#aaf? ,,congress  #b;d ,session  ,h4 ,r4
 #aegj  ,,an ,,act  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
waive co9surance "u ,m$ic>e = colorectal
 canc] scre5+ te/s1 reg>dless ( :e!r    
!rapeutic int]v5tion is requir$ dur+ !  
scre5+1 & = o!r purposes4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,remov+ 
,b>ri]s to ,colorectal ,canc] ,scre5+   
,act ( #bjbj4  #b4 ,waiv+ m$ic>e        
co9surance = c]ta9 colorectal canc]     
scre5+ te/s  7a7 ,9 g5]al ,section      
#ahcc7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciel7a77 is am5d$--    
7#a7 9 ! second s5t5ce1 by /rik+ section
 #ahcd7j7 & ins]t+ section #ahcd7o72    
7#b7 by mov+ su* second s5t5ce #b ems to
 ! left2 &  7#c7 by ins]t+ ! foll[+ ?ird
 s5t5ce foll[+ su* second s5t5ce3 ,=    
s]vices furni%$ on or aft] ,janu>y #a1  
#bjbb1 p>agraph 7#a77,y7 %all apply )   
respect to a colorectal canc] scre5+ te/
 reg>dless ( ! code t is bill$ = !      
e/abli%m5t ( a diagnosis z a result ( ! 
te/1 or = ! removal ( tissue or o!r     

matt] or o!r proc$ure t is furni%$ 9    
connection )1 z a result (1 & 9 ! same  
cl9ical enc\nt] z ! scre5+ te/44  7b7   
,special co9surance rule = c]ta9 te/s   
,section #ahcc ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciel7 is am5d$--  
7#a7 9 subsection 7a77#a77,y71 by ins]t+
 subject to subsection 7dd71 be=e )     
respect to2 &  7#b7 by add+ at ! end !  
foll[+ new subsection3  7dd7 ,special   
co9surance rule = c]ta9 colorectal canc]
 scre5+ te/s  7#a7 ,9 g5]al ,9 ! case ( 
a colorectal canc] scre5+ te/ to :i*    
p>agraph 7#a77,y7 ( subsection 7a7 w\ld 
n apply b = ! ?ird s5t5ce ( su*         
subsection t is furni%$ dur+ a ye>      
beg9n+ on or aft] ,janu>y #a1 #bjbb1 &  
be=e ,janu>y #a1 #bjcj1 ! am\nt paid    
%all be equal to ! specifi$ p]c5t 7z    
def9$ 9 p>agraph 7#b77 = su* ye> ( !    
less] ( ! actual *>ge = ! s]vice or !   
am\nt det]m9$ "u ! fee s*$ule t applies 
to su* te/ "u ?is "p 7or1 9 ! case su*  
te/ is a cov]$ ,,opd s]vice 7z def9$ 9  
subsection 7t77#a77;,b771 ! am\nt       

det]m9$ "u subsection 7t774  7#b7       
,specifi$ p]c5t def9$ ,= purposes (     
p>agraph 7#a71 ! t]m specifi$ p]c5t     
means--  7,a7 = #bjbb & #bjbc1 #hj      
p]c5t2  7,b7 = #bjbd & #bjbe1 #he p]c5t2
  7,c7 = #bjbf & #bjbg1 #ij p]c5t2 &    
7,d7 = #bjbh & #bjbi1 #ie p]c5t4  4  7c7
 ,con=m+ am5dm5ts ,p>agraphs 7#b7 & 7#c7
 ( section #ahcd7;d7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #aciem7d77
 are ea* am5d$-- 7#a7 9 subp>agraph     
7,c77ii71 9 ! matt] prec$+ subclause    
7,i71 by /rik+ ,not)/&+ & ins]t+        
,subject to section #ahcc7;a77#a77,y71 b
 not)/&+2 &  7#b7 9 subp>agraph 7,d71 by
 /rik+ ,if dur+ & ins]t+ ,subject to    
section #ahcc7;a77#a77,y71 if dur+4  #c4
 ,requir+ c]ta9 manufactur]s to report  
drug pric+ in=mation ) respect to drugs 
"u ! ,m$ic>e program  7a7 ,9 g5]al      
,section #ahdg;,a ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciew-#c;a7 is     
am5d$--  7#a7 9 subsection 7b7-- 7,a7 9 
p>agraph 7#b77;,a71 by ins]t+ or        
subsection 7f77#b71 z applicable be=e ! 

