,i #aafth ,,congress #ast ,session ,h4 ,r4 #agfe ,,in ,,the ,,house ,,of ,,representatives ,march #ad1 #bjai,mr4 ,payne 7for himself1 ,mr4 ,marchant1 ,ms4 ,sewell of ,alabama1 ,ms4 ,adams1 ,ms4 ,kelly of ,illinois1 ,ms4 ,wilson of ,florida1 ,mr4 ,bishop of ,georgia1 ,mr4 ,richmond1 ,ms4 ,mc,collum1 ,ms4 ,lee of ,california1 ,ms4 ,clarke of ,new ,york1 and ,mr4 ,perry7 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 provide coverage under the ,medicare program for ,,fda-approved qualifying colorectal cancer screening blood-based tests1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,donald ,payne ,sr4 ,colorectal ,cancer ,detection ,act of #bjai4 #b4 ,medicare coverage for ,,fda-approved qualifying colorectal cancer screening blood-based tests 7a7 ,in general ,section #ahfa7pp7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7pp77 is amended-- 7#a7 in paragraph 7#a7-- 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 ,qualifying colorectal cancer screening blood-based test4 2 and 7#b7 by adding at the end the following new paragraph3 7#c7 ,the term qualifying colorectal cancer screening blood-based test means1 with respect to a year1 a screening blood-based test for the early detection of colorectal cancer furnished in the year that was marketed or used1 as applicable1 in accordance with the relevant provisions of section #cec of the ,public ,health ,service ,act or the ,federal ,food1 ,drug1 and ,cosmetic ,act more than #f months before the beginning of the year4 4 7b7 ,frequency limits for colorectal cancer screening tests and payment amount for qualifying colorectal cancer screening blood-,based tests ,section #ahcd7;d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7d77 is amended-- 7#a7 by amending clause 7ii7 of paragraph 7#a77;,b7 to read as follows3 7ii7 if the test is performed within-- 7,i7 the #aa months after a previous screening fecal-occult blood test or a previous qualifying colorectal cancer screening blood-based test2 7,,ii7 the #ce months after a previous screening flexible sigmoidoscopy or a previous screening colonoscopy with adenoma findings2 7,,iii7 the #ei months after a previous screening colonoscopy with small polyp findings2 or 7,,iv7 the #aai months after a previous screening colonoscopy without adenoma findings or small polyp findings4 2 7#b7 in paragraph 7#b77;,e77ii71 by inserting or within the #ce months after a previous screening fecal-occult blood test or previous qualifying colorectal cancer screening blood-based test after sigmoidoscopy2 7#c7 by amending subparagraph 7,e7 of paragraph 7#c7 to read as follows3 7,e7 ,frequency limit ,no payment may be made under this part for a colorectal cancer screening test consisting of a screening colonoscopy-- 7i7 if the procedure is performed within the #aa months after a previous screening fecal-occult blood test or previous qualifying colorectal cancer screening blood-based test2 7ii7 for individuals at high risk for colorectal cancer if the procedure is performed within the #bc months after a previous screening colonoscopy2 or 7iii7 for individuals not at high risk for colorectal cancer if the procedure is performed within the #aai months after a previous screening colonoscopy or within the #dg months after a previous screening flexible sigmoidoscopy4 2 and 7#d7 by adding at the end the following new paragraph3 7#d7 ,qualifying colorectal cancer screening blood-based tests 7,a7 ,payment amount ,the payment amount for colorectal cancer screening tests consisting of qualifying colorectal cancer screening blood-based tests shall be established by the ,secretary4 7,b7 ,frequency limit ,paragraph 7#a77;,b7 shall apply to colorectal cancer screening tests consisting of qualifying colorectal cancer screening blood-based tests in the same manner as such paragraph applies to colorectal cancer screening tests consisting of fecal-occult blood tests4 4 7c7 ,effective date ,the amendments made by this section shall apply to colorectal cancer screening tests furnished in a year beginning more than #f months after the date of the enactment of this ,act4