‘‘(A) 
Antigens 
(under 
section
1861(s)(2)(G)).
‘‘(B) Prostate cancer screening tests (as
defined in section 1861(oo)).
‘‘(C) Colorectal cancer screening tests (as
defined in section 1861(pp)).
‘‘(D) Diabetes outpatient self-management
training 
services 
(as 
defined 
in 
section
1861(qq)).
‘‘(E)(i) Pneumococcal vaccine and its ad-
ministration and influenza vaccine and its ad-
ministration (under section 1861(s)(10)(A)).
‘‘(ii) Hepatitis B vaccine and its adminis-
tration (under section 1861(s)(10)(B)).
‘‘(F) Screening mammography (as defined
in section 1861(jj)).
‘‘(G) Screening pap smear and screening
pelvic exam (as defined in paragraphs (1) and
(2), respectively, of section 1861(nn)).
‘‘(H) Bone mass measurement (as defined
in section 1861(rr)).
‘‘(I) Qualified preventive services (as de-
fined in section 1861(uu)).’’.
(b) WAIVER OF DEDUCTIBLE.—The first sentence of
section 1833(b) of such Act (42 U.S.C. 1395l(b)) is
amended by striking ‘‘, (5) such deductible’’ and all that
follows through the period and inserting: ‘‘, and (5) such
deductible shall not apply with respect to preventive serv-
ices (as described in section 1834(e)(6)).’’.
(c) 
CONFORMING
AMENDMENTS.—(1) 
Section
1833(a)(1)(B) of such Act (42 U.S.C. 1395l(a)(1)(B)) is
amended by inserting ‘‘subject to section 1834(e),’’ before
‘‘the amounts paid shall be 100 percent of the reasonable
charges for such items and services,’’.
(2) Section 1833(a)(2)(G) of such Act (42 U.S.C.
1395l(a)(2)(G)) is amended by inserting ‘‘subject to sec-
tion 1834(e),’’ before ‘‘with respect to items and services’’.
(3) Section 1834(c)(1)(C) of such Act (42 U.S.C.
1395m(c)) is amended by striking ‘‘the amount of the pay-
ment’’ and inserting ‘‘except as provided by the Secretary
under subsection (e), the amount of the payment’’.
(4) Section 1834(d) of such Act (42 U.S.C.
1395m(d)) is amended—
(A) in paragraph (1)(A), by striking ‘‘The pay-
ment amount’’ and inserting ‘‘Except as provided by
the Secretary under subsection (e), the payment
amount’’; and
(B) in paragraphs (2)(A) and (3)(A), by strik-
ing ‘‘payment under section 1848’’ each place it ap-
pears and inserting ‘‘except as provided by the Sec-
retary under subsection (e), payment under section
1848’’.
(5) Section 1848(g)(2)(C) of such Act (42 U.S.C.
1395w–4(g)(2)(C)) is amended—
(A) by striking ‘‘For’’ and inserting ‘‘(i) Sub-
ject to clause (ii), for’’; and
(B) by adding at the end the following new
clause:
‘‘(ii) For physicians’ services consisting of
preventive services (as described in section
1834(e)(6)) furnished on or after February 1,
2000, the ‘limiting charge’ shall be 100 percent
of the recognized payment amount under this
part for nonparticipating physicians or for non-
participating suppliers or other persons.’’.
(6) Section 1848(g)(2)(D) of such Act (42 U.S.C.
1395w–4(g)(2)(D)) is amended by striking ‘‘the fee sched-
ule amount determined under subsection (a)’’ and all that
follows and inserting ‘‘the fee schedule amount determined
under subsection (a), in the case of preventive services (as
described in section 1834(e)(6)) the amount determined
by the Secretary under section 1834(e), or, if payment
under this part is made on a basis other than the fee
schedule under this section or other than the amount es-
tablished under section 1834(e) with respect to such pre-
ventive services, 95 percent of the other payment basis.’’.
SEC. 4. EFFECTIVE DATE.
The amendments made by this Act apply to items and
services furnished on or after February 1, 2000.
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