p]iod at ! end2  7,b7 9 p>agraph 7#c71 9
 ! matt] prec$+ subp>agraph 7,a71 by    
ins]t+ or subsection 7f77#b71 z         
applicable1 be=e det]m9$ by2 &  7,c7 9  
p>agraph 7#f77;,a71 9 ! matt] prec$+    
clause 7i71 by ins]t+ or subsection     
7f77#b71 z applicable1 be=e det]m9$ by2 
&  7#b7 9 subsection 7f7-- 7,a7 by /rik+
 ,= requirem5ts & ins]t+ ! foll[+3  7#a7
 ,9 g5]al ,= requirem5ts  2 &  7,b7 by  
add+ at ! end ! foll[+ new p>agraph3    
7#b7 ,manufactur]s )\t a rebate agreem5t
 "u title ,,xix  7,a7 ,9 g5]al ,if !    
manufactur] ( a drug or biological      
describ$ 9 subp>agraph 7,c71 7,e71 or   
7,g7 ( section #ahdb7o77#a7 or 9 section
 #ahha7;b77#ad77;,b7 t is payable "u ?is
 "p has n ent]$ into & does n h 9 effect
 a rebate agreem5t describ$ 9 subsection
 7b7 ( section #aibg1 = cal5d> qu>t]s   
beg9n+ ) ! second cal5d> qu>t] beg9n+ on
 or aft] ! date ( ! enactm5t ( ?is      
p>agraph1 su* manufactur] %all report to
 ! ,secret>y ! in=mation describ$ 9     
subsection 7b77#c77;,a77iii7 ( su*      

section #aibg ) respect to su* drug or  
biological 9 a "t & mann] specifi$ by ! 
,secret>y4 ,= purposes ( apply+ ?is     
p>agraph1 a drug or biological describ$ 
9 ! previ\s s5t5ce includes items1      
s]vices1 supplies1 & products t are     
payable "u ?is "p z a drug or           
biological4  7,b7 ,audit ,in=mation     
report$ "u subp>agraph 7,a7 is subject  
to audit by ! ,inspector ,g5]al ( !     
,dep>tm5t ( ,heal? & ,human ,s]vices4   
7,c7 ,v]ification ,! ,secret>y may      
survey :olesal]s & manufactur]s t       
directly di/ribute drugs describ$ 9     
subp>agraph 7,a71 :5 necess>y1 to v]ify 
manufactur] prices & manufactur]'s      
av]age sales prices 7includ+ :olesale   
acquisition co/7 if requir$ to make     
paym5t report$ "u subp>agraph 7,a74 ,!  
,secret>y may impose a civil monet>y    
p5alty 9 an am\nt n to exce$ #ajj1jjj on
 a :olesal]1 manufactur]1 or direct     
sell]1 if ! :olesal]1 manufactur]1 or   
direct sell] ( su* a drug refuses a     
reque/ = in=mation ab\t *>ges or prices 

by ! ,secret>y 9 connection ) a survey  
"u ?is subp>agraph or kn[+ly provides   
false in=mation4 ,! provisions ( section
 #aabh;,a 7o!r ?an subsections 7a7 7)   
respect to am\nts ( p5alties or         
additional assessm5ts7 & 7b77 %all apply
 to a civil money p5alty "u ?is         
subp>agraph 9 ! same mann] z su*        
provisions apply to a p5alty or proce$+ 
"u section #aabh;,a7a74  7,d7           
,confid5tiality ,not)/&+ any o!r        
provision ( law1 in=mation disclos$ by  
manufactur]s or :olesal]s "u ?is        
p>agraph 7o!r ?an ! :olesale acquisition
 co/ = purposes ( c>ry+ out ?is section7
 is confid5tial & %all n be disclos$ by 
! ,secret>y 9 a =m :i* discloses !      
id5tity ( a specific manufactur] or     
:olesal] or prices *>g$ = drugs by su*  
manufactur] or :olesal]1 except--  7i7 z
 ! ,secret>y det]m9es to be necess>y to 
c>ry out ?is section 7includ+ !         
det]m9ation & implem5tation ( ! paym5t  
am\nt71 or to c>ry out section #ahdg;,b2
  7ii7 to p]mit ! ,comptroll] ,g5]al ( !

