2) APPLICATION TO OUTPATIENT HOSPITAL

18 SETTINGS.—(A) Section 1833(t)(1)(B)(iv) of the So19 cial Security Act (42 U.S.C. 1395l(t)(1)(B)(iv)) is 

20 amended by inserting ‘‘and does not include 

21 colorectal cancer screening tests’’ after ‘‘diagnostic 

22 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, 2008. 

Æ 

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