I 
110TH CONGRESS 
1ST SESSION H. R. 4055 
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 
NOVEMBER 1, 2007 
Ms. DELAURO (for herself and Ms. SCHWARTZ) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committee on Ways and Means, for a period to be subse-
quently 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. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare Cervical Can-
cer Screening and Detection Coverage Act of 2007’’. 
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SEC. 2. 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 striking ‘‘smear 
and screening pelvic exam’’ and inserting ‘‘test, 
screening pelvic exam, and screening HPV test’’; 
and 
(2) in subsection (nn)— 
(A) in the heading, by striking ‘‘SMEAR; 
SCREENING
PELVIC
EXAM’’ and inserting 
‘‘TEST; SCREENING PELVIC EXAM; SCREENING 
HPV TEST’’; 
(B) in paragraph (1), by striking ‘‘smear’’ 
and inserting ‘‘test’’; 
(C) in paragraphs (1) and (2), by striking 
‘‘paragraph (3)’’ and inserting ‘‘paragraph 
(4)’’; 
(D) by redesignating paragraph (3) as 
paragraph (4); and 
(E) by inserting after paragraph (2) the 
following new paragraph: 
‘‘(3)(A) The term ‘screening HPV test’ means a mo-
lecular laboratory test for detecting the presence of high- 
risk human papillomavirus when administered in conjunc-
tion with a Pap test if, subject to subparagraph (B), the 
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woman involved has not had such a test during the pre-
ceding 3 years or during the preceding year in the case 
of a woman described in paragraph (4). 
‘‘(B) With respect to coverage of screening HPV 
tests— 
‘‘(i) the Secretary, in consultation with organi-
zations with expertise in cytopathology, gynecology, 
and women’s health, shall review the evidence basis 
and clinical guidelines for the appropriate frequency, 
age, and such other factors pertinent to such screen-
ing HPV tests; and 
‘‘(ii) the Secretary, based upon the review con-
ducted under clause (i) and in consultation with the 
organizations referred to in clause (i), may revise 
from time to time the criteria applied under sub-
paragraph (A) for the coverage of screening HPV 
tests.’’. 
(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 striking ‘‘smear 
and screening pelvic exam’’ and inserting ‘‘test, 
screening pelvic exam, and screening HPV test’’. 
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(2) 
WAIVER
OF
DEDUCTIBLE.—Section 
1833(b)(6) of such Act (42 U.S.C. 1395l(b)(6)) is 
amended by striking ‘‘smear and screening pelvic 
exam’’ and inserting ‘‘test, screening pelvic exam, 
and screening HPV test’’. 
(3) APPLICATION
OF
PAP
TEST
PAYMENT 
RULE.—Section 1833(h)(7) of such Act (42 U.S.C. 
1305l(h)(7)) is amended— 
(A) by striking ‘‘smear’’; and 
(B) by adding at the end the following: 
‘‘Such minimum payment amount shall also 
apply to payment for screening HPV tests’’. 
(4) APPLICATION
OF
PAP
TEST
FREQUENCY 
LIMITS.—Section 1862(a)(1)(F) of such Act (42 
U.S.C. 1395y(a)(1)(F)) is amended by striking 
‘‘smear and screening pelvic exam’’ and inserting 
‘‘test, screening pelvic exam, and screening HPV 
test’’. 
(5) APPLICATION
OF
PAP
TEST
EXCEPTION 
UNDER COMPETITIVE ACQUISITION PROGRAM.—Sec-
tion 1847(e)(1)(A) of such Act (42 U.S.C. 1395w– 
3(e)(1)(A)) is amended by striking ‘‘pap smear lab-
oratory tests’’ and inserting ‘‘pap tests and screen-
ing HPV tests’’. 
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(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services furnished on or after 
January 1, 2008. 
Æ 
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