subparagraphs (A) and (B) shall, subject to the
minimum payment amounts established in such
subparagraphs, be adjusted annually as pro-
vided in section 1848.’’.
(b) EFFECTIVE DATE.—The amendment made by
this section shall apply to items and services furnished on
or after July 1, 2002.
SEC. 4. MEDICARE COVERAGE OF OFFICE VISIT OR CON-
SULTATION 
PRIOR 
TO 
A 
SCREENING
COLONOSCOPY OR IN CONJUNCTION WITH A
BENEFICIARY’S DECISION TO OBTAIN SUCH A
SCREENING.
(a) COVERAGE.—Section 1861(s)(2) of the Social Se-
curity Act (42 U.S.C. 1395x(s)(2)) is amended—
(1) in subparagraph (U), by striking ‘‘and’’ at
the end;
(2) in subparagraph (V), by inserting ‘‘and’’ at
the end; and
(3) by adding at the end the following new sub-
paragraph:
‘‘(W) an outpatient office visit or consultation
for the purpose of beneficiary education, assuring se-
lection of the proper screening test, and securing in-
formation relating to the procedure and sedation of
the beneficiary, prior to a colorectal cancer screening
test consisting of a screening colonoscopy or in con-
junction with the beneficiary’s decision to obtain
such a screening, regardless of whether such screen-
ing is medically indicated with respect to the bene-
ficiary;’’.
(b) PAYMENT.—
(1) IN GENERAL.—Section 1833(a)(1) of the
Social Security Act (42 U.S.C. 1395l(a)(1)) is
amended—
(A) by striking ‘‘and’’ before ‘‘(U)’’; and
(B) by inserting before the semicolon at
the end the following: ‘‘, and (V) with respect
to an outpatient office visit or consultation
under section 1861(s)(2)(W), the amounts paid
shall be 80 percent of the lesser of the actual
charge or the amount established under section
1848’’.
(2) PAYMENT UNDER PHYSICIAN FEE SCHED-
ULE.—Section 1848(j)(3) of the Social Security Act
(42 U.S.C. 1395w–4(j)(3)) is amended by inserting
‘‘(2)(W),’’ after ‘‘(2)(S),’’.
(3) REQUIREMENT
FOR
ESTABLISHMENT
OF
PAYMENT AMOUNT UNDER PHYSICIAN FEE SCHED-
ULE.—Section 1834(d) of the Social Security Act
(42 U.S.C. 1395m(d)), as amended by section 3, is
amended by adding at the end the following new
paragraph:
‘‘(5) PAYMENT FOR OUTPATIENT OFFICE VISIT
OR
CONSULTATION
PRIOR
TO
SCREENING
COLONOSCOPY.—With respect to an outpatient office
visit or consultation under section 1861(s)(2)(W),
payment under section 1848 shall be consistent with
the payment amounts for CPT codes 99203 and
99243.’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall apply to items and services provided on
or after July 1, 2002.
SEC. 5. WAIVER OF DEDUCTIBLE FOR COLORECTAL CAN-
CER SCREENING TESTS.
(a) IN GENERAL.—The first sentence of section
1833(b) of the Social Security Act (42 U.S.C. 1395l(b))
is amended—
(1) by striking ‘‘and’’ before ‘‘(6)’’; and
(2) by inserting before the period at the end the
following: ‘‘, and (7) such deductible shall not apply
with respect to colorectal cancer screening tests (as
described in section 1861(pp)(1))’’.
(b) 
CONFORMING
AMENDMENTS.—Paragraphs
(2)(C)(ii) and (3)(C)(ii) of section 1834(d) of the Social
Security Act (42 U.S.C. 1395m(d)) are each amended—
(1) by striking ‘‘DEDUCTIBLE
AND’’ in the
heading; and
(2) in subclause (I), by striking ‘‘deductible or’’
each place it appears.
(c) EFFECTIVE DATE.—The amendment made by
this section shall apply to items and services furnished on
or after July 1, 2002.
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