I 
109TH CONGRESS 
2D SESSION 
H. R. 6280 
To amend title XVIII of the Social Security Act to provide for Medicare 
coverage of screening tests for human papillomavirus (HPV). 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 29, 2006 
Ms. DELAURO introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to provide 
for Medicare coverage of screening tests for human 
papillomavirus (HPV). 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. MEDICARE COVERAGE OF SCREENING TESTS 
FOR HUMAN PAPILLOMAVIRUS (HPV). 
(a) IN GENERAL.—Section 1861 of the Social Secu-
rity Act (42 U.S.C. 1395x) is amended— 
(1) in subsection (s)(14), by inserting ‘‘, screen-
ing HPV test,’’ after ‘‘screening pap smear’’; and 
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(2) in subsection (nn)— 
(A) in the heading, by inserting ‘‘SCREEN-
ING
HPV TEST;’’ after ‘‘SCREENING
PAP 
SMEAR;’’ ; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(4) The term ‘screening HPV test’ means a molec-
ular laboratory test approved by the Food and Drug Ad-
ministration for detecting the presence of the types of 
human papillomavirus (HPV) that have been associated 
(as determined by the Secretary in consultation with rep-
resentatives of gynecologists) with a higher risk of cervical 
cancer, if conducted in combination with a screening pap 
smear and if the woman involved has not had such a test 
during the preceding 2 years, or during the preceding year 
in the case of a woman described in paragraph (3).’’. 
(b) CONFORMING AMENDMENTS.— 
(1) INCLUSION IN REFERRALS AS PART OF INI-
TIAL
PREVENTIVE
PHYSICAL
EXAMINATION.—Sec-
tion 1861(ww)(2)(C) of such Act (42 U.S.C. 
1396x(ww)(2)(C)) is amended by inserting ‘‘, screen-
ing HPV test,’’ after ‘‘screening pap smear’’. 
(2) 
WAIVER
OF
DEDUCTIBLE.—Section 
1833(b)(6) of such Act (42 U.S.C. 1395l(b)(6)) is 
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amended by inserting ‘‘, screening HPV test,’’ after 
‘‘screening pap smear’’. 
(3) APPLICATION
OF
PAP
SMEAR
PAYMENT 
RULE.—Section 1833(h)(7) of such Act (42 U.S.C. 
1305l(h)(7)) is amended by adding at the end the 
following: ‘‘Such minimum payment amount shall 
also apply to payment for screening HPV tests’’. 
(4) APPLICATION OF PAP SMEAR FREQUENCY 
LIMITS.—Section 1862(a)(1)(F) of such Act (42 
U.S.C. 1395y(a)(1)(F)) is amended by inserting ‘‘, 
screening HPV test,’’ after ‘‘screening pap smear’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services furnished on or after 
January 1, 2007. 
Æ 
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