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SECTION 1. SHORT TITLE.

This Act may be cited as the ''Diabetes Screening and Medicaid
Savings Act of 2007''.

SEC. 2. IMPROVEMENT OF DIABETES SCREENING AND TREATMENT UNDER MEDICAID.

(a) Diabetes Screening Tests for Adult Enrollees With Diabetes Risk
Factors.--Section 1905(a)(4) of the Social Security Act (42 U.S.C.
1396d(a)(4)) is amended--
(1) in subsection (a)(4)--
(A) by striking ''and'' before ''(C)''; and
(B) by inserting after the semicolon at the end the
following ''and (D) diabetes screening tests (as
defined in section 1861(yy)(1)) for an individual at
risk for diabetes (as defined in subsection (y)) at
such intervals as are consistent with the requirements
of subparagraph (B), or in the case of an individual 21
years of age or older, standards established by the
Secretary under section 1861(yy)(3);''; and
(2) by adding at the end the following new subsection:
''(y) For purposes of subsection (a)(4)(D), the term 'individual at
risk for diabetes' means--
''(1) an individual 45 years of age or older who is
overweight, defined as a body mass index greater than 25 kg/
m\; and
''(2) an individual under 45 years of age who is overweight
(as so defined) and who has any of the following risk factors
for diabetes:
''(A) A first-degree relative with diabetes.
''(B) Hypertension.
''(C) Dyslipidemia.
''(D) Habitually inactive.
''(E) Member of a high risk ethnic population for
diabetes, including a member of the following
populations:
''(i) African American.
''(ii) Latino/Hispanic.
''(iii) American Indian.
''(iv) Alaskan Native.
''(v) Asian American.
''(vi) Pacific Islander.
''(F) Previous identification of an impaired
fasting glucose or an impaired glucose tolerance.
''(G) A history of gestational diabetes mellitus or
delivery of a baby weighing greater than 9 pounds.
''(H) Polycystic ovarian disease.
''(I) A history of vascular disease.''.
(b) Comprehensive Package of Benefits for Individuals With
Diabetes.--
(1) In general.--Section 1902(a) of the Social Security Act
(42 U.S.C. 1396a(a)) is amended--
(A) in paragraph (69), by striking ''and'' at the
end;
(B) in paragraph (70)(B)(iv), by striking the
period at the end and inserting ''; and''; and
(C) by inserting after paragraph (70)(B)(iv), the
following new paragraph:
''(71) provide that the medical assistance furnished to any
individual who has been determined to be eligible for such
assistance and diagnosed with diabetes shall include, in
addition to any other items and services required to be
furnished to the individual under this title, at least the
following items and services as required by the individual's
treating physician or healthcare provider:
''(A) The care and services listed in paragraphs
(1), (2), (3), (4)(B), (4)(D), (5), (10), and (12)
(without regard, in the case of prescribed drugs, to
any limit imposed under the State plan on the number of
prescriptions filled per month, but subject to any such
limit imposed by the treating physician or healthcare
provider) of section 1905(a).
''(B) Durable medical equipment (as defined in
section 1861(n)) and other durable medical equipment
covered under title XVIII through national coverage
determinations, including insulin pumps and associated
supplies.
''(C) Services related to pregnancy (including
prenatal, delivery, and post partum services).
''(D) A yearly dilated eye exam by an eye care
professional with appropriate follow-up care as
medically needed.
''(E) Podiatric services.
''(F) Diabetes education, including diabetes
outpatient self-management training services (as
defined in section 1861(qq)).
''(G) Medical nutrition therapy services (as
defined in section 1861(vv)(1)).''.
(2) Prohibition on cost sharing.--
(A) In general.--Section 1916 of the Social
Security Act (42 U.S.C. 1396o) is amended by adding at
the end the following new subsection:
''(j) In the case of an individual who has been determined to be
eligible for medical assistance and diagnosed with diabetes--
''(1) no deduction, cost sharing, or similar charge shall
be imposed for any item or service listed in subparagraph (A)
through (G) of section 1902(a)(71) that is provided to the
individual as a result of the individual's diagnosis with
diabetes or complications related to such diagnosis; and
''(2) the State option to impose cost sharing under section
1916A shall not apply with respect to the provision of medical
assistance to such individual for any item or service listed in
subparagraph (A) through (G) of section 1902(a)(71) that is
provided to the individual as a result of the individual's
diagnosis with diabetes or complications related to such
diagnosis.''.
(B) Conforming amendment.--The second sentence of
section 1916A(a)(1) of the Social Security Act (42
U.S.C. 1396o-1(a)(1)) is amended by striking ''section
1916(g)'' and inserting ''subsection (g) or (j) of
section 1916''.
(c) Effective Date.--
(1) In general.--Except as provided in paragraph (2), the
amendments made by this section take effect on October 1, 2007.
(2) Extension of effective date for state law amendment.--
In the case of a State plan under title XIX of the Social
Security Act (42 U.S.C. 1396 et seq.) which the Secretary of
Health and Human Services determines requires State legislation
in order for the plan to meet the additional requirements
imposed by the amendments made by this section, the State plan
shall not be regarded as failing to comply with the
requirements of such title solely on the basis of its failure
to meet these additional requirements before the first day of
the first calendar quarter beginning after the close of the
first regular session of the State legislature that begins
after the date of enactment of this Act. For purposes of the
previous sentence, in the case of a State that has a 2-year
legislative session, each year of the session is considered to
be a separate regular session of the State legislature.
Output:
Diabetes Screening and Medicaid Savings Act of 2007 - Amends title XIX (Medicaid) of the Social Security Act to require states to provide diabetes screening tests under the Medicaid program for adult enrollees with diabetes risk factors.

Provides a comprehensive package for individuals with diabetes.