I 
110TH CONGRESS 
1ST SESSION H. R. 1926 
To amend title XVIII of the Social Security Act to improve patient access 
to, and utilization of, the colorectal cancer screening benefit under the 
Medicare Program. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 18, 2007 
Mr. NEAL of Massachusetts (for himself, Mr. ENGLISH of Pennsylvania, Mr. 
TOWNS, Mr. LATHAM, and Mrs. MCCARTHY of New York) 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 improve 
patient access to, and utilization of, the colorectal cancer 
screening benefit under the Medicare Program. 
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 ‘‘Colon Cancer Screen 
for Life Act of 2007’’. 
SEC. 2. SENSE OF CONGRESS. 
It is the sense of Congress that— 
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(1) colorectal cancer screening tests (as defined 
in section 1861(pp)(1) of the Social Security Act (42 
U.S.C. 1395x(pp)(1)) covered under the Medicare 
Program have been severely underutilized, with the 
Comptroller General of the United States reporting 
in 2000 that since coverage of such tests was imple-
mented, the percentage of beneficiaries under the 
Medicare Program receiving either a screening or a 
diagnostic colonoscopy has increased by only 1 per-
cent; 
(2) in recognition of the need to improve rates 
of colorectal cancer screening in the Medicare Pro-
gram, Congress enacted provisions in the Medicare 
Prescription Drug, Improvement, and Modernization 
Act of 2003 to require physicians to provide a refer-
ral for colorectal cancer screening as part of the new 
initial preventive physical examination, beginning 
January 1, 2005; 
(3) the Centers for Medicare & Medicaid Serv-
ices should encourage health care providers to use 
more effective screening and diagnostic health care 
technologies in the area of colorectal cancer screen-
ing; 
(4) in recent years, the Centers for Medicare & 
Medicaid Services has subjected colorectal cancer 
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screening tests to some of the largest reimbursement 
reductions under the Medicare Program; 
(5) unlike other preventive screening tests cov-
ered under the Medicare Program, health care pro-
viders must consult with beneficiaries prior to fur-
nishing a screening colonoscopy in order to— 
(A) ascertain the medical and family his-
tory of the beneficiary; and 
(B) inform the beneficiary of preparatory 
steps that must be taken prior to the procedure; 
and 
(6) reimbursement under the Medicare Pro-
gram is not currently available for the consultations 
described in paragraph (5) despite the fact that re-
imbursement is provided under such program for 
similar 
consultations 
prior 
to 
a 
diagnostic 
colonoscopy. 
SEC. 3. INCREASE IN PART B REIMBURSEMENT FOR 
COLORECTAL CANCER SCREENING AND DI-
AGNOSTIC TESTS. 
(a) IN GENERAL.—Section 1834(d) of the Social Se-
curity Act (42 U.S.C. 1395m(d)) is amended by adding 
at the end the following new paragraph: 
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‘‘(4) ENHANCED
PART
B
PAYMENT
FOR 
COLORECTAL CANCER SCREENING AND DIAGNOSTIC 
TESTS.— 
‘‘(A) 
NONFACILITY
RATES.—Notwith-
standing paragraphs (2)(A) and (3)(A), the 
Secretary shall establish national minimum pay-
ment amounts for CPT codes 45378, 45380, 
and 45385, and HCPCS codes G0105 and 
GO121 for items and services furnished on or 
after January 1, 2008, which reflect a 10-per-
cent increase above the relative value units in 
effect as the nonfacility rates for such codes on 
December 31, 2007, with such revised payment 
level to apply to items and services performed 
in a nonfacility setting. 
‘‘(B) FACILITY
RATES.—Notwithstanding 
paragraphs (2)(A) and (3)(A), the Secretary 
shall establish national minimum payment 
amounts for CPT codes 45378, 45380, and 
45385, and HCPCS codes G0105 and GO121 
for items and services furnished on or after 
January 1, 2008, which reflect a 30-percent in-
crease above the relative value units in effect as 
the facility rates for such codes on December 
31, 2007, with such revised payment level to 
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