 ,unit$ ,/ates to review ! in=mation    
provid$2 &  7iii7 to p]mit ! ,director (
 ! ,congressional ,budget ,(fice to     
review ! in=mation provid$4  4  7b7     
,en=cem5t ,section #ahdg;,a ( su* ,act  
7#db ,u4,s4,c4 #aciew-#c;a7 is fur!r    
am5d$--  7#a7 9 subsection 7d77#d7--    
7,a7 9 subp>agraph 7,a71 by /rik+ ,9    
g5]al & ins]t+ ,misrepres5tation2  7,b7 
9 subp>agraph 7,b71 by /rik+ subp>agraph
 7,b7 & ins]t+ subp>agraph 7,a71 7,b71  
or 7,c72  7,c7 by r$esignat+ subp>agraph
 7,b7 z subp>agraph 7,d72 &  7,d7 by    
ins]t+ aft] subp>agraph 7,a7 ! foll[+   
new subp>agraphs3  7,b7 ,failure to     
provide timely in=mation ,if ! ,secret>y
 det]m9es t a manufactur] describ$ 9    
subsection 7f77#b7 has fail$ to report  
on in=mation describ$ 9 section         
#aibg7;b77#c77;,a77iii7 ) respect to a  
drug or biological 9 accordance ) su*   
subsection1 ! ,secret>y %all apply a    
civil money p5alty 9 an am\nt ( #aj1jjj 
= ea* day ! manufactur] has fail$ to    
report su* in=mation & su* am\nt %all be

 paid to ! ,treasury4  7,c7 ,false      
in=mation ,any manufactur] requir$ to   
submit in=mation "u subsection 7f77#b7 t
 kn[+ly provides false in=mation is     
subject to a civil money p5alty 9 an    
am\nt n to exce$ #ajj1jjj = ea* item (  
false in=mation4 ,su* civil money       
p5alties are 9 addition to o!r p5alties 
z may be prescrib$ by law4  2 &  7#b7 9 
subsection 7c77#f77;,a71 by /rik+ !     
p]iod at ! end & ins]t+ 1 except t1 =   
purposes ( subsection 7f77#b71 !        
,secret>y may1 if ! ,secret>y det]m9es  
appropriate1 exclude repackag]s ( a drug
 or biological f su* t]m44  7c7         
,manufactur]s ) a rebate agreem5t  7#a7 
,9 g5]al ,section #aibg7;b77#c77;,a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acifr-#h7;b77#c77;,a77 is am5d$ by add+
 at ! end ! foll[+ new s5t5ce3 ,=       
purposes ( apply+ clause 7iii71 a drug  
or biological describ$ 9 ! flu% matt]   
foll[+ su* clause includes items1       
s]vices1 supplies1 & products t are     
payable "u ?is "p z a drug or           

biological44  7#b7 ,te*nical am5dm5t    
,section #aibg7;b77#c77;,a77iii7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acifr-#h7;b77#c77;,a77iii77 is am5d$ by
 /rik+ section #ahha7;b77#ac77;,a77ii7 &
 ins]t+ section #ahha7;b77#ad77;,b74    
7d7 ,report ,n lat] ?an ,janu>y #a1     
#bjbc1 ! ,inspector ,g5]al ( ! ,dep>tm5t
 ( ,heal? & ,human ,s]vices %all assess 
& submit to ,congress a report on !     
accuracy ( av]age sales price in=mation 
submitt$ by manufactur]s "u section     
#ahdg;,a ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciew-#c;a74 ,su* report    
%all include any recomm5dations on h[ to
 improve ! accuracy ( su* in=mation4    
#d4 ,det]m9ation ( budget>y effects ,!  
budget>y effects ( ?is ,act1 = ! purpose
 ( comply+ ) ! ,/atutory ,pay-,z-,y-,g  
,act ( #bjaj1 %all be det]m9$ by ref]5ce
 to ! late/ /atem5t titl$ 8,budget>y    
,effects ( ,,paygo ,legislation0 = ?is  
,act1 submitt$ = pr9t+ 9 !              
,congressional ,record by ! ,*airman ( !
 ,h\se ,budget ,committee1 provid$ t su*

 /atem5t has be5 submitt$ prior to !    
vote on passage4  ,pass$ ! ,h\se (      
,repres5tatives ,decemb] #i1            
#bjbj4;,cl]k4