I 
110TH CONGRESS 
1ST SESSION H. R. 4879 
To amend title XVIII of the Social Security Act to include screening computed 
tomography colonography as a colorectal screening test for purposes 
of coverage under the Medicare Program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 19, 2007 
Mrs. CUBIN (for herself and Mr. TOWNS) 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 
determined by the Speaker, in each case for consideration of such provi-
sions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to include 
screening computed tomography colonography as a 
colorectal screening test for purposes of coverage 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 ‘‘Virtual Screening for 
Cancer Act of 2007’’. 
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SEC. 
2. 
SCREENING 
COMPUTED 
TOMOGRAPHY 
COLONOGRAPHY 
INCLUDED 
AS 
A 
COLORECTAL SCREENING TEST FOR PUR-
POSES OF COVERAGE UNDER THE MEDICARE 
PROGRAM. 
(a) IN GENERAL.—Section 1861(pp)(1) of the Social 
Security Act (42 U.S.C. 1395x(pp)(1)) is amended— 
(1) by redesignating subparagraph (D) as sub-
paragraph (E); and 
(2) by inserting after subparagraph (C) the fol-
lowing new subparagraph: 
‘‘(D) 
Screening 
computed 
tomography 
colonography.’’. 
(b) FREQUENCY LIMITS AND PAYMENT FOR SCREEN-
ING COMPUTED TOMOGRAPHY COLONOGRAPHY.—Section 
1834(d) of the Social Security Act (42 U.S.C. 1395m(d)) 
is amended by adding at the end the following new para-
graph: 
‘‘(4) 
SCREENING
COMPUTED
TOMOGRAPHY 
COLONOGRAPHY.— 
‘‘(A) FEE SCHEDULE.—With respect to a 
colorectal cancer screening test consisting of 
screening computed tomography colonography, 
payment under section 1848 shall be consistent 
with payment under such section for similar or 
related services. 
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‘‘(B) PAYMENT
LIMIT.—In the case of 
screening computed tomography colonography, 
payment under this part shall not exceed such 
amount as the Secretary specifies, based upon 
rates recognized for diagnostic computed to-
mography colonography. 
‘‘(C) FACILITY PAYMENT LIMIT.— 
‘‘(i) IN
GENERAL.—Notwithstanding 
subsections (i)(2)(A) and (t) of section 
1833, in the case of screening computed 
tomography colonography furnished on or 
after January 1, 2008, that— 
‘‘(I) in accordance with regula-
tions, may be performed in an ambu-
latory surgical center and for which 
the Secretary permits ambulatory sur-
gical center payments under this part; 
and 
‘‘(II) are performed in an ambu-
latory surgical center or hospital out-
patient department, 
payment under this part shall be based on 
the lesser of the amount under the fee 
schedule that would apply to such services 
if they were performed in a hospital out-
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