,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bhc  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,janu>y #cj1 #bjai,ms4 
,coll9s 7= h]self1 ,mr4 ,c>d91 ,mrs4    
,blackburn1 ,mr4 ,k+1 ,mrs4 ,capito1    
,mr4 ,wick]1 & ,ms4 ,/ab5[7 introduc$ ! 
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to improve access to1 &  
utilization (1 bone mass measurem5t     
b5efits "u "p ,b ( ! ,m$ic>e program by 
e/abli%+ a m9imum paym5t am\nt "u su* "p
 = bone mass measurem5t4  #a4 ,%ort     
title ,?is ,act may be cit$ z !         
,increas+ ,access to ,o/eoporosis ,te/+ 
= ,m$ic>e ,b5efici>ies ,act ( #bjai4    
#b4 ,f9d+s ,! ,congress f9ds ! foll[+3  
7#a7 ,o/eoporosis is a major public     
heal? problem ) #ed million ,am]icans z 
( #bjaj hav+ ei!r l[ bone mass or       
o/eoporosis1 responsible = ov] #b       
million fractures p] ye>1 includ+ ov]   
#cjj1jjj hip fractures4 ,! e/imat$ total
 co/ ( ^! fractures 9 #bjje 0 #ag       

billion & expect$ to rise to ov] #be    
billion by #bjbe4  7#b7 ,o/eoporosis is 
a sil5t disease t (t5 is n discov]$     
until a fracture occurs4 ,"o out ( two  
wom5 & up to "o ( f\r m5 w suff] an     
o/eoporotic fracture 9 _! lifetimes4    
7#c7 ,:ile bo? m5 & wom5 may develop    
o/eoporosis1 #hj p]c5t are wom54  7#d7  
,mo/ wom5 are n aw>e ( _! p]sonal risk  
factors = o/eoporosis1 ! preval5ce (1 or
 ! morbidity & mortality associat$ ) !  
disease1 despite ! fact t brok5 bones   
due to o/eoporosis lead to m            
hospitalizations & great] heal? c>e co/s
 ?an he>t attack1 /roke1 or brea/ canc] 
9 wom5 age #ee & above4  7#e7 ,a woman's
 risk ( hip fracture is equal to h]     
comb9$ risk ( brea/1 ut]9e1 & ov>ian    
canc]4 ,m wom5 die 9 ! ,unit$ ,/ates 9 !
 ye> foll[+ a hip fracture ?an f brea/  
canc]4  7#f7 ,"o out ( f\r p :o h an    
o/eoporotic hip fracture w ne$ long-t]m 
nurs+ home c>e4 ,half ( ^? :o exp]i5ce  
o/eoporotic hip fractures are unable to 
walk )\t assi/ance4  7#g7 ,eld]ly wom5  

are s afraid ( los+ _! indep5d5ce t #h 9
 #aj w\ld r die ?an break _! hip & be   
admitt$ to a nurs+ home4  7#h7 ,bone    
d5sity te/+ is m p[]ful 9 pr$ict+       
fractures ?an *ole/]ol is 9 pr$ict+     
myoc>dial inf>ction or blood pressure 9 
pr$ict+ /roke4  7#i7 ,o/eoporosis rema9s
 bo? "u-recogniz$ & "u-treat$4 ,ov] a   
#g-ye> p]iod 7#bjjg-bjac71 #de p]c5t (  
old] female ,m$ic>e b5efici>ies _h no   
,,dxa bone d5sity te/1 & #be p]c5t _h   
only "o te/4  7#aj7 ,,dxa te/+ 9 old]   
wom5 decl9$ 9 #bjad to ! l[e/ po9t 9 #aj
 ye>s4  7#aa7 ,a decade ( /eady decl9e 9
 hip fractures /opp$ abruptly 9 #bjac4  
,s9ce !n1 !re h be5 m ?an #ad1jjj       
additional hip fractures1 co/+ ov] #efj 
million1 lead+ to #b1hjj m dea?s ?an    
expect$ if ! decl9e _h cont9u$4  #c4    
,increas+ access to o/eoporosis         
prev5tion & treatm5t ,section #ahdh7;b7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#d7;b77 is am5d$-- 7#a7
 9 p>agraph 7#d77;,b7--  7,a7 by /rik+ &
 ! fir/ #b mon?s ( #bjab & ins]t+ ! fir/

 #b mon?s ( #bjab1 #bjai1 & ea*         
subsequ5t ye>2 &  7,b7 by /rik+ p>agraph
 7#f7 & ins]t+ p>agraphs 7#f7 & 7#ab72 &
  7#b7 by add+ at ! end ! foll[+3  7#ab7
 ,e/abli%+ m9imum paym5t = o/eoporosis  
te/s ,= dual-en]gy x-ray absorptiometry 
s]vices 7id5tifi$ by ,,hcpcs codes      
#ggjhj & #ggjhb & successor codes #ggjhe
 & #ggjhf 7& any succe$+ codes77 furni%$
 dur+ #bjai or a subsequ5t ye>1 !       
,secret>y %all e/abli% a national m9imum
 paym5t am\nt "u ?is subsection--  7