,i #aacth ,,congress #ast ,session ,h4 ,r4 #iia ,,in ,,the ,,house ,,of ,,representatives ,march #f1 #bjac ,mr4 ,hall 7for himself and ,mr4 ,danny ,k4 ,davis of ,illinois7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 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 cover screening computed tomography colonography as a colorectal cancer screening test under the ,medicare program4 #a4 ,short title ,this ,act may be cited as the ,,ct ,colonography ,screening for ,colorectal ,cancer ,act of #bjac4 #b4 ,coverage of computed tomography colonography screening as a colorectal cancer screening test under ,medicare 7a7 ,in general ,section #ahfa7pp77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7pp77#a77 is amended-- 7#a7 by redesignating subparagraph 7,d7 as subparagraph 7,e72 and 7#b7 by inserting after subparagraph 7,c7 the following new subparagraph3 7,d7 ,screening computed tomography colonography4 4 7b7 ,frequency limits and payment ,section #ahcd7;d7 of such ,act 7#db ,u4,s4,c4 #aciem7d77 is amended by adding at the end the following new paragraph3 7#d7 ,screening computed tomography colonography 7,a7 ,fee schedule ,with respect to a colorectal cancer screening test consisting of screening computed tomography colonography1 subject to subparagraph 7,b71 payment under section #ahdh shall be consistent with payment under such section for similar or related services4 7,b7 ,payment limit ,in the case of screening computed tomography colonography1 payment under this part shall not exceed such amount as the ,secretary specifies1 based upon rates recognized for diagnostic computed tomography colonography4 7,c7 ,facility payment limit ,notwithstanding any other provision of this title1 in the case of an individual who receives screening computed tomography colonography-- 7i7 in computing the amount of any applicable coinsurance1 the computation of such coinsurance shall be based upon the fee schedule under which payment is made for the services2 and 7ii7 the amount of such coinsurance shall not exceed #be percent of the payment amount under the fee schedule described in subparagraph 7,a74 7,d7 ,frequency limit ,no payment may be made under this part for a colorectal cancer screening test consisting of a screening computed tomography colonography-- 7i7 if the individual is under #ej years of age2 or 7ii7 7,i7 in the case of individuals at high risk for colorectal cancer1 if the procedure is performed within the #bc months after a previous screening computed tomography colonography or a previous screening colonoscopy2 or 7,,ii7 in the case of an individual who is not at high risk for colorectal cancer1 if the procedure is performed within the #aai months after a previous screening colonoscopy or within the #ei months after a previous screening flexible sigmoidoscopy or a previous screening computed tomography colonography4 4 7c7 ,conforming frequency limits for other colorectal cancer screening tests 7#a7 ,screening flexible sigmoidoscopy ,paragraph 7#b77;,e77ii7 of section #ahcd7;d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7d77 is amended by inserting or screening computed tomography colonography after previous screening flexible sigmoidoscopy4 7#b7 ,screening colonoscopy ,paragraph 7#c77;,e7 of such section is amended-- 7,a7 by inserting or screening computed tomography colonography after #bc months after a previous screening colonoscopy2 and 7,b7 by inserting or screening computed tomography colonography after screening flexible sigmoidoscopy4 7d7 ,effective date ,the amendments made by this section shall apply to items and services furnished on or after ,january #a1 #bjac4 #c4 ,exemption of screening computed tomography colonography from special rule on payment for imaging services 7a7 ,in general ,section #ahdh7;b77#d77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;b77#d77;,b77 is amended by inserting and screening computed tomography colonography after diagnostic and screening mammography4 7b7 ,effective date ,the amendment made by subsection 7a7 shall apply to items and services furnished on or after ,january #a1 #bjac4 #d4 ,reports on the status of covering computed tomography colonography as a colorectal cancer screening test under ,medicare 7a7 ,preliminary report ,not later than #ij days after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall submit a preliminary report to ,congress on the status of coverage of computed tomography colonography as a colorectal cancer screening test under the ,medicare program under title ,,xviii of the ,social ,security ,act1 including the extent to which such coverage as required by the amendments made by sections #b and #c has been implemented4 7b7 ,annual report ,not later than ,september #cj of each fiscal year during the #e-year period beginning with fiscal year #bjad1 the ,secretary shall submit to the ,congress1 a status report on the following3 7#a7 ,the impact of screening computed tomography colonography on the change in colorectal cancer screening compliance of ,medicare beneficiaries4 7#b7 ,the various utilization rates with respect to ,medicare beneficiaries for each available colorectal cancer screening option before and after the availability of and coverage of screening computed tomography colonography under the ,medicare program pursuant to the enactment of this ,act1 including-- 7,a7 by initial ,,crc screening performed with respect to a ,medicare beneficiary per year1 including the age of the beneficiary when the initial screening was performed2 and 7,b7 by follow-on screening performed1 whereby the analysis demonstrates to what extent screening computed tomography colonography was used as a substitute for a previous screening procedure4 7#c7 ,access to screening computed tomography colonography by ,medicare beneficiaries1 especially in rural areas or underserved populations1 before and after the date of implementation of coverage of such screening benefit under the ,medicare program pursuant to the enactment of this ,act4 7#d7 ,recommendations for such legislation and administrative action as the ,secretary determines appropriate to implement this ,act4