I 
111TH CONGRESS 
1ST SESSION H. R. 2291 
To amend title XVIII of the Social Security Act to eliminate coinsurance 
for screening mammography and colorectal cancer screening tests in 
order to promote the early detection of cancer. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 6, 2009 
Mr. THOMPSON of California (for himself and Mr. REICHERT) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend title XVIII of the Social Security Act to eliminate 
coinsurance for screening mammography and colorectal 
cancer screening tests in order to promote the early 
detection of cancer. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare Early Detec-
tion of Cancer Promotion Act of 2009’’. 
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SEC. 2. ELIMINATION OF THE 20 PERCENT COINSURANCE 
FOR 
SCREENING 
MAMMOGRAPHY 
AND 
COLORECTAL CANCER SCREENING TESTS. 
(a) SCREENING MAMMOGRAPHY.— 
(1) IN GENERAL.—Section 1833(a)(1)(B) of the 
Social Security Act (42 U.S.C. 1395l(a)(1)(B)) is 
amended— 
(A) by inserting ‘‘and with respect to 
screening mammography (as defined in section 
1861(jj))’’ after ‘‘section 1861(s)(10)(A)’’; and 
(B) by striking ‘‘100 percent of the reason-
able charge for such items and services’’ and in-
serting ‘‘100 percent of the fee schedule or 
other basis of payment under this title for the 
vaccine and its administration or for the screen-
ing mammography’’. 
(2) APPLICATION
TO
OUTPATIENT
HOSPITAL 
SETTINGS.—The 
third 
sentence 
of 
section 
1866(a)(2)(A) 
of 
such 
Act 
(42 
U.S.C. 
1395cc(a)(2)(A)) is amended by inserting after 
‘‘1861(s)(10)(A)’’ the following: ‘‘, with respect to 
screening mammography,’’. 
(b) COLORECTAL CANCER SCREENING TESTS.— 
(1) IN GENERAL.—Section 1834(d) of such Act 
(42 U.S.C. 1395m(d)) is amended— 
(A) in paragraph (2)(C)— 
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(i) by striking ‘‘FACILITY
PAYMENT 
LIMIT’’ and all that follows through ‘‘Not-
withstanding subsections’’ and inserting 
‘‘FACILITY
PAYMENT
LIMIT.—Notwith-
standing subsections’’; 
(ii) by striking ‘‘(I) in accordance’’ 
and inserting ‘‘(i) in accordance’’; 
(iii) by striking ‘‘(II) are performed’’ 
and inserting ‘‘(ii) are performed’’; and 
(iv) by striking clause (ii); and 
(B) in paragraph (3)(C)— 
(i) by striking ‘‘FACILITY
PAYMENT 
LIMIT’’ and all that follows through ‘‘Not-
withstanding subsections’’ and inserting 
‘‘FACILITY
PAYMENT
LIMIT.—Notwith-
standing subsections’’; and 
(ii) by striking clause (ii). 
(2) APPLICATION
TO
OUTPATIENT
HOSPTAL 
SETTINGS.—(A) Section 1833(t)(1)(B)(iv) of such 
Act (42 U.S.C. 1395l(t)(1)(B)(iv)) is amended by 
inserting ‘‘and does not include colorectal cancer 
screening tests’’ after ‘‘diagnostic mammography’’. 
(B) The third sentence of section 1866(a)(2)(A) 
of such Act (42 U.S.C. 1395cc(a)(2)(A)), as amend-
ed by subsection (a)(2), is amended by inserting 
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‘‘and colorectal cancer screening tests’’ after 
‘‘screening mammography’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to screening mammography and 
colorectal cancer screening tests performed on or after 
January 1, 2010. 
Æ 
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