I
107TH CONGRESS
1ST SESSION
H. R. 1568
To amend title XVIII of the Social Security Act to remove the restriction
on coverage of periodic health examinations under the Medicare Program.
IN THE HOUSE OF REPRESENTATIVES
APRIL 24, 2001
Mr. MCDERMOTT (for himself, Mrs. MINK of Hawaii, Mr. KLECZKA, Mr.
GILCHREST, Mr. FROST, Mr. BROWN of Ohio, Mr. FRANK, Mr. MATSUI,
Mr. BRADY of Pennsylvania, Mr. WEXLER, Ms. RIVERS, Mr. BONIOR,
Mr. HINCHEY, Mr. MOAKLEY, Mr. EVANS, Mr. BOUCHER, Mr. SANDERS,
Mr. CLAY, Ms. CARSON of Indiana, Mr. KUCINICH, Mr. RUSH, Mr.
STARK, Mr. BALDACCI, Mr. SANDLIN, Mrs. THURMAN, Mr. LAFALCE,
Mr. MCGOVERN, Mr. STUPAK, Mr. KILDEE, Mr. LATOURETTE, Mr.
GEORGE MILLER of California, Mr. HILLIARD, and Mr. MORAN of Vir-
ginia) 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 remove
the restriction on coverage of periodic health examina-
tions 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. REMOVAL OF MEDICARE RESTRICTION ON
COVERAGE OF PERIODIC HEALTH EXAMINA-
TIONS.
(a) COVERAGE.—Section 1861(s)(2) of the Social Se-
curity Act (42 U.S.C. 395x(s)(2)), as amended by sections
102(a) and 105(a) of the Medicare, Medicaid, and SCHIP
Benefits Improvement and Protection Act of 2000, as en-
acted into law by section 1(a)(6) of Public Law 106–554,
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) periodic health examinations (as de-
fined in subsection (vv));’’.
(b) SERVICES DESCRIBED.—Section 1861 of such
Act (42 U.S.C. 1395x), as amended by section 102(b) of
the Medicare, Medicaid, and SCHIP Benefits Improve-
ment and Protection Act of 2000, as enacted into law by
section 1(a)(6) of Public Law 106–554, is amended by
adding at the end the following new subsection:
‘‘Periodic Health Examinations
‘‘(vv) The term ‘periodic health examination’ means
a comprehensive examination performed by a physician
conducted on a periodic basis, with the content and fre-
quency determined by the physician, in accordance with
regulations of the Secretary, with the goal of health pro-
motion and disease detection. Such an examination
includes—
‘‘(1) a thorough history and physical examina-
tion;
‘‘(2) a review of systems;
‘‘(3) monitoring of chronic conditions;
‘‘(4) counseling for risky behaviors;
‘‘(5) appropriate referrals (including to cancer
screening interventions); and
‘‘(6) ancillary services.’’.
(c) PAYMENT AS PHYSICIANS’ SERVICES.—Section
1848(j)(3) of such Act (42 U.S.C. 1395w–4(j)(3)) is
amended by inserting ‘‘(2)(V),’’ after ‘‘(2)(S),’’.
(d) OTHER CONFORMING AMENDMENTS.—Section
1862(a) of such Act (42 U.S.C. 1395y(a)) is amended—
(1) in paragraph (1)—
(A) by striking ‘‘and’’ at the end of sub-
paragraph (H),
(B) by adding ‘‘and’’ at the end of sub-
paragraph (I), and
(C) by adding at the end the following new
subparagraph: