periodicity which reflects the appropriate frequency with
which the services referred to in paragraph (1) should be
provided to healthy children.’’.
(c) 
CONFORMING
AMENDMENTS.—(1) 
Section
1862(a)(1) of such Act (42 U.S.C. 1395y(a)(1)), as
amended by sections 3(b)(4)(A) and 4(b), is amended—
(A) in subparagraph (G), by striking ‘‘and’’ at
the end;
(B) in subparagraph (H), by striking the semi-
colon at the end and inserting ‘‘, and’’; and
(C) by adding at the end the following new sub-
paragraph:
‘‘(I) in the case of well-child services, which are
provided more frequently than is provided under the
schedule of periodicity established by the Secretary
under section 1861(ll)(2) for such services;’’.
(2) Section 1862(a)(7) of such Act (42 U.S.C.
1395y(a)(7)), as amended by sections 3(b)(4)(B) and 4(c),
is amended by striking ‘‘or (H)’’ and inserting ‘‘(H), or
(I)’’.
(d) EFFECTIVE DATE.—The amendments made by
this section shall apply to well-child services provided on
or after January 1, 1994.
SEC. 6. DEMONSTRATION PROJECTS FOR COVERAGE OF
OTHER PREVENTIVE SERVICES.
(a) ESTABLISHMENT.—The Secretary of Health and
Human Services shall establish and provide for a series
of ongoing demonstration projects under which the Sec-
retary shall provide for coverage of the preventive services
described in subsection (c) under the medicare program
in order to determine—
(1) the feasibility and desirability of expanding
coverage of medical and other health services under
the medicare program to include coverage of such
services for all individuals enrolled under part B of
title XVIII of the Social Security Act; and
(2) appropriate methods for the delivery of
those services to medicare beneficiaries.
(b) SITES FOR PROJECT.—The Secretary shall pro-
vide for the conduct of the demonstration projects estab-
lished under subsection (a) at the sites at which the Sec-
retary conducts the demonstration program established
under section 9314 of the Consolidated Omnibus Budget
Reconciliation Act of 1985 and at such other sites as the
Secretary considers appropriate.
(c) SERVICES COVERED UNDER PROJECTS.—The
Secretary shall cover the following services under the se-
ries of demonstration projects established under sub-
section (a):
(1) Glaucoma screening.
(2) Cholesterol screening and cholesterol-reduc-
ing drug therapies.
(3) Screening and treatment for osteoporosis,
including tests for bone-marrow density and hor-
mone replacement therapy.
(4) Screening services for pregnant women, in-
cluding ultra-sound and clamydial testing and ma-
ternal serum alfa-protein.
(5) One-time comprehensive assessment for in-
dividuals beginning at age 65 or 75.
(6) Prostate-specific antigen (PSA) testing.
(7) Other services considered appropriate by the
Secretary.
(d) REPORTS TO CONGRESS.—Not later than October
1, 1995, and every 2 years thereafter, the Secretary shall
submit a report to the Committee on Finance of the Sen-
ate and the Committee on Ways and Means and the Com-
mittee on Energy and Commerce of the House of Rep-
resentatives describing findings made under the dem-
onstration projects conducted pursuant to subsection (a)
during the preceding 2-year period and the Secretary’s
plans for the demonstration projects during the succeeding
2-year period.
(e) AUTHORIZATION
OF APPROPRIATIONS.—There
are authorized to be appropriated from the Federal Sup-
plementary Medical Insurance Trust Fund for expenses
incurred in carrying out the series of demonstration
projects established under subsection (a) the following
amounts:
(1) $4,000,000 for fiscal year 1994.
(2) $4,000,000 for fiscal year 1995.
(3) $5,000,000 for fiscal year 1996.
(4) $5,000,000 for fiscal year 1997.
(5) $6,000,000 for fiscal year 1998.
SEC. 7. OTA STUDY OF PROCESS FOR REVIEW OF MEDI-
CARE COVERAGE OF PREVENTIVE SERVICES.
(a) STUDY.—The Director of the Office of Tech-
nology Assessment (hereafter referred to as the ‘‘Direc-
tor’’) shall, subject to the approval of the Technology As-
sessment Board, conduct a study to develop a process for
the regular review for the consideration of coverage of pre-
ventive services under the medicare program, and shall in-
clude in such study a consideration of different types of
evaluations, the use of demonstration projects to obtain
data and experience, and the types of measures, outcomes,
and criteria that should be used in making coverage deci-
sions.
(b) REPORT.—Not later than 2 years after the date
of the enactment of this Act, the Director shall submit
a report to the Committee on Finance of the Senate and
the Committee on Ways and Means and the Committee
on Energy and Commerce of the House of Representatives
on the study conducted under subsection (a).
Æ