Colorectal Cancer Detection Act

Subjects: Health, Blood and blood diseases, Cancer, Digestive and metabolic diseases, Health promotion and preventive care, Medical tests and diagnostic methods, Medicare

Summary:  <p><strong>Colorectal Cancer Detection Act</strong></p> <p>This bill provides for Medicare coverage and payment, subject to&nbsp;specified frequency limits, of certain colorectal cancer screening blood-based tests. </p>

<html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 892 Introduced in Senate (IS)]

&lt;DOC&gt;






118th CONGRESS
  1st Session
                                 S. 892

  To amend title XVIII of the Social Security Act to provide coverage 
   under the Medicare program for FDA-approved qualifying colorectal 
   cancer screening blood-based tests, to increase participation in 
colorectal cancer screening in under-screened communities of color, to 
   offset the COVID-19 pandemic driven declines in colorectal cancer 
                   screening, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             March 21, 2023

 Mr. Heinrich introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII of the Social Security Act to provide coverage 
   under the Medicare program for FDA-approved qualifying colorectal 
   cancer screening blood-based tests, to increase participation in 
colorectal cancer screening in under-screened communities of color, to 
   offset the COVID-19 pandemic driven declines in colorectal cancer 
                   screening, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Colorectal Cancer Detection Act''.

SEC. 2. MEDICARE COVERAGE FOR FDA-APPROVED QUALIFYING COLORECTAL CANCER 
              SCREENING BLOOD-BASED TESTS.

    (a) In General.--Section 1861(pp) of the Social Security Act (42 
U.S.C. 1395x(pp)) is amended--
            (1) in paragraph (1)--
                    (A) by redesignating subparagraph (D) as 
                subparagraph (E); and
                    (B) by inserting after subparagraph (C) the 
                following new subparagraph:
            ``(D) Qualifying colorectal cancer screening blood-based 
        test.''; and
            (2) by adding at the end the following new paragraph:
    ``(3) The term `qualifying colorectal cancer screening blood-based 
test' means a screening blood-based test for the early detection of 
colorectal cancer that is marketed or used, as applicable, in 
accordance with the relevant provisions of section 353 of the Public 
Health Service Act or the Federal Food, Drug, and Cosmetic Act.''.
    (b) Frequency Limits for Colorectal Cancer Screening Tests and 
Payment Amount for Qualifying Colorectal Cancer Screening Blood-Based 
Tests.--Section 1834(d) of the Social Security Act (42 U.S.C. 1395m(d)) 
is amended--
            (1) by amending clause (ii) of paragraph (1)(B) to read as 
        follows:
                            ``(ii) if the test is performed within the 
                        11 months after a previous screening fecal-
                        occult blood test or a previous qualifying 
                        colorectal cancer screening blood-based 
                        test.'';
            (2) in paragraph (2)(E)(ii), by inserting ``or within the 
        35 months after a previous screening fecal-occult blood test or 
        previous qualifying colorectal cancer screening blood-based 
        test'' after ``sigmoidoscopy'';
            (3) by amending subparagraph (E) of paragraph (3) to read 
        as follows:
                    ``(E) Frequency limit.--No payment may be made 
                under this part for a colorectal cancer screening test 
                consisting of a screening colonoscopy--
                            ``(i) if the procedure is performed within 
                        the 11 months after a previous screening fecal-
                        occult blood test or previous qualifying 
                        colorectal cancer screening blood-based test;
                            ``(ii) for individuals at high risk for 
                        colorectal cancer if the procedure is performed 
                        within the 23 months after a previous screening 
                        colonoscopy; or
                            ``(iii) for individuals not at high risk 
                        for colorectal cancer if the procedure is 
                        performed within the 119 months after a 
                        previous screening colonoscopy or within the 47 
                        months after a previous screening flexible 
                        sigmoidoscopy.''; and
            (4) by adding at the end the following new paragraph:
            ``(4) Qualifying colorectal cancer screening blood-based 
        tests.--
                    ``(A) Payment amount.--The payment amount for 
                colorectal cancer screening tests consisting of 
                qualifying colorectal cancer screening blood-based 
                tests shall be established by the Secretary in 
                accordance with section 1833(h) and section 1834A, as 
                applicable.
                    ``(B) Frequency limit.--Paragraph (1)(B) shall 
                apply to colorectal cancer screening tests consisting 
                of qualifying colorectal cancer screening blood-based 
                tests in the same manner as such paragraph applies to 
                colorectal cancer screening tests consisting of fecal-
                occult blood tests.''.
    (c) Effective Date.--The amendments made by this section shall 
apply to colorectal cancer screening tests furnished in a year 
beginning more than 6 months after the date of the enactment of this 
Act.
                                 &lt;all&gt;
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