I
103D CONGRESS
1ST SESSION
H. R. 3203
To amend title XVIII of the Social Security Act to provide for coverage
of bone mass measurements and an annual screening mammography
under part B of the medicare program, and to make permanent the
coverage of certain osteoporosis drugs under part B of such program.
IN THE HOUSE OF REPRESENTATIVES
SEPTEMBER 30, 1993
Mr. NEAL of Massachusetts introduced the following bill; which was referred
jointly to the Committees on Ways and Means and Energy and Commerce
A BILL
To amend title XVIII of the Social Security Act to provide
for coverage of bone mass measurements and an annual
screening mammography under part B of the medicare
program, and to make permanent the coverage of certain
osteoporosis drugs under part B of such 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 ‘‘Women’s Health Serv-
ices Act of 1993’’.
SEC. 2. EXPANSION OF MEDICARE COVERAGE OF WOMEN’S
HEALTH SERVICES.
(a) 
ANNUAL
SCREENING
MAMMOGRAPHY
FOR
WOMEN OVER AGE 64.—Section 1834(c)(2)(A) of the So-
cial Security Act (42 U.S.C. 1395m(b)(2)(A)) is amend-
ed—
(1) in clause (iv), by striking ‘‘but under 65
years of age,’’; and
(2) by striking clause (v).
(b) BONE MASS MEASUREMENTS.—
(1) IN GENERAL.—Section 1861 of the Social
Security Act (42 U.S.C. 1395x) is amended—
(A) in subsection (s)—
(i) in paragraph (12)(C), by striking
‘‘and’’ at the end,
(ii) by striking the period at the end
of paragraph (14) and inserting ‘‘; and’’,
(iii) by redesignating paragraphs (15)
and (16) as paragraphs (16) and (17), and
(iv) by inserting after paragraph (14)
the following new paragraph:
‘‘(15) bone mass measurement (as defined in
subsection (ll));’’; and
(B) by inserting after subsection (kk) the
following new subsection:
‘‘Bone Mass Measurement
‘‘(ll)(1) The term ‘bone mass measurement’ means a
radiologic or radioisotopic procedure performed on a quali-
fied individual (as defined in paragraph (2) for the pur-
pose of detecting bone loss through the use of single and
dual 
photon 
absorptiometry, 
dual 
energy 
X-ray
absorptiometry or similar dual energy techniques, or quan-
titative computed tomography, and includes a physician’s
interpretation of the results of the procedure.
‘‘(2) For purposes of paragraph (1), the term ‘quali-
fied individual’ means (in accordance with regulations pre-
scribed by the Secretary)—
‘‘(A) an estrogen-deficient woman at clinical
risk for osteoporosis;
‘‘(B) an individual with vertebral abnormalities;
‘‘(C) 
an 
individual 
receiving 
long-term
glucocorticoid steroid therapy; or
‘‘(D) 
an 
individual 
with 
primary
hyperparathyroidism.’’.
(2) CONFORMING
AMENDMENTS.—The Social
Security Act is amended by striking ‘‘paragraphs
(15) and (16)’’ each place it appears in sections
1864(a), 
1865(a), 
1902(a)(9)(C), 
and
1915(a)(1)(B)(ii)(I) and inserting ‘‘paragraphs (16)
and (17)’’.
(c) 
PERMANENT
COVERAGE
OF
COVERED
OSTEOPOROSIS DRUG.—Section 1861(s)(2)(O) of the So-
cial Security Act (42 U.S.C. 1395x(s)(2)(O)) is amended
by striking ‘‘, and on or before December 31, 1995’’.
SEC. 3. EFFECTIVE DATE.
The amendments made by section 2 shall apply to
items and services furnished on or after January 1, 1994.
Æ