‘‘SEC. 2707. STANDARDS RELATING TO BENEFITS FOR BONE 
MASS MEASUREMENT. 
‘‘(a) REQUIREMENTS FOR COVERAGE OF BONE MASS 
MEASUREMENT.—A group health plan, and a health in-
surance issuer offering group health insurance coverage, 
shall include (consistent with this section) coverage for 
bone mass measurement for beneficiaries and participants 
who are qualified individuals. 
‘‘(b) DEFINITIONS RELATING
TO COVERAGE.—In 
this section: 
‘‘(1) BONE
MASS
MEASUREMENT.—The term 
‘bone mass measurement’ means a radiologic or 
radioisotopic procedure or other procedure approved 
by the Food and Drug Administration performed on 
an individual for the purpose of identifying bone 
mass or detecting bone loss or determining bone 
quality, and includes a physician’s interpretation of 
the results of the procedure. Nothing in this para-
graph shall be construed as requiring a bone mass 
measurement to be conducted in a particular type of 
facility or to prevent such a measurement from 
being conducted through the use of mobile facilities 
that are otherwise qualified. 
‘‘(2) QUALIFIED INDIVIDUAL.—The term ‘quali-
fied individual’ means an individual who— 
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‘‘(A) is at clinical risk for osteoporosis, in-
cluding an estrogen-deficient woman; 
‘‘(B) has vertebral abnormalities; 
‘‘(C) is receiving chemotherapy or long- 
term gluococorticoid (steroid) therapy; 
‘‘(D) has primary hyperparathyroidism, 
hyperthyroidism, or excess thyroid replacement; 
or 
‘‘(E) is being monitored to assess the re-
sponse to or efficacy of approved osteoporosis 
drug therapy. 
‘‘(c) LIMITATION ON FREQUENCY REQUIRED.—Tak-
ing into account the standards established under section 
1861(rr)(3) of the Social Security Act, the Secretary shall 
establish standards regarding the frequency with which a 
qualified individual shall be eligible to be provided benefits 
for bone mass measurement under this section. The Sec-
retary may vary such standards based on the clinical and 
risk-related characteristics of qualified individuals. 
‘‘(d) RESTRICTIONS ON COST-SHARING.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
nothing in this section shall be construed as pre-
venting a group health plan or issuer from imposing 
deductibles, coinsurance, or other cost-sharing in re-
lation to bone mass measurement under the plan (or 
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health insurance coverage offered in connection with 
a plan). 
‘‘(2) LIMITATION.—Deductibles, coinsurance, 
and other cost-sharing or other limitations for bone 
mass measurement may not be imposed under para-
graph (1) to the extent they exceed the deductibles, 
coinsurance, and limitations that are applied to simi-
lar services under the group health plan or health 
insurance coverage. 
‘‘(e) PROHIBITIONS.—A group health plan, and a 
health insurance issuer offering group health insurance 
coverage in connection with a group health plan, may 
not— 
‘‘(1) deny to an individual eligibility, or contin-
ued eligibility, to enroll or to renew coverage under 
the terms of the plan, solely for the purpose of 
avoiding the requirements of this section; 
‘‘(2) provide incentives (monetary or otherwise) 
to individuals to encourage such individuals not to 
be provided bone mass measurements to which they 
are entitled under this section or to providers to in-
duce such providers not to provide such measure-
ments to qualified individuals; 
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‘‘(3) prohibit a provider from discussing with a 
patient osteoporosis preventive techniques or medical 
treatment options relating to this section; or 
‘‘(4) penalize or otherwise reduce or limit the 
reimbursement of a provider because such provider 
provided bone mass measurements to a qualified in-
dividual in accordance with this section. 
‘‘(f) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed to require an individual who is a 
participant or beneficiary to undergo bone mass measure-
ment. 
‘‘(g) NOTICE.—A group health plan under this part 
shall comply with the notice requirement under section 
714(g) of the Employee Retirement Income Security Act 
of 1974 with respect to the requirements of this section 
as if such section applied to such plan. 
‘‘(h) LEVEL
AND TYPE
OF REIMBURSEMENTS.— 
Nothing in this section shall be construed to prevent a 
group health plan or a health insurance issuer offering 
group health insurance coverage from negotiating the level 
and type of reimbursement with a provider for care pro-
vided in accordance with this section. 
‘‘(i) PREEMPTION.— 
‘‘(1) IN GENERAL.—The provisions of this sec-
tion do not preempt State law relating to health in-
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