,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #bcga  ,,in ,,the ,,house ,,of  
,,representatives  ,april #be1 #bjai    
,mr4 ,thompson of ,california 7for      
himself and ,mr4 ,ferguson7 introduced  
the following bill2 which was referred  
to the ,committee on ,energy and        
,commerce1 and in addition to the       
,committees on ,ways and ,means1 and    
,armed ,services1 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 #aj1 ,united 
,states ,code1 to modify the requirement
 for certain former members of the      
,armed ,forces to enroll in ,medicare   
,part ,b to be eligible for ,,tricare   
for ,life1 and to amend title ,,xviii of
 the ,social ,security ,act to provide  
for coverage of certain ,,dna specimen  
provenance assay tests under the        
,medicare program4  #a4 ,short title    
,this ,act may be cited as the ,health  

,equity and ,access for ,returning      
,troops and ,servicemembers ,act of     
#bjai or the ,,hearts ,act of #bjai4    
#b4 ,modification of requirement for    
certain former members of the ,armed    
,forces to enroll in ,medicare ,part ,b 
to be eligible for ,,tricare for ,life  
7a7 ,,tricare eligibility  7#a7 ,in     
general ,subsection 7d7 of section #ajhf
 of title #aj1 ,united ,states ,code1 is
 amended by adding at the end the       
following new paragraph3  7#f7  7,a7    
,the requirement in paragraph 7#b77;,a7 
to enroll in the supplementary medical  
insurance program under part ,b of title
 ,,xviii of the ,social ,security ,act  
7#db ,u4,s4,c4 #acie;j et seq47 shall   
not apply to a person described in      
subparagraph 7,b7 during any month in   
which such person is not entitled to a  
benefit described in subparagraph 7,a7  
of section #bbf7;b77#b7 of the ,social  
,security ,act 7#db ,u4,s4,c4           
#dbf7;b77#b77 if such person has        
received the counseling and information 

under subparagraph 7,c74  7,b7 ,a person
 described in this subparagraph is a    
person--  7i7 who is under #fe years of 
age2  7ii7 who is entitled to hospital  
insurance benefits under part ,a of     
title ,,xviii of the ,social ,security  
,act pursuant to subparagraph 7,a7 or   
7,c7 of section #bbf7;b77#b7 of such    
,act 7#db ,u4,s4,c4 #dbf7;b77#b772      
7iii7 whose entitlement to a benefit    
described in subparagraph 7,a7 of such  
section has terminated due to           
performance of substantial gainful      
activity2 and  7iv7 who is retired under
 chapter #fa of this title4  7,c7 ,the  
,secretary of ,defense shall coordinate 
with the ,secretary of ,health and      
,human ,services and the ,commissioner  
of ,social ,security to notify persons  
described in subparagraph 7,b7 of1 and  
provide information and counseling      
regarding1 the effects of not enrolling 
in the supplementary medical insurance  
program under part ,b of title ,,xviii  
of the ,social ,security ,act 7#db      

,u4,s4,c4 #acie;j et seq471 as described
 in subparagraph 7,a74  4  7#b7         
,conforming amendment ,paragraph        
7#b77;,a7 of such subsection is amended 
by striking is enrolled and inserting   
except as provided by paragraph 7#f71 is
 enrolled4  7#c7 ,identification of     
persons ,section #aaaj;a of such title  
is amended by adding at the end the     
following new subsection3  7c7 ,certain 
individuals not required ,to enroll in  
,medicare ,part ,b ,in carrying out     
subsection 7a71 the ,secretary of       
,defense shall coordinate with the      
,secretary of ,health and ,human        
,services and the ,commissioner of      
,social ,security to--  7#a7 identify   
persons described in subparagraph 7,b7  
of section #ajhf7;d77#f7 of this title2 
and  7#b7 provide information and       
counseling pursuant to subparagraph 7,d7
 of such section4  4  7b7               
,non-,application of ,medicare ,part ,b 
late enrollment penalty ,section        
#ahci7;b7 of the ,social ,security ,act 

