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Assure Access to Mammography Act of 2001 (Introduced in the House)
HR 1354 IH
107th CONGRESS
1st Session
H. R. 1354
To amend title XVIII of the Social Security Act to provide enhanced reimbursement for, and expanded capacity to, mammography services under the Medicare Program, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
April 3, 2001
Mr. King (for himself, Mr. Graham, Mr. Weiner, Ms. Slaughter, Mr. Blagojevich, Mrs. McCarthy of New York, Mrs. Myrick, Mrs. Maloney of New York, Mr. Shows, Ms. Eshoo, Mr. Thompson of Mississippi, Mr. Langevin, Mr. Traficant, Mr. Israel, Mr. Serrano, Mr. Andrews, Ms. Hooley of Oregon, Mr. Nadler, Mrs. Roukema, Ms. Jackson-Lee of Texas, Mr. Brady of Pennsylvania, Mrs. Thurman, Mr. McNulty, and Mrs. Kelly) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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 provide enhanced reimbursement for, and expanded capacity to, mammography services under the Medicare Program, 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 `Assure Access to Mammography Act of 2001'.
TITLE I--ENHANCED REIMBURSEMENT FOR SCREENING MAMMOGRAPHY UNDER THE MEDICARE PROGRAM
SEC. 101. ENHANCED REIMBURSEMENT UNDER THE MEDICARE PROGRAM FOR SCREENING MAMMOGRAPHIES FURNISHED IN 2002.
(a) ONE-YEAR DELAY OF INCLUSION OF PAYMENT FOR SCREENING MAMMOGRAPHY IN PHYSICIAN FEE SCHEDULE- Section 104(c) of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (as enacted into law by section 1(a)(6) of Public Law 106-554) is amended by striking `January 1, 2002' and inserting `January 1, 2003'.
(b) CHANGE IN PAYMENT AMOUNT- Section 1834(c)(3)(A) of the Social Security Act (42 U.S.C. 1395m(c)(3)(A)) is amended--
(1) in the heading, by striking `$55, INDEXED- ' and inserting `IN GENERAL- ';
(2) in clause (i), by striking `and' at the end;
(A) by striking `a subsequent year' and inserting `1992 through 2001,'; and
(B) by striking `that subsequent year.' and inserting `that year, and'; and
(4) by adding at the end the following new clause:
`(iii) for screening mammography performed in 2002, is $90.'.
(1) BIPA AMENDMENT- The amendment made by subsection (a) shall take effect as if included in the enactment of section 104 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (as enacted into law by section 1(a)(6) of Public Law 106-554).
(2) MAMMOGRAPHY IN 2002- The amendments made by subsection (b) shall apply with respect to screening mammographies furnished during 2002.
(d) CONSTRUCTION- Nothing in this section shall be construed as affecting the provisions of section 104(d) of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (as enacted into law by section 1(a)(6) of Public Law 106-554) (relating to payment for new technologies).
TITLE II--EXPANDED CAPACITY FOR MAMMOGRAPHY SERVICES
SEC. 201. NOT COUNTING CERTAIN RADIOLOGY RESIDENTS AGAINST GRADUATE MEDICAL EDUCATION LIMITATIONS.
For cost reporting periods beginning on or after October 1, 2001, and before October 1, 2006, in applying the limitations regarding the total number of full-time equivalent residents in the field of allopathic or osteopathic medicine under subsections (d)(5)(B)(v) and (h)(4)(F) of section 1886 of the Social Security Act (42 U.S.C. 1395ww) for a hospital, the Secretary of Health and Human Services shall not take into account a maximum of 3 residents in the field of radiology to the extent the hospital increases the number of radiology residents above the number of such residents for the hospital's most recent cost reporting period ending before October 1, 2001.
SEC. 202. ALLIED HEALTH PROFESSIONAL FUNDING.
