Title: Protecting Access to Lifesaving Screenings Act (PALS Act) of 2017
Policy area: Health

Summary:
Protecting Access to Lifesaving Screenings Act (PALS Act) of 2017
This bill requires that any provision of law referring to current recommendations of the U.S. Preventive Services Task Force (USPSTF) with respect to breast cancer screening, mammography, and prevention be administered as if: (1) the provision referred to USPSTF recommendations last issued before 2009; and (2) those recommendations applied to any screening mammography modality, including any digital modality of such a procedure. (In 2009, the USPSTF updated its guidelines to recommend against routine screening mammography for women between 40 to 49 years of age and to recommend biennial, instead of annual, screening mammography for most women between 50 to 74 years of age.) This requirement shall also apply to the Veterans Health Administration's policy on mammography screening for veterans.
In addition, the bill amends title XVIII (Medicare) of the Social Security Act to preserve Medicare coverage for screening mammography, without a requirement for coinsurance, and expand the definition of screening mammography to include any digital modality of such a procedure.
The Centers for Medicare & Medicaid Services may not decrease the frequency with which screening mammography may be paid by Medicare for a woman over 39 years of age.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2307 Introduced in House (IH)]

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115th CONGRESS
  1st Session
                                H. R. 2307

To amend title XVIII of the Social Security Act to protect coverage for 
             screening mammography, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 3, 2017

    Ms. Wasserman Schultz (for herself and Mrs. Brooks of Indiana) 
 introduced the following bill; which was referred to the Committee on 
  Energy and Commerce, and in addition to the Committees on Ways and 
     Means, and Veterans' Affairs, for a period to be subsequently 
   determined 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 protect coverage for 
             screening mammography, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Protecting Access to Lifesaving 
Screenings Act (PALS Act) of 2017''.

SEC. 2. PROTECTING COVERAGE FOR SCREENING MAMMOGRAPHY.

    (a) In General.--Effective during the period beginning on the date 
of the enactment of this Act and ending January 1, 2020, any provision 
of law that refers (including through cross-reference to another 
provision of law) to the current recommendations of the United States 
Preventive Services Task Force with respect to breast cancer screening 
mammography shall be administered as if--
            (1) such reference to such current recommendations were a 
        reference to the recommendations of such Task Force with 
        respect to breast cancer screening mammography last issued 
        before 2009; and
            (2) such recommendations last issued before 2009 applied to 
        any screening mammography modality under section 1861(jj) of 
        the Social Security Act (42 U.S.C. 1395x(jj)).
    (b) Continuing Medicare Coverage Without Coinsurance.--Section 
1833(a)(1)(Y) of the Social Security Act (42 U.S.C. 1395l(a)(1)(Y)) is 
amended by inserting after ``in the case of such services described in 
subparagraph (A)'' the following: ``(other than screening 
mammography)''.
    (c) Maintaining Frequency of Medicare Coverage.--Section 
1834(c)(2)(B)(ii) of the Social Security Act (42 U.S.C. 
1395m(c)(2)(B)(ii)) is amended by inserting before the period at the 
end the following: ``, except that in the case of a woman over 39 years 
of age, such revision may not decrease such frequency''.
    (d) Clarifying the Definition of ``Screening Mammography''.--
Section 1861(jj) of the Social Security Act (42 U.S.C. 1395x(jj)) is 
amended by inserting ``, including any digital modality of such a 
procedure,'' after ``radiologic procedure''.
    (e) Application to Services Furnished Through Department of 
Veterans Affairs.--Section 7322(b) of title 38, United States Code, is 
amended to read as follows:
    ``(b) The policy developed under subsection (a), and any other 
policy of the Department of Veterans Affairs relating to mammography 
screening, shall--
            ``(1) specify standards of mammography screening that 
        ensure that the frequency of such screenings is not less than 
        the frequency of such screenings provided pursuant to section 
        2(a) of the Protecting Access to Lifesaving Screenings Act 
        (PALS Act) of 2017;
            ``(2) provide recommendations, consistent with paragraph 
        (1), with respect to screening, and the frequency of screening, 
        for veterans, without regard to age, who have clinical 
        symptoms, risk factors, or family history of breast cancer; and
            ``(3) provide for clinician discretion in individual 
        cases.''.
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