I

103D CONGRESS

1ST SESSION H. R. 243

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

of prostate cancer screening tests under the medicaid program.

IN THE HOUSE OF REPRESENTATIVES

JANUARY 5, 1993

Mrs. LLOYD (for herself, Mr. MARKEY, Mr. HANSEN, Mr. TOWNS, Mr.

OWENS, Mr. CONYERS, Ms. NORTON, Mrs. COLLINS of Illinois, Mr.

SCHUMER, Mr. EMERSON, Mr. MURTHA, Mr. MARTINEZ, Mr. DIXON, Mr.

EVANS, Mrs. MEYERS of Kansas, Mr. MAZZOLI, Mr. LEVIN, Mr. SCHIFF,

Mr. VENTO, Mr. FAZIO, Mrs. COLLINS of Michigan, Mrs. SCHROEDER,

and Mr. BILIRAKIS) introduced the following bill; which was referred to

the Committee on Energy and Commerce

A BILL

To amend title XIX of the Social Security Act to provide

for coverage of prostate cancer screening tests under

the medicaid 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 ‘‘Medicaid Prostate

5 Screening Act of 1993’’.
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1 SEC. 2. MANDATORY COVERAGE OF PROSTATE CANCER

2 SCREENING TESTS UNDER STATE MEDICAID

3 PLANS.

4 (a) IN GENERAL.—Section 1905(a) of the Social Se5 curity Act (42 U.S.C. 1396d(a)) is amended—

6 (1) by striking ‘‘and’’ at the end of paragraph

7 (21);

8 (2) in paragraph (24), by striking the comma

9 at the end and inserting a semicolon;

10 (3) by redesignating paragraphs (22), (23), and

11 (24) as paragraphs (25), (22), and (23), respec12 tively, and by transferring and inserting paragraph

13 (25) after paragraph (23), as so redesignated; and

14 (4) by inserting after paragraph (23) the fol15 lowing new paragraph:

16 ‘‘(24) prostate cancer screening tests (as de17 fined in subsection (t)); and’’.

18 (b) DEFINITION.—Section 1905 of such Act (42

19 U.S.C. 1396d) is amended by adding at the end the follow20 ing new subsection:

21 ‘‘(t) The term ‘prostate cancer screening test’ means

22 a test that consists of a digital rectal examination or a

23 serum prostate-specific antigen test (or both) provided for

24 the purposes of early detection of prostate cancer to a man

25 over 40 years of age who has not had such a test during

26 the preceding year.’’.
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1 (c) 100 PERCENT FEDERAL MATCH FOR TESTS.—

2 Section 1905(b) of such Act (42 U.S.C. 1396d(b)) is

3 amended by adding at the end the following: ‘‘Notwith4 standing the first sentence of this section, the Federal

5 medical assistance percentage shall be 100 percent with

6 respect to amounts expended for medical assistance con7 sisting of prostate cancer screening tests (as defined in

8 subsection (t)).’’.

9 (d) CONFORMING AMENDMENTS.—(1) Section

10 1902(a)(10)(A) of such Act (42 U.S.C. 1396a(a)(10)(A))

11 is amended by striking ‘‘(17) and (21)’’ and inserting

12 ‘‘(17), (21), and (24)’’.

13 (2) Section 1902(a)(10)(C)(iv) of such Act (42

14 U.S.C. 1396a(a)(10)(C)(iv)) is amended—

15 (A) by striking ‘‘(5) and (17)’’ and inserting

16 ‘‘(5), (17), and (24)’’; and

17 (B) by striking ‘‘through (21)’’ and inserting

18 ‘‘through (24)’’.

19 (3) Section 1902(j) of such Act (42 U.S.C. 1396a(j))

20 is amended by striking ‘‘through (22)’’ and inserting

21 ‘‘through (24)’’.

22 SEC. 3. EFFECTIVE DATE.

23 The amendments made by section 2 shall apply to

24 quarters occurring on or after January 1, 1994.

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