I 
111TH CONGRESS 
1ST SESSION H. R. 2578 
To amend title XVIII of the Social Security Act to provide an increased 
payment for chest radiography (x-ray) services that use Computer Aided 
Detection technology for the purpose of early detection of lung cancer. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 21, 2009 
Ms. BERKLEY (for herself, Mr. HELLER, Ms. KILPATRICK of Michigan, Mr. 
FORBES, Mr. HASTINGS of Florida, Mr. RUSH, and Mr. MEEK of Flor-
ida) 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 provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to provide 
an increased payment for chest radiography (x-ray) serv-
ices that use Computer Aided Detection technology for 
the purpose of early detection of lung cancer. 
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 ‘‘Medicare Lung Cancer 
Early Detection Promotion Act of 2009’’. 
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SEC. 2. MEDICARE PAYMENT FOR CHEST RADIOGRAPHY 
THAT USES COMPUTER AIDED DETECTION 
TECHNOLOGY. 
Section 1834 of the Social Security Act (42 U.S.C. 
1395m) is amended— 
(1) in subsection (b)(1)(B), by striking ‘‘sub-
section 
(c)(1)(A)’’ 
and 
inserting 
‘‘subsections 
(c)(1)(A) and (n)’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(n) PAYMENT FOR CHEST RADIOGRAPHY SERVICES 
THAT USE COMPUTER AIDED DETECTION TECHNOLOGY 
FOR THE EARLY DETECTION OF LUNG CANCER.— 
‘‘(1) IN GENERAL.—Notwithstanding any other 
provision of this part, with respect to chest radiog-
raphy services (identified as of September 1, 2006, 
by HCPCS codes 71010, 71020, 71021, 71022, and 
71030, and as subsequently modified by the Sec-
retary) furnished on or after January 1, 2010, that 
use Computer Aided Detection technology for the 
early detection of lung cancer (as defined in para-
graph (4)), the amount of payment shall be equal 
to— 
‘‘(A) with respect to the technical compo-
nent of such services— 
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‘‘(i) the amount of payment under the 
fee schedule established under section 
1848 for such component for the year that 
would otherwise apply; plus 
‘‘(ii) the amount described in para-
graph (2); and 
‘‘(B) with respect to the professional com-
ponent of such services— 
‘‘(i) the amount of payment under the 
fee schedule established under section 
1848 for such component for the year that 
would otherwise apply; plus 
‘‘(ii) the amount described in para-
graph (3). 
‘‘(2) AMOUNT
DESCRIBED
FOR
TECHNICAL 
COMPONENT.—The amount described in this para-
graph for services furnished— 
‘‘(A) during 2010 is $12; or 
‘‘(B) during a subsequent year is the 
amount established under this paragraph for 
the preceding year, increased by the update de-
termined under section 1848(d) for the year. 
‘‘(3) AMOUNT DESCRIBED FOR PROFESSIONAL 
COMPONENT.—The amount described in this para-
graph for services furnished— 
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‘‘(A) during 2010 is $4; and 
‘‘(B) during a subsequent year is the 
amount established under this paragraph for 
the preceding year increased by the update de-
termined under section 1848(d) for the year. 
‘‘(4) COMPUTER
AIDED
DETECTION
TECH-
NOLOGY FOR THE EARLY DETECTION OF LUNG CAN-
CER DEFINED.—In this subsection, the term ‘Com-
puter Aided Detection technology for the early detec-
tion of lung cancer’ means a computer software 
technology which allows for the production of a dig-
ital chest x-ray image or the conversion of a chest 
x-ray into a digital image to be subsequently ana-
lyzed for early lung cancer nodules and which the 
Food and Drug Administration has granted approval 
or clearance. 
‘‘(5) NEW CODES.—The Secretary shall estab-
lish new codes for chest radiography services de-
scribed in paragraph (1) in order to implement this 
subsection.’’. 
Æ 
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