I
108TH CONGRESS
1ST SESSION
H. R. 2236
To amend title XVIII of the Social Security Act to provide coverage under
the Medicare Program for diabetes laboratory diagnostic tests and other
services to screen for diabetes.
IN THE HOUSE OF REPRESENTATIVES
MAY 22, 2003
Mr. GREEN of Texas (for himself, Mr. FLETCHER, Mr. WAXMAN, Mr.
SERRANO, Mr. RODRIGUEZ, Mr. BELL, Mr. WELDON of Pennsylvania,
Ms. JACKSON-LEE of Texas, Mr. FROST, Mr. TOWNS, Mr. HINOJOSA,
Mr. GUTIERREZ, Ms. KAPTUR, Mr. KILDEE, Mr. ACKERMAN, Mr.
MCNULTY, Mr. GEORGE MILLER of California, Mr. HOEFFEL, Ms.
SLAUGHTER, Mr. HALL, Mr. PAUL, Mr. NETHERCUTT, Ms. ESHOO, Mr.
BECERRA, Mr. REYES, Mr. BURGESS, Mr. WYNN, Mr. MENENDEZ, Ms.
LEE, Mr. BOSWELL, Mr. SANDERS, Mr. BOOZMAN, Ms. DEGETTE, and
Mr. KENNEDY of Rhode Island) 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 de-
termined 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
coverage under the Medicare Program for diabetes lab-
oratory diagnostic tests and other services to screen for
diabetes.
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 ‘‘Access to Diabetes
Screening Services Act of 2003’’.
SEC. 2. MEDICARE COVERAGE OF DIABETES LABORATORY
DIAGNOSTIC TESTS.
(a) COVERAGE.—Section 1861(s)(2) of the Social Se-
curity Act (42 U.S.C. 1395x(s)(2)) is amended—
(1) in subparagraph (U), by striking ‘‘and’’ at
the end;
(2) in subparagraph (V)(iii), by inserting ‘‘and’’
at the end; and
(3) by adding at the end the following new sub-
paragraph:
‘‘(W) diabetes screening tests and services (as
defined in subsection (ww));’’.
(b) SERVICES DESCRIBED.—Section 1861 of such
Act (42 U.S.C. 1395x) is amended by adding at the end
the following new subsection:
‘‘Diabetes Screening Tests and Services
‘‘(ww)(1) The term ‘diabetes screening tests’ means
diagnostic testing furnished to an individual at risk for
diabetes (as defined in paragraph (2)) for the purpose of
early detection of diabetes, including—
‘‘(A) a fasting plasma glucose test; and
‘‘(B) 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 diabetes’ means an individual who has
any, a combination of, or all of the following risk factors
for diabetes:
‘‘(A) A family history of diabetes.
‘‘(B) Overweight defined as a body mass index
greater than or equal to 25 kg/m2.
‘‘(C) Habitual physical inactivity.
‘‘(D) Belonging to a high-risk ethnic or racial
group.
‘‘(E) Previous identification of an elevated im-
paired fasting glucose.
‘‘(F) Identification of impaired glucose toler-
ance.
‘‘(G) Hypertension.
‘‘(H) Dyslipidemia.
‘‘(I) History of gestational diabetes mellitus or
delivery of a baby weighing greater than 9 pounds.
‘‘(J) Polycystic ovary syndrome.
‘‘(3) The Secretary shall establish standards, in con-
sultation with appropriate organizations, regarding the
frequency of diabetes screening tests, except that such fre-
quency may not be more often than twice within the 12-
month period following the date of the most recent diabe-
tes screening test of that individual.’’.
(c) FREQUENCY.—Section 1862(a)(1) of such Act
(42 U.S.C. 1395y(a)(1)) is amended—
(1) by striking ‘‘and’’ at the end of subpara-
graph (H);
(2) by striking the semicolon at the end of sub-
paragraph (I) and inserting ‘‘, and’’; and
(3) by adding at the end the following new sub-
paragraph:
‘‘(J) in the case of a diabetes screening tests or
service (as defined in section 1861(ww)(1)), which is
performed more frequently than is covered under
section 1861(ww)(3).’’.
(d) EFFECTIVE DATE.—The amendments made by
this section shall apply to tests furnished on or after the
date that is 90 days after the date of enactment of this
Act.
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