7#db ,u4,s4,c4 #acier7b77 is amended1 in
 the second sentence1 by inserting or   
months for which the individual can     
demonstrate that the individual is an   
individual described in paragraph       
7#f77;,b7 of section #ajhf7;d7 of title 
#aj1 ,united ,states ,code1 who is      
enrolled in the ,,tricare program       
pursuant to such section after an       
individual described in section         
#ahcg7k77#c74  7c7 ,report ,not later   
than ,october #a1 #bjbd1 the ,secretary 
of ,defense1 the ,secretary of ,health  
and ,human ,services1 and the           
,commissioner of ,social ,security shall
 jointly submit to the ,committees on   
,armed ,services of the ,house of       
,representatives and the ,senate1 the   
,committee on ,ways and ,means and the  
,committee on ,energy and ,commerce of  
the ,house of ,representatives1 and the 
,committee on ,finance of the ,senate a 
report on the implementation of section 
#ajhf7;d77#f7 of title #aj1 ,united     
,states ,code1 as added by subsection   

7a74 ,such report shall include1 with   
respect to the period covered by the    
report--  7#a7 the number of individuals
 enrolled in ,,tricare for ,life who are
 not enrolled in the supplementary      
medical insurance program under part ,b 
of title ,,xviii of the ,social         
,security ,act 7#db ,u4,s4,c4 #acie;j et
 seq47 by reason of such section        
#ajhf7;d77#f72 and  7#b7 the number of  
individuals who--  7,a7 are retired from
 the ,armed ,forces under chapter #fa of
 title #aj1 ,united ,states ,code2  7,b7
 are entitled to hospital insurance     
benefits under part ,a of title ,,xviii 
of the ,social ,security ,act pursuant  
to receiving benefits for #bd months as 
described in subparagraph 7,a7 or 7,c7  
of section #bbf7;b77#b7 of such ,act    
7#db ,u4,s4,c4 #dbf7;b77#b772 and  7,c7 
because of such entitlement1 are no     
longer enrolled in ,,tricare ,standard1 
,,tricare ,prime1 ,,tricare ,extra1 or  
,,tricare ,select under chapter #ee of  
title #aj1 ,united ,states ,code4  7d7  

,deposit of savings into ,medicare      
improvement fund ,section #ahih7;b77#a7 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acie;iii7b77#a77 is amended  
by striking during and after fiscal year
 #bjba1 #j and inserting during and     
after fiscal year #bjbd1 #e1jjj1jjj4    
7e7 ,application ,the amendments made by
 subsections 7a7 and 7b7 shall apply    
with respect to a person who1 on or     
after ,october #a1 #bjbc1 is a person   
described in section #ajhf7;d77#f77;,b7 
of title #aj1 ,united ,states ,code1 as 
added by subsection 7a74  #c4 ,coverage 
of certain ,,dna specimen provenance    
assay tests under ,medicare  7a7        
,benefit  7#a7 ,coverage ,section #ahfa 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #aciex7 is amended--  7,a7 in 
subsection 7s77#b7-- 7i7 in subparagraph
 7,,gg71 by striking and at the end2    
7ii7 in subparagraph 7,,hh71 by         
inserting and at the end2 and  7iii7 by 
adding at the end the following new     
subparagraph3  7,,ii7 a prostate cancer 