Section 757 of the Public Health Service Act (42 U.S.C. 294g) is amended--
(1) by striking subsection (a) and inserting the following new subsection:
`(a) IN GENERAL- There are authorized to be appropriated to carry out this part--
`(1) $55,600,000 for fiscal year 1998;
`(2) such sums as may be necessary for each of the fiscal years 1999 through 2001;
`(3) $70,600,000 for fiscal year 2002; and
`(4) such sums as may be necessary for fiscal year 2003 and each subsequent fiscal year.'; and
(2) in subsection (b)(1)--
(A) in subparagraph (B), by striking `and' at the end;
(B) in subparagraph (C), by striking `, 754, and 755.' and inserting `and 754; and'; and
(C) by adding at the end the following new subparagraph:
`(D) not less than $15,000,000 for awards of grants and contracts under section 755.'.
TITLE III--STUDIES AND REPORTS ON MEDICARE REIMBURSEMENT FOR GENDER-SPECIFIC AND SCREENING SERVICES
SEC. 301. GAO STUDY AND REPORT ON MEDICARE REIMBURSEMENT FOR GENDER-SPECIFIC SERVICES.
(a) STUDY- The Comptroller General of the United States shall conduct a study of--
(1) the relative value units established by the Secretary of Health and Human Services under the medicare physician fee schedule under section 1848 of the Social Security Act (42 U.S.C. 1395w-4) for physicians' services that are gender-specific; and
(2) adjustments to payment amounts under the prospective payment systems for inpatient hospital services (under section 1886(d) of such Act (42 U.S.C. 1395ww(d))) and for covered skilled nursing facility services (under section 1888(e) of such Act (42 U.S.C. 1395yy(e))) that are gender specific.
(b) REPORT- Not later than December 31, 2001, the Comptroller General shall submit to Congress a report on the study conducted under subsection (a), together with such recommendations regarding the appropriateness of adjusting the relative value units for physicians' services or the prospective payment amounts for inpatient hospital services or covered skilled nursing facility services that are gender-specific, as the Comptroller General determines appropriate.
SEC. 302. MEDPAC STUDY AND REPORT ON MEDICARE REIMBURSEMENT FOR SCREENING SERVICES.
(a) STUDY- The Medicare Payment Advisory Commission shall conduct a study of the relative value units established by the Secretary of Health and Human Services under the medicare physician fee schedule under section 1848 of the Social Security Act (42 U.S.C. 1395w-4) for screening services that are reimbursed under such fee schedule.
(b) REPORT- Not later than March 1, 2002, the Commission shall submit to Congress a report on the study conducted under subsection (a), together with such recommendations regarding the appropriateness of adjusting the relative value units for screening services that are reimbursed under the physician fee schedule as the Commission determines appropriate.
Assure Access to Mammography Act of 2001 (Introduced in the Senate)
S 548 IS
107th CONGRESS
1st Session
S. 548
To amend title XVIII of the Social Security Act to provide enhanced reimbursement for, and expanded capacity to, mammography services under the medicare program, and for other purposes.
IN THE SENATE OF THE UNITED STATES
March 15, 2001
Mr. HARKIN (for himself, Ms. SNOWE, Ms. MIKULSKI, Mr. MURKOWSKI, Mrs. MURRAY, Mr. SCHUMER, and Mr. REID) introduced the following bill; which was read twice and referred to the Committee on Finance
A BILL
To amend title XVIII of the Social Security Act to provide enhanced reimbursement for, and expanded capacity to, mammography services under the medicare program, 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 `Assure Access to Mammography Act of 2001'.
TITLE I--ENHANCED REIMBURSEMENT FOR SCREENING MAMMOGRAPHY UNDER THE MEDICARE PROGRAM
SEC. 101. ENHANCED REIMBURSEMENT UNDER THE MEDICARE PROGRAM FOR SCREENING MAMMOGRAPHIES FURNISHED IN 2002.
(a) ONE-YEAR DELAY OF INCLUSION OF PAYMENT FOR SCREENING MAMMOGRAPHY IN PHYSICIAN FEE SCHEDULE- Section 104(c) of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (as enacted into law by section 1(a)(6) of Public Law 106-554) is amended by striking `January 1, 2002' and inserting `January 1, 2003'.
