PROPFRTYOF NOV20 REC'D ° HCFALIBRARY 104thcongress S.1118 1stSession To amend title X\^II ofthe Social SecurityAct to provide for coverage of bone mass measurements for certain individuals under part B of themedicareprogram. IN THE SENATE OF THE UNITED STATES August3(legislativeday,July10),1995 Ms.Snowe(forherselfandMr.Glenn)introducedthefollowingbill;which wasreadtwiceandreferredtotheCommitteeonFinance A BILL To amend title XVIII ofthe Social SecurityAct to provide forcoverageofbonemassmeasurementsforcertainindi- vidualsunderpartBofthemedicareprogram. 1 Beitenactedhythe SenateandHouseofRepresenta- 2 tivesoftheUnitedStatesofAmericainCongressassembled, 3 SECTION1.SHORTTITLE. 4 ThisActmaybe cited as the "MedicareBone Mass 5 MeasurementStandardizationActof1995". 6 SEC. 2. MEDICARE COVERAGE OF BONE MASSMEASURE- 7 MENTS. — 8 (a) InGeneral. Section 1861 ofthe Social Secu- 9 rityAct(42U.S.C.1395x)isamended— — — 2 1 (1)insubsection(s) 2 (A) in paragraph (12)(C), by striking 3 "and" attheend, 4 (B) by striking the period at the end of %. 5 paragi'aph(14) andinserting";and", 6 (C) by redesignating paragraphs (15) and 7 (16) asparagraphs (16) and (17), respectively, 8 and 9 (D) by inserting after paragraph (14) the 10 followingnewparagraph: 11 "(15) bone mass measurement (as defined in 12 subsection(oo)).";and 13 (2) by inserting after subsection (nn) the fol- 14 lowingnewsubsection: 15 "BoneMassMeasurement 16 "(oo)(l) The term 'bone mass measurement' means 17 a radiologic or radioisotopic procedure or other scientif- 18 icallyproventechnologyperformedonaqualifiedindivid- 19 ual(asdefinedinparagraph(2))forthepurposeofidenti- 20 fyingbonemassordetectingboneloss. 21 "(2) Forpurposesofparagraph (1),theterm'quali- 22 fiedindividual'meansanindi\ddualwhois (inaccordance 23 withregulationsprescribedbytheSecretary) 24 "(A) an estrogen-deficient woman at clinical 25 riskforosteoporosis; •S1118IS 3 1 "(B) anindividualwithvertebralabnormalities; 2 *'(C) an individual receiving long-term 3 glucocorticoidsteroidtherapy; 4 "(D) an individual vvith primary 5 hypeiparatliyroidism;or 6 "(E) an individual being monitored to assess 7 the response to or efficacy of an approved 8 osteoporosisdrugtherapy.". — 9 (b) ConformingAmendments. Sections 1864(a), 10 1865(a), 1902(a)(9)(C), and 1915(a)(l)(B)(ii)(I) of the 11 Social Security Act (42 U.S.C. 1395aa(a), 1395bb(a), 12 1396a(a)(9)(C), and 1396n(a)(l)(B)(ii)(I)) are amended 13 by striking "paragraphs (15) and (16)" each place such 14 term appears andinserting "paragraphs (16) and (17)". — 15 (c) Effectrte D2VTE. The amendments made by 16 tliis section shaU applyto bone mass measurementsper- 17 formedonorafterJanuarj^1,1996. O >S1118IS ensLIBRdRV 3 ams DQDLflEn e