TITLE II—MEDICARE COVERAGE 
OF 
PREVENTIVE 
HEALTH 
BENEFITS 
SEC. 201. THERAPY AND COUNSELING FOR CESSATION OF 
TOBACCO USE. 
(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) supplemental preventive health services 
(as defined in subsection (ww));’’. 
(b) SERVICES DESCRIBED.—Section 1861 of the So-
cial Security Act (42 U.S.C. 1395x) is amended by adding 
at the end the following new subsection: 
‘‘Supplemental Preventive Health Services 
‘‘(ww) The term ‘supplemental preventive health serv-
ices’ means the following: 
‘‘(1)(A) Therapy and counseling for cessation of 
tobacco use for individuals who use tobacco products 
or who are being treated for tobacco use that is fur-
nished—
‘‘(i) by or under the supervision of a physi-
cian; or 
‘‘(ii) by any other health care professional 
who— 
‘‘(I) is legally authorized to furnish 
such services under State law (or the State 
regulatory mechanism provided by State 
law) of the State in which the services are 
furnished; and 
‘‘(II) is authorized to receive payment 
for other services under this title or is des-
ignated by the Secretary for this purpose. 
‘‘(B) Subject to subparagraph (C), such term is 
limited to—
‘‘(i) therapy and counseling services rec-
ommended in ‘Treating Tobacco Use and De-
pendence: A Clinical Practice Guideline’, pub-
lished by the Public Health Service in June 
2000, or any subsequent modification of such 
Guideline; and 
‘‘(ii) such other therapy and counseling 
services that the Secretary recognizes to be ef-
fective.
‘‘(C) Such term shall not include coverage for 
drugs or biologicals that are not otherwise covered 
under this title.’’. 
(c) PAYMENT AND ELIMINATION OF COST-SHARING 
FOR ALL SUPPLEMENTAL PREVENTIVE HEALTH SERV-
ICES.—
(1) PAYMENT AND ELIMINATION OF COINSUR-
ANCE.—Section 1833(a)(1) of the Social Security 
Act (42 U.S.C. 1395l(a)(1)) is amended—
(A) in subparagraph (N), by inserting 
‘‘other than supplemental preventive health 
services (as defined in section 1861(ww))’’ after 
‘‘(as defined in section 1848(j)(3))’’
(B) by striking ‘‘and’’ before ‘‘(U)’’; and 
(C) by inserting before the semicolon at 
the end the following: ‘‘, and (V) with respect 
to supplemental preventive health services (as 
defined in section 1861(ww)), the amount paid 
shall be 100 percent of the lesser of the actual 
charge for the services or the amount deter-
mined under the payment basis determined 
under section 1848 by the Secretary for the 
particular supplemental preventive health serv-
ice involved’’.
(2) PAYMENT UNDER PHYSICIAN FEE SCHED-
ULE.—Section 
1848(j)(3) 
(42 
U.S.C. 
1395w–
4(j)(3)) is amended by inserting ‘‘(2)(W),’’ after 
‘‘(2)(S),’’. 
(3) ELIMINATION
OF
COINSURANCE
IN
OUT-
PATIENT HOSPITAL SETTINGS.—The third sentence 
of section 1866(a)(2)(A) of the Social Security Act 
(42 U.S.C. 1395cc(a)(2)(A)) is amended by insert-
ing after ‘‘1861(s)(10)(A)’’ the following: ‘‘, with re-
spect to supplemental preventive health services (as 
defined in section 1861(ww)),’’. 
(4) ELIMINATION OF DEDUCTIBLE.—The first 
sentence of section 1833(b) of the Social Security 
Act (42 U.S.C. 1395l(b)) is amended—
(A) by striking ‘‘and’’ before ‘‘(6)’’; and 
(B) by inserting before the period the fol-
lowing: ‘‘, and (7) such deductible shall not 
apply with respect to supplemental preventive 
health 
services 
(as 
defined 
in 
section 
1861(ww))’’. 
(d) APPLICATION OF LIMITS ON BILLING.—Section 
1842(b)(18)(C) of the Social Security Act (42 U.S.C. 
1395u(b)(18)(C)) is amended by adding at the end the 
following new clause:
‘‘(vii) Any health care professional with respect 
to the furnishing of supplemental preventive health 
services.’’. 
SEC. 202. COUNSELING FOR POST-MENOPAUSAL WOMEN. 
Section 1861(ww) of the Social Security Act (42 
U.S.C. 1395x(s)(2)), as added by section 201(b), is 
amended by adding at the end the following new para-
graph: 
‘‘(2)(A) 
Counseling 
for 
post-menopausal 
women. 
‘‘(B) For purposes of subparagraph (A), the 
term ‘counseling for post-menopausal women’ means 
counseling provided to a post-menopausal woman re-
garding—
‘‘(i) the symptoms, risk factors, and condi-
tions associated with menopause; 
‘‘(ii) appropriate treatment options for 
post-menopausal women, including hormone re-
placement therapy; and 
‘‘(iii) other interventions that can be imple-
mented to prevent or delay the onset of health 
risks associated with menopause. 
‘‘(C) Such term does not include coverage for 
drugs or biologicals that are not otherwise covered 
under this title.’’.