I
107TH CONGRESS
1ST SESSION
H. R. 1354
To amend title XVIII of the Social Security Act to provide enhanced reim-
bursement for, and expanded capacity to, mammography services under
the Medicare Program, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
APRIL 3, 2001
Mr. KING (for himself, Mr. GRAHAM, Mr. WEINER, Ms. SLAUGHTER, Mr.
BLAGOJEVICH, Mrs. MCCARTHY of New York, Mrs. MYRICK, Mrs.
MALONEY of New York, Mr. SHOWS, Ms. ESHOO, Mr. THOMPSON of Mis-
sissippi, Mr. LANGEVIN, Mr. TRAFICANT, Mr. ISRAEL, Mr. SERRANO, Mr.
ANDREWS, Ms. HOOLEY of Oregon, Mr. NADLER, Mrs. ROUKEMA, Ms.
JACKSON-LEE of Texas, Mr. BRADY of Pennsylvania, Mrs. THURMAN,
Mr. MCNULTY, and Mrs. KELLY) 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 de-
termined by the Speaker, in each case for consideration of such provisions
as fall within the jurisdiction of the committee concerned
A BILL
To amend title XVIII of the Social Security Act to provide
enhanced reimbursement for, and expanded capacity to,
mammography services under the Medicare Program,
and for other purposes.
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 ‘‘Assure Access to Mam-
mography Act of 2001’’.
TITLE 
I—ENHANCED 
REIM-
BURSEMENT FOR SCREENING
MAMMOGRAPHY UNDER THE
MEDICARE PROGRAM
SEC. 101. ENHANCED REIMBURSEMENT UNDER THE MEDI-
CARE 
PROGRAM 
FOR 
SCREENING
MAMMOGRAPHIES FURNISHED IN 2002.
(a) ONE-YEAR DELAY OF INCLUSION OF PAYMENT
FOR SCREENING MAMMOGRAPHY
IN PHYSICIAN FEE
SCHEDULE.—Section 104(c) of the Medicare, Medicaid,
and SCHIP Benefits Improvement and Protection Act of
2000 (as enacted into law by section 1(a)(6) of Public Law
106–554) is amended by striking ‘‘January 1, 2002’’ and
inserting ‘‘January 1, 2003’’.
(b) 
CHANGE
IN
PAYMENT
AMOUNT.—Section
1834(c)(3)(A) of the Social Security Act (42 U.S.C.
1395m(c)(3)(A)) is amended—
(1) in the heading, by striking ‘‘$55, IN-
DEXED.—’’ and inserting ‘‘IN GENERAL.—’’;
(2) in clause (i), by striking ‘‘and’’ at the end;
(3) in clause (ii)—
(A) by striking ‘‘a subsequent year’’ and
inserting ‘‘1992 through 2001,’’; and
(B) by striking ‘‘that subsequent year.’’
and inserting ‘‘that year, and’’; and
(4) by adding at the end the following new
clause:
‘‘(iii) for screening mammography
performed in 2002, is $90.’’.
(c) EFFECTIVE DATES.—
(1) 
BIPA 
AMENDMENT.—The 
amendment
made by subsection (a) shall take effect as if in-
cluded in the enactment of section 104 of the Medi-
care, Medicaid, and SCHIP Benefits Improvement
and Protection Act of 2000 (as enacted into law by
section 1(a)(6) of Public Law 106–554).
(2) MAMMOGRAPHY IN 2002.—The amendments
made by subsection (b) shall apply with respect to
screening mammographies furnished during 2002.
(d) CONSTRUCTION.—Nothing in this section shall be
construed as affecting the provisions of section 104(d) 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) (relating to pay-
ment for new technologies).
TITLE II—EXPANDED CAPACITY
FOR MAMMOGRAPHY SERVICES
SEC. 201. NOT COUNTING CERTAIN RADIOLOGY RESIDENTS
AGAINST GRADUATE MEDICAL EDUCATION
LIMITATIONS.
For cost reporting periods beginning on or after Oc-
tober 1, 2001, and before October 1, 2006, in applying
the limitations regarding the total number of full-time
equivalent residents in the field of allopathic or osteo-
pathic medicine under subsections (d)(5)(B)(v) and
(h)(4)(F) of section 1886 of the Social Security Act (42
U.S.C. 1395ww) for a hospital, the Secretary of Health
and Human Services shall not take into account a max-
imum of 3 residents in the field of radiology to the extent
the hospital increases the number of radiology residents
above the number of such residents for the hospital’s most
recent cost reporting period ending before October 1,
2001.
SEC. 202. ALLIED HEALTH PROFESSIONAL FUNDING.
Section 757 of the Public Health Service Act (42
U.S.C. 294g) is amended—
(1) by striking subsection (a) and inserting the
following new subsection:
‘‘(a) IN GENERAL.—There are authorized to be ap-
propriated to carry out this part—
‘‘(1) $55,600,000 for fiscal year 1998;
‘‘(2) such sums as may be necessary for each
of the fiscal years 1999 through 2001;
‘‘(3) $70,600,000 for fiscal year 2002; and
‘‘(4) such sums as may be necessary for fiscal
year 2003 and each subsequent fiscal year.’’; and
(2) in subsection (b)(1)—
(A) in subparagraph (B), by striking
‘‘and’’ at the end;
(B) in subparagraph (C), by striking ‘‘,
754, and 755.’’ and inserting ‘‘and 754; and’’;
and
(C) by adding at the end the following new
subparagraph:
‘‘(D) not less than $15,000,000 for awards
of grants and contracts under section 755.’’.
TITLE 
III—STUDIES 
AND 
RE-
PORTS ON MEDICARE REIM-
BURSEMENT 
FOR 
GENDER-
SPECIFIC 
AND 
SCREENING
SERVICES
SEC. 301. GAO STUDY AND REPORT ON MEDICARE REIM-
BURSEMENT FOR GENDER-SPECIFIC SERV-
ICES.
(a) STUDY.—The Comptroller General of the United
States shall conduct a study of—
(1) the relative value units established by the
Secretary of Health and Human Services under the
medicare physician fee schedule under section 1848
of the Social Security Act (42 U.S.C. 1395w–4) for
physicians’ services that are gender-specific; and
(2) adjustments to payment amounts under the
prospective payment systems for inpatient hospital
services (under section 1886(d) of such Act (42
U.S.C. 1395ww(d))) and for covered skilled nursing
facility services (under section 1888(e) of such Act
(42 U.S.C. 1395yy(e))) that are gender specific.
(b) REPORT.—Not later than December 31, 2001,
the Comptroller General shall submit to Congress a report
on the study conducted under subsection (a), together with
such recommendations regarding the appropriateness of
adjusting the relative value units for physicians’ services
or the prospective payment amounts for inpatient hospital
services or covered skilled nursing facility services that are
gender-specific, as the Comptroller General determines ap-
propriate.
SEC. 302. MEDPAC STUDY AND REPORT ON MEDICARE RE-
IMBURSEMENT FOR SCREENING SERVICES.
(a) STUDY.—The Medicare Payment Advisory Com-
mission shall conduct a study of the relative value units
established by the Secretary of Health and Human Serv-
ices under the medicare physician fee schedule under sec-
tion 1848 of the Social Security Act (42 U.S.C. 1395w–
4) for screening services that are reimbursed under such
fee schedule.
(b) REPORT.—Not later than March 1, 2002, the
Commission shall submit to Congress a report on the
study conducted under subsection (a), together with such
recommendations regarding the appropriateness of adjust-
ing the relative value units for screening services that are
reimbursed under the physician fee schedule as the Com-
mission determines appropriate.
Æ