. . Ci-'iSi-ibisry 02-07-13 !(O7vF'0ttQimSoorca,uiir^y^sBrlyvjedn.rj 21244 110thcongress H. R. 4055 1stSession ToamendtitleX\T^noftheSocialSecurityActtoprovideforMedicare coverageofscreeningtestsforhumanpapillomavinis(HPV). IN THE HOUSE OF REPRESENTATR^S November1,2007 Ms.DeLafro(forherselfandMs.Schwartz)introducedthefollowingbill; whichwasreferredtotheCommitteeonEnergj'andCommerce,andin additiontotheCommitteeonWaysandMeans,foraperiodtobesubse- quentlydeterminedbytheSpeaker,ineachcaseforconsiderationofsuch provisionsasfallwithinthejurisdictionofthecommitteeconcerned A BILL To amend title X\in ofthe Social SecurityAct to pro^^de for Medicare coverage of screening tests for human papilloma\irus(HPV) 1 BeitenactedhytheSenateandHouseofRepresenta- 2 tivesoftheUnitedStatesofAmericainCongressassembled, 3 SECTION1.SHORTTITLE. 4 ThisActmaybecitedasthe"MedicareCer\icalCan- 5 cerScreeningandDetectionCoverageActof2007". — 1 SEC.2.MEDICARE COVERAGE OFSCREENINGTESTSFOR 2 HUMANPAPILLOMAVIRUS(HPV). — 3 (a) In General. Section 1861 ofthe Social Secii- 4 ritvAct(42U.S.C. 1395x)isamended— 5 (1) in subsection (s)(14), by striking- "smear 6 and screening; pehdc exam" and inserting "test, 7 screening pehic exam, and screening HPV test"; 8 and 9 (2) insubsection (nn) 10 (A) in the heading, by striking "SmeaR; 11 Screening PEL\ac Exam" and inserting 12 "Test; Screening PEL\ac Exam; Screening 13 HPVTest"; 14 (B) in paragraph (1), bystriking "smear" 15 andinserting"test"; 16 (C) in paragraphs (1) and (2), bystriking 17 "paragraph (3)" and inserting "paragraph 18 (4)"; 19 (D) by redesignating paragraph (3) as 20 paragraph(4);and 21 (E) by inserting after paragraph (2) the 22 foUo^dngnewparagraph: 23 "(3)(A) Theterm'screeningHPVtest'meansamo- 24 lecularlaboratory-testfordetectingthepresenceofhigh- 25 riskhumanpapillomaviruswhenadministeredinconjune- 26 tion\^^th a Paptestif, subjecttosubparagraph (B), the •HR4055IH — 3 1 woman involved has not had such a test during- the pre- 2 ceding: 3 years or during the precedingyear in the case 3 ofawomandescribedinparagraph(4). 4 "(B) With respect to coverage of screening HPV 5 tests 6 "(i) the Seeretars', in consultation vdth organi- 7 zations with exj^ertise in C}'topatholog;s', g;\7iecolog\', 8 and women's health, shall re^^ew the e\idence basis 9 andcUnical^lidelinesfortheappropriatefrequency, 10 age,andsuchotherfactorspertinenttosuch screen- 11 ingHPVtests;and 12 "(ii) the Secretary, based upon the re\aew con- 13 ductedunderclause (i) andin consultationmth the 14 org-anizations referred to in clause (i), ma}^ revise 15 from time to time the criteria appHed under sub- 16 paragraph (A) for the coverage of screening HPV 17 tests.". — 18 (b)ConformingAmendments. 19 (1) Inclusion in referralsas part of ini- — 20 tl\l pre\^ntive physical examination. sec- 21 tion 1861(ww)(2)(C) of such Act (42 U.S.C. 22 1396x(mv)(2)(C)) is amended by striking "smear 23 and screening pehic exam" and inserting "test, 24 screeningpelvicexam,andscreeningHPVtest". •HR4055IH 4 — 1 (2) Watv^r of deductible. Section 2 1833(b)(6) of such Act (42 U.S.C. 13951(b)(6)) is 3 amended by striking "smear and screening; pehdc 4 exam" and inserting "test, screening pehdc exam, 5 andscreeningHPVtest". 6 (3) Application of pap test payment 7 RULE.—Section 1833(h)(7) of such Act (42 U.S.C. 8 13051(h)(7))isamended— 9 (A)bystriking"smear";and 10 (B) by adding at the end the following: 11 "Such minimum payment amount shall also 12 applytopa\TiientforscreeningHPVtests". 13 (4) Application of pap test frequenct 14 limits.—Section 1862(a)(1)(F) of such Act (42 15 U.S.C. 1395y(a)(l)(F)) is amended by striking 16 "smear and screening pehdc exam" and inserting 17 "test, screening pehdc exam, and screening HPV 18 test". 19 (5) Application of pap test exception — 20 under competitr^ acquisition program. sec- 21 tion 1847(e)(1)(A) of such Act (42 U.S.C. 1395w- 22 3(e)(1)(A)) is amended by striking "pap smearlab- 23 orators'tests" and inserting "pap tests and screen- 24 ingHPVtests". •HR4055IH 5 — 1 (c) Ep^feCTFV^ Date. The amendments made by 2 this section shall ai)ply to senices furnished on or after 3 January-1,2008. O ;CCi2--.0S7L-ib1!3sry Ii•vr-:j--fIjtOimSoGrCs,U'UMyarE/'.!vcd.no2124«i •HR4055IH ensLIBRflRV aOTS DDDLDEfl4