,,dna ,specimen ,provenance ,assay test 
7,,dspa test7 7as defined in subsection 
7kkk772 and  2 and  7,b7 by adding at   
the end the following new subsection3   
7kkk7 ,prostate cancer ,,dna ,specimen  
,provenance ,assay ,test ,the term      
prostate cancer ,,dna ,specimen         
,provenance ,assay ,test 7,,dspa test7  
means a test that1 after a determination
 of cancer in one or more prostate      
biopsy specimens obtained from an       
individual1 assesses the identity of the
 ,,dna in such specimens by comparing   
such ,,dna with the ,,dna that was      
separately taken from such individual at
 the time of the biopsy4  4  7#b7       
,exclusion from coverage ,section       
#ahfb7;a77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #aciey7a77#a77 is   
amended--  7,a7 in subparagraph 7,o71 by
 striking and at the end2  7,b7 in      
subparagraph 7,p71 by striking the      
semicolon at the end and inserting 1    
and2 and  7,c7 by adding at the end the 
following new subparagraph3  7,q7 in the

 case of a prostate cancer ,,dna        
,specimen ,provenance ,assay test       
7,,dspa test7 7as defined in section    
#ahfa7kkk771 unless such test is        
furnished on or after ,january #a1      
#bjbj1 and before ,january #a1 #bjbe1   
and such test is ordered by the         
physician who furnished the prostate    
cancer biopsy that obtained the specimen
 tested2  4  7b7 ,payment amount and    
related requirements ,section #ahcd of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7 is amended by adding  
at the end the following new subsection3
  7x7 ,prostate cancer ,,dna ,specimen  
,provenance ,assay tests  7#a7 ,payment 
for covered tests  7,a7 ,in general     
,subject to subparagraph 7,b71 the      
payment amount for a prostate cancer    
,,dna ,specimen ,provenance ,assay test 
7,,dspa test7 7as defined in section    
#ahfa7kkk77 shall be #bjj4 ,such payment
 shall be payment for all of the        
specimens obtained from the biopsy      
furnished to an individual that are     

tested4  7,b7 ,limitation ,payment for a
 ,,dspa test under subparagraph 7,a7 may
 only be made on an assignment-related  
basis4  7,c7 ,prohibition on separate   
payment ,no separate payment shall be   
made for obtaining ,,dna that was       
separately taken from an individual at  
the time of a biopsy described in       
subparagraph 7,a74  7#b7 ,,hcpcs code   
and modifier assignment  7,a7 ,in       
general ,the ,secretary shall assign one
 or more ,,hcpcs codes to a prostate    
cancer ,,dna ,specimen ,provenance      
,assay test and may use a modifier to   
facilitate making payment under this    
section for such test4  7,b7            
,identification of ,,dna match on claim 
,the ,secretary shall require an        
indication on a claim for a prostate    
cancer ,,dna ,specimen ,provenance      
,assay test of whether the ,,dna of the 
prostate biopsy specimens match the     
,,dna of the individual diagnosed with  
prostate cancer4 ,such indication may be
 made through use of a ,,hcpcs code1 a  

modifier1 or other means1 as determined 
appropriate by the ,secretary4  7#c7    
,,dna match review  7,a7 ,in general    
,the ,secretary shall review at least   
three years of claims under part ,b for 
prostate cancer ,,dna ,specimen         
,provenance ,assay tests to identify    
whether the ,,dna of the prostate biopsy
 specimens match the ,,dna of the       
individuals diagnosed with prostate     
cancer4  7,b7 ,posting on internet      
website ,not later than ,july #a1 #bjbc1
 the ,secretary shall post on the       
internet website of the ,centers for    
,medicare  ,medicaid ,services the      
findings of the review conducted under  
subparagraph 7,a74  4  7c7              
,cost-,sharing ,section #ahcc7;a77#a7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #aciel7a77#a77 is amended--   
7#a7 by striking and 7,,cc7 and         
inserting 7,,cc72 and  7#b7 by inserting
 before the semicolon at the end the    
following3 1 and 7,,dd7 with respect to 
a prostate cancer ,,dna ,specimen       

,provenance ,assay test 7,,dspa test7   
7as defined in section #ahfa7kkk771 the 
amount paid shall be an amount equal to 
#hj percent of the lesser of the actual 
charge for the test or the amount       
specified under section #ahcd7x74