I 
114TH CONGRESS 
2D SESSION 
H. R. 6457 
To amend title XVIII of the Social Security Act to provide Medicare coverage 
of preventive services that are required to be covered by group and 
individual health plans. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 7, 2016 
Mr. VEASEY introduced the following bill; which was referred to the Com-
mittee 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 jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to provide 
Medicare coverage of preventive services that are re-
quired to be covered by group and individual health 
plans. 
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 ‘‘Preventive Services 
Medicare Parity Act of 2016’’. 
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SEC. 2. MEDICARE COVERAGE OF PREVENTIVE SERVICES 
THAT ARE REQUIRED TO BE COVERED BY 
GROUP AND INDIVIDUAL HEALTH PLANS. 
(a) 
IN
GENERAL.—Paragraph 
(1) 
of 
section 
1861(ddd) of the Social Security Act (42 U.S.C. 
1395x(ddd)) is amended by striking ‘‘means services not 
described’’ and all that follows through the period at the 
end and inserting the following: ‘‘means, subject to para-
graph (2), services that— 
‘‘(A) are not described in subparagraph (A) or 
(C) of paragraph (3); and 
‘‘(B) with respect to services furnished to an in-
dividual during a calendar year, would be required, 
under section 2713(a)(1) of the Public Health Serv-
ice Act, to be covered with respect to such individual 
if such individual were enrolled under group or indi-
vidual health insurance coverage for a plan year con-
sisting of such calendar year.’’. 
(b) AUTHORITY FOR A NATIONAL COVERAGE DETER-
MINATION WHERE PREDICTED OUTCOMES FOR SERVICES 
ARE
NOT
COMMENSURATE
WITH
EXPENDITURES.— 
Paragraph (2) of section 1861(ddd) of the Social Security 
Act (42 U.S.C. 1395x(ddd)) is amended to read as follows: 
‘‘(2) The Secretary may conduct, with respect to an 
additional preventive service, an assessment of the relation 
between the predicted outcomes and the expenditures for 
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such service with respect to individuals enrolled under part 
B. If the Secretary determines, based on the results of 
such assessment, that the predicted outcomes for such 
service would not be commensurate with the expenditures 
for such service, the Secretary may use the process for 
making a national coverage determination (as defined in 
section 1869(f)(1)(B)) to exclude such service from cov-
erage nationally on such basis.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to services furnished 
on or after January 1, 2018. 
Æ 
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