I 
117TH CONGRESS 
1ST SESSION 
H. R. 107 
To provide funds to the Centers for Medicare & Medicaid Services to provide 
grants to entities to establish lung cancer screening registries approved 
by the Centers for Medicare & Medicaid Services for submission of 
certain data required for reimbursement under the Medicare program 
for certain screening services, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 4, 2021 
Mr. HIGGINS of New York introduced the following bill; which was referred 
to the Committee on Energy and Commerce, and in addition to the Com-
mittee 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 provide funds to the Centers for Medicare & Medicaid 
Services to provide grants to entities to establish lung 
cancer screening registries approved by the Centers for 
Medicare & Medicaid Services for submission of certain 
data required for reimbursement under the Medicare pro-
gram for certain screening services, and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Lung Cancer Screen-
ing Registry and Quality Improvement Act of 2021.’’ 
SEC. 2. GRANTS TO ESTABLISH LUNG CANCER SCREENING 
REGISTRIES APPROVED BY THE CENTERS 
FOR MEDICARE & MEDICAID SERVICES FOR 
SUBMISSION OF CERTAIN DATA REQUIRED 
FOR REIMBURSEMENT UNDER THE MEDI-
CARE PROGRAM FOR CERTAIN SCREENING 
SERVICES. 
(a) GRANTS.—There is appropriated to the Centers 
for Medicare & Medicaid Services, out of any moneys in 
the Treasury not otherwise appropriated, $2,000,000 for 
each of fiscal years 2022 through 2026 to make grants 
to entities to establish and carry out registries that are 
approved by the Centers for Medicare & Medicaid Services 
as meeting the requirements described in the Final Na-
tional Coverage Determination on Screening for Lung 
Cancer with Low Dose Computed Tomography published 
on February 5, 2015. 
(b) LIMITATION.—As a condition of receiving a grant 
pursuant to subsection (a), with respect to a registry de-
scribed in such subsection, an entity may not charge any 
fee for access to such registry. 
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SEC. 3. ENCOURAGING DATA INTEROPERABILITY AMONG 
LUNG CANCER SCREENING REGISTRIES. 
The Secretary of Health and Human Services shall 
take such actions as may be necessary to ensure data 
interoperability between all registries described in section 
1(a) (including such registries established using funds pro-
vided under such section, interoperability between all 
CMS-approved lung cancer screening registries), including 
by— 
(1) requiring interoperability as a condition of 
receiving any Federal funding for such a registry; 
and 
(2) revoking any such funding for such a reg-
istry if the registry is not interoperable with other 
such registries. 
SEC. 4. GRANTS FOR THE DEVELOPMENT OF LUNG CANCER 
SCREENING, DETECTION, AND PREVENTION 
QUALITY MEASURES. 
(a) IN GENERAL.—Subject to subsection (c), the Sec-
retary of Health and Human Services shall award com-
petitive grants to organizations with quality measure de-
velopment expertise to develop, using data contained in 
registries described in section 1(a) (including such a reg-
istry established using funds provided under such section), 
quality and efficiency measures described in subsection (b) 
for review and potential endorsement by a consensus- 
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