I 
109TH CONGRESS 
2D SESSION 
H. R. 5437 
To amend title XVIII of the Social Security Act to extend for 6 months 
the eligibility period for the ‘‘Welcome to Medicare’’ physical examination 
and to eliminate coinsurance for screening mammography and colorectal 
cancer screening tests in order to promote the early detection of cancer. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 19, 2006 
Mr. SHAW 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 subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to extend 
for 6 months the eligibility period for the ‘‘Welcome 
to Medicare’’ physical examination and to eliminate coin-
surance for screening mammography and colorectal can-
cer screening tests in order to promote the early detec-
tion of cancer. 
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 Early Detec-
tion of Cancer Promotion Act of 2006’’. 
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SEC. 2. EXTENDING THE ELIGIBILITY PERIOD FOR A ‘‘WEL-
COME TO MEDICARE’’ PHYSICAL EXAMINA-
TION FROM SIX MONTHS TO ONE YEAR. 
(a) IN GENERAL.—Section 1862(a)(1)(K) of the So-
cial Security Act (42 U.S.C. 1395y(a)(1)(K)) is amended 
by striking ‘‘6 months’’ and inserting ‘‘1 year’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to initial preventive physician 
examinations performed on or after January 1, 2007. 
SEC. 3. ELIMINATION OF THE 20 PERCENT COINSURANCE 
FOR 
SCREENING 
MAMMOGRAPHY 
AND 
COLORECTAL CANCER SCREENING TESTS. 
(a) SCREENING MAMMOGRAPHY.— 
(1) IN GENERAL.—Section 1833(a)(1)(B) of the 
Social Security Act (42 U.S.C. 1395l(a)(1)(B)) is 
amended— 
(A) by inserting ‘‘and with respect to 
screening mammography (as defined in section 
1861(jj))’’ after ‘‘section 1861(s)(10)(A)’’; and 
(B) by striking ‘‘100 percent of the reason-
able charge for such items and services’’ and in-
serting ‘‘100 percent of the fee schedule or 
other basis of payment under this title for the 
vaccine and its administration or for the screen-
ing mammography’’. 
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(2) APPLICATION
TO
OUTPATIENT
HOSPITAL 
SETTINGS.—The 
third 
sentence 
of 
section 
1866(a)(2)(A) 
of 
such 
Act 
(42 
U.S.C. 
1395cc(a)(2)(A)) is amended by inserting after 
‘‘1861(s)(10)(A)’’ the following: ‘‘, with respect to 
screening mammography,’’. 
(b) COLORECTAL CANCER SCREENING TESTS.— 
(1) IN GENERAL.—Section 1834(d) of such Act 
(42 U.S.C. 1395m(d)) is amended— 
(A) in paragraph (2)(C)— 
(i) by striking ‘‘FACILITY
PAYMENT 
LIMIT’’ and all that follows through ‘‘Not-
withstanding subsections’’ and inserting 
‘‘FACILITY
PAYMENT
LIMIT.—Notwith-
standing subsections’’; 
(ii) by striking ‘‘(I) in accordance’’ 
and inserting ‘‘(i) in accordance’’; 
(iii) by striking ‘‘(II) are performed’’ 
and all that follows through ‘‘payment 
under’’ and inserting ‘‘(ii) are performed 
in an ambulatory surgical center or hos-
pital 
outpatient 
department, 
payment 
under’’; and 
(iv) by striking clause (ii); and 
(B) in paragraph (3)(C)— 
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(i) by striking ‘‘FACILITY
PAYMENT 
LIMIT’’ and all that follows through ‘‘Not-
withstanding subsections’’ and inserting 
‘‘FACILITY
PAYMENT
LIMIT.—Notwith-
standing subsections’’; and 
(ii) by striking clause (ii). 
(2) APPLICATION
TO
OUTPATIENT
HOSPTAL 
SETTINGS.—(A) Section 1833(t)(1)(B)(iv) of such 
Act (42 U.S.C. 1395l(t)(1)(B)(iv)) is amended by 
inserting ‘‘and does not include colorectal cancer 
screening tests’’ after ‘‘diagnostic mammography’’. 
(B) The third sentence of section 1866(a)(2)(A) 
of such Act (42 U.S.C. 1395cc(a)(2)(A)), as amend-
ed by subsection (a)(2), is amended by inserting 
‘‘and colorectal cancer screening tests’’ after 
‘‘screening mammography’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to screening mammography and 
colorectal cancer screening tests performed on or after 
January 1, 2007. 
Æ 
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