(b) CHANGE IN PAYMENT AMOUNT- Section 1834(c)(3)(A) of the Social Security Act (42 U.S.C. 1395m(c)(3)(A)) is amended--
(1) in the heading, by striking `$55, INDEXED- ' and inserting `IN GENERAL- ';
(2) in clause (i), by striking `and' at the end;
(A) by striking `a subsequent year' and inserting `1992 through 2001,'; and
(B) by striking `that subsequent year.' and inserting `that year, and'; and
(4) by adding at the end the following new clause:
`(iii) for screening mammography performed in 2002, is $90.'.
(1) BIPA AMENDMENT- The amendment made by subsection (a) shall take effect as if included in the enactment of section 104 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (as enacted into law by section 1(a)(6) of Public Law 106-554).
(2) MAMMOGRAPHY IN 2002- The amendments made by subsection (b) shall apply with respect to screening mammographies furnished during 2002.
(d) CONSTRUCTION- Nothing in this section shall be construed as affecting the provisions of section 104(d) of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (as enacted into law by section 1(a)(6) of Public Law 106-554) (relating to payment for new technologies).
TITLE II--EXPANDED CAPACITY FOR MAMMOGRAPHY SERVICES
SEC. 201. NOT COUNTING CERTAIN RADIOLOGY RESIDENTS AGAINST GRADUATE MEDICAL EDUCATION LIMITATIONS.
For cost reporting periods beginning on or after October 1, 2001, and before October 1, 2006, in applying the limitations regarding the total number of full-time equivalent residents in the field of allopathic or osteopathic medicine under subsections (d)(5)(B)(v) and (h)(4)(F) of section 1886 of the Social Security Act (42 U.S.C. 1395ww) for a hospital, the Secretary of Health and Human Services shall not take into account a maximum of 3 residents in the field of radiology to the extent the hospital increases the number of radiology residents above the number of such residents for the hospital's most recent cost reporting period ending before October 1, 2001.
SEC. 202. ALLIED HEALTH PROFESSIONAL FUNDING.
Section 757 of the Public Health Service Act (42 U.S.C. 294g) is amended--
(1) by striking subsection (a) and inserting the following new subsection:
`(a) IN GENERAL- There are authorized to be appropriated to carry out this part--
`(1) $55,600,000 for fiscal year 1998;
`(2) such sums as may be necessary for each of the fiscal years 1999 through 2001;
`(3) $70,600,000 for fiscal year 2002; and
`(4) such sums as may be necessary for fiscal year 2003 and each subsequent fiscal year.'; and
(2) in subsection (b)(1)--
(A) in subparagraph (B), by striking `and' at the end;
(B) in subparagraph (C), by striking `, 754, and 755.' and inserting `and 754; and'; and
(C) by adding at the end the following new subparagraph:
`(D) not less than $15,000,000 for awards of grants and contracts under section 755.'.
TITLE III--STUDIES AND REPORTS ON MEDICARE REIMBURSEMENT FOR GENDER-SPECIFIC AND SCREENING SERVICES
SEC. 301. GAO STUDY AND REPORT ON MEDICARE REIMBURSEMENT FOR GENDER-SPECIFIC SERVICES.
(a) STUDY- The Comptroller General of the United States shall conduct a study of the relative value units established by the Secretary of Health and Human Services under the medicare physician fee schedule under section 1848 of the Social Security Act (42 U.S.C. 1395w-4) for physicians' services that are gender-specific.
(b) REPORT- Not later than December 31, 2001, the Comptroller General shall submit to Congress a report on the study conducted under subsection (a), together with such recommendations regarding the appropriateness of adjusting the relative value units for physicians' services that are gender-specific as the Comptroller General determines appropriate.
SEC. 302. MEDPAC STUDY AND REPORT ON MEDICARE REIMBURSEMENT FOR SCREENING SERVICES.
(a) STUDY- The Medicare Payment Advisory Commission shall conduct a study of the relative value units established by the Secretary of Health and Human Services under the medicare physician fee schedule under section 1848 of the Social Security Act (42 U.S.C. 1395w-4) for screening services that are reimbursed under such fee schedule.
(b) REPORT- Not later than March 1, 2002, the Commission shall submit to Congress a report on the study conducted under subsection (a), together with such recommendations regarding the appropriateness of adjusting the relative value units for screening services that are reimbursed under the physician fee schedule as the Comptroller General determines appropriate.
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