,i #aaf? ,,congress #a/ ,session ,h4 ,r4 #aifi ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #bh1 #bjai,mr4 ,danny ,k4 ,davis ( ,ill9ois 7= himself & ,mr4 ,w5/rup7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to cov] scre5+ comput$ tomography colonography z a colorectal canc] scre5+ te/ "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,ct ,colonography ,scre5+ = ,colorectal ,canc] ,act ( #bjai4 #b4 ,cov]age ( comput$ tomography colonography scre5+ z a colorectal canc] scre5+ te/ "u ,m$ic>e 7a7 ,9 g5]al ,section #ahfa7pp77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7pp77#a77 is am5d$-- 7#a7 by r$esignat+ subp>agraph 7,d7 z subp>agraph 7,e72 & 7#b7 by ins]t+ aft] subp>agraph 7,c7 ! foll[+ new subp>agraph3 7,d7 ,scre5+ comput$ tomography colonography4 4 7b7 ,frequ5cy limits & paym5t ,section #ahcd7;d7 ( su* ,act 7#db ,u4,s4,c4 #aciem7d77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#d7 ,scre5+ comput$ tomography colonography 7,a7 ,fee s*$ule ,) respect to a colorectal canc] scre5+ te/ consi/+ ( scre5+ comput$ tomography colonography1 subject to subp>agraph 7,b71 paym5t "u section #ahdh %all be consi/5t ) paym5t "u su* section = simil> or relat$ s]vices4 7,b7 ,paym5t limit ,9 ! case ( scre5+ comput$ tomography colonography1 paym5t "u ?is "p %all n exce$ su* am\nt z ! ,secret>y specifies1 bas$ ^u rates recogniz$ = diagno/ic comput$ tomography colonography4 7,c7 ,facility paym5t limit ,not)/&+ any o!r provision ( ?is title1 9 ! case ( an individual :o receives scre5+ comput$ tomography colonography-- 7i7 9 comput+ ! am\nt ( any applicable co9surance1 ! computation ( su* co9surance %all be bas$ ^u ! fee s*$ule "u :i* paym5t is made = ! s]vices2 & 7ii7 ! am\nt ( su* co9surance %all n exce$ #be p]c5t ( ! paym5t am\nt "u ! fee s*$ule describ$ 9 subp>agraph 7,a74 7,d7 ,frequ5cy limit ,no paym5t may be made "u ?is "p = a colorectal canc] scre5+ te/ consi/+ ( a scre5+ comput$ tomography colonography-- 7i7 if ! individual is "u #ej ye>s ( age2 or 7ii7 7,i7 9 ! case ( individuals at high risk = colorectal canc]1 if ! proc$ure is p]=m$ )9 ! #bc mon?s aft] a previ\s scre5+ comput$ tomography colonography or a previ\s scre5+ colonoscopy2 or 7,,ii7 9 ! case ( an individual :o is n at high risk = colorectal canc]1 if ! proc$ure is p]=m$ )9 ! #aai mon?s aft] a previ\s scre5+ colonoscopy or )9 ! #ei mon?s aft] a previ\s scre5+ flexible sigmoidoscopy or a previ\s scre5+ comput$ tomography colonography4 4 7c7 ,con=m+ frequ5cy limits = o!r colorectal canc] scre5+ te/s 7#a7 ,scre5+ flexible sigmoidoscopy ,p>agraph 7#b77;,e77ii7 ( section #ahcd7;d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7d77 is am5d$ by ins]t+ or scre5+ comput$ tomography colonography aft] previ\s scre5+ flexible sigmoidoscopy4 7#b7 ,scre5+ colonoscopy ,p>agraph 7#c77;,e7 ( su* section is am5d$-- 7,a7 by ins]t+ or scre5+ comput$ tomography colonography aft] #bc mon?s aft] a previ\s scre5+ colonoscopy2 & 7,b7 by ins]t+ or scre5+ comput$ tomography colonography aft] scre5+ flexible sigmoidoscopy4 7d7 ,effective date ,! am5dm5ts made by ?is section %all apply to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjbj4 #c4 ,exemption ( scre5+ comput$ tomography colonography f special rule on paym5t = imag+ s]vices 7a7 ,9 g5]al ,section #ahdh7;b77#d77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;b77#d77;,b77 is am5d$ by ins]t+ & scre5+ comput$ tomography colonography aft] diagno/ic & scre5+ mammography4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjbj4 #d4 ,reports on ! /atus ( cov]+ comput$ tomography colonography z a colorectal canc] scre5+ te/ "u ,m$ic>e 7a7 ,prelim9>y report ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit a prelim9>y report to ,congress on ! /atus ( cov]age ( comput$ tomography colonography z a colorectal canc] scre5+ te/ "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act1 includ+ ! ext5t to :i* su* cov]age z requir$ by ! am5dm5ts made by sections #b & #c has be5 implem5t$4 7b7 ,annual report ,n lat] ?an ,septemb] #cj ( ea* fiscal ye> dur+ ! #e-ye> p]iod beg9n+ ) fiscal ye> #bjba1 ! ,secret>y %all submit to ! ,congress1 a /atus report on ! foll[+3 7#a7 ,! impact ( scre5+ comput$ tomography colonography on ! *ange 9 colorectal canc] scre5+ compliance ( ,m$ic>e b5efici>ies4 7#b7 ,! v>i\s utilization rates ) respect to ,m$ic>e b5efici>ies = ea* available colorectal canc] scre5+ option be=e & aft] ! availability ( & cov]age ( scre5+ comput$ tomography colonography "u ! ,m$ic>e program pursuant to ! enactm5t ( ?is ,act1 includ+-- 7,a7 by initial ,,crc scre5+ p]=m$ ) respect to a ,m$ic>e b5efici>y p] ye>1 includ+ ! age ( ! b5efici>y :5 ! initial scre5+ 0 p]=m$2 & 7,b7 by foll[-on scre5+ p]=m$1 :]eby ! analysis demon/rates to :at ext5t scre5+ comput$ tomography colonography 0 us$ z a sub/itute = a previ\s scre5+ proc$ure4 7#c7 ,access to scre5+ comput$ tomography colonography by ,m$ic>e b5efici>ies1 especially 9 rural areas or und]s]v$ populations1 be=e & aft] ! date ( implem5tation ( cov]age ( su* scre5+ b5efit "u ! ,m$ic>e program pursuant to ! enactm5t ( ?is ,act4 7#d7 ,recomm5dations = su* legislation & adm9i/rative action z ! ,secret>y det]m9es appropriate to implem5t ?is ,act4