I 
109TH CONGRESS 
2D SESSION 
H. R. 5514 
To amend title XVIII of the Social Security Act to provide coverage for 
lung cancer screening tests for certain high-risk individuals under the 
Medicare Program. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 25, 2006 
Mr. SHAW 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 
coverage for lung cancer screening tests for certain high- 
risk individuals under the Medicare Program. 
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 
Screening Benefit Act of 2006’’. 
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SEC. 2. MEDICARE COVERAGE OF LUNG CANCER SCREEN-
ING TESTS FOR HIGH-RISK INDIVIDUALS. 
(a) IN GENERAL.—Section 1861(s)(2) of the Social 
Security Act (42 U.S.C. 1395x(s)(2)) is amended— 
(1) by striking ‘‘and’’ at the end of subpara-
graph (Z); 
(2) by adding ‘‘and’’ at the end of subpara-
graph (AA); and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(BB) lung cancer screening tests (as defined 
in subsection (ccc)).’’. 
(b) SERVICES DESCRIBED.—Section 1861 of such 
Act is further amended by adding at the end the following 
new subsection: 
‘‘Lung Cancer Screening Tests 
‘‘(ccc)(1) The term ‘lung cancer screening tests’ 
means testing furnished to an individual at risk for lung 
cancer (as defined in paragraph (2)) for the purpose of 
early detection of lung cancer, including— 
‘‘(A) a low dose computerized axial tomography 
scan; 
‘‘(B) sputum analysis; 
‘‘(C) fluorescent bronchoscopy; and 
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‘‘(D) such other tests, and modifications to 
tests, as the Secretary determines appropriate, in 
consultation with appropriate organizations. 
‘‘(2) For purposes of paragraph (1), the term ‘indi-
vidual at risk for lung cancer’ means an individual who 
has any of the following risk factors for lung cancer: 
‘‘(A) A family history of lung cancer. 
‘‘(B) A significant smoking history. 
‘‘(C) Exposure to toxic agents being monitored 
by the National Academy of Sciences under the 
Agent Orange Act of 1991 (Public Law 102–4), 
under the Persian Gulf War Veterans Act of 1998 
(title XVI of division C of Public Law 105–277), or 
under the Veterans Program Enhancement Act of 
1998 (Public Law 105–368). 
‘‘(D) Significant exposure to radon, asbestos, 
beryllium, uranium, second hand smoke, or other 
known carcinogens. 
‘‘(E) Previous lung disease. 
‘‘(3) The Secretary shall establish standards, in con-
sultation with appropriate organizations, regarding the 
frequency of coverage of lung cancer screening tests under 
this title.’’. 
(c) FREQUENCY.—Section 1862(a)(1) of such Act 
(42 U.S.C. 1395y(a)(1)) is amended— 
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(1) by striking ‘‘and’’ at the end of subpara-
graph (M); 
(2) by striking the semicolon at the end of sub-
paragraph (N) and inserting ‘‘, and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(O) in the case of lung cancer screening tests 
(as defined in section 1861(ccc)(1)), which are per-
formed more frequently than is covered under sec-
tion 1861(ccc)(3);’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to tests furnished on or after Janu-
ary 1, 2007. 
Æ 
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