I 
110TH CONGRESS 
1ST SESSION H. R. 1190 
To amend title XVIII of the Social Security Act to preserve access to 
community cancer care by Medicare beneficiaries. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 27, 2007 
Mr. DAVIS of Alabama (for himself and Mr. RAMSTAD) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend title XVIII of the Social Security Act to preserve 
access to community cancer care by Medicare beneficiaries. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Community Cancer Care Preservation Act of 2007’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Application of average sales price payment methodology. 
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Sec. 3. Increase in Medicare part B reimbursement for chemotherapy adminis-
tration. 
Sec. 4. Provisions for the appropriate reporting and billing of physicians’ serv-
ices associated with pharmacy facilities management and med-
ical oncology treatment planning. 
SEC. 2. APPLICATION OF AVERAGE SALES PRICE PAYMENT 
METHODOLOGY. 
(a) REQUIRING MONTHLY AND NOT QUARTERLY DE-
TERMINATIONS.— 
(1) IN GENERAL.—Section 1847A(c) of the So-
cial Security Act (42 U.S.C. 1395w–3a(c)) is 
amended— 
(A) in paragraph (1)— 
(i) in the matter preceding subpara-
graph (A) and in subparagraph (A), by 
striking ‘‘calendar quarter’’ and inserting 
‘‘month’’ each place it appears; and 
(ii) in subparagraph (B), by striking 
‘‘quarter’’ and inserting ‘‘month’’; 
(B) in paragraph (4)— 
(i) in the heading, by striking ‘‘QUAR-
TER’’ and inserting ‘‘MONTH’’; and 
(ii) by striking ‘‘calendar quarter’’ 
and inserting ‘‘month’’; and 
(C) in paragraph (5)— 
(i) in subparagraph (A), by striking 
‘‘quarterly’’ and inserting ‘‘monthly’’ each 
place it appears; and 
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(ii) by amending subparagraph (B) to 
read as follows: 
‘‘(B) UPDATES IN PAYMENT AMOUNTS.— 
The payment amounts under subsection (b) 
shall be updated and applied by the Secretary 
based upon the manufacturer’s average sales 
price for a drug or biological calculated for the 
most recent month for which data are available. 
This update shall be made no later than two 
months following publication of such data by 
the manufacturer.’’. 
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall apply to payment amounts 
for months beginning on or after January 1, 2008. 
(b) ADJUSTMENT TO AVERAGE SALES PRICE CAL-
CULATION.— 
(1) IN
GENERAL.—Section 1847A(c) of such 
Act (42 U.S.C. 1395w–3(a)(c)) is further amended 
in paragraph (3)— 
(A) in the first sentence, by striking 
‘‘prompt pay discounts,’’; and 
(B) in the second sentence, by inserting 
‘‘(other than prompt pay discounts),’’ after 
‘‘other price concessions,’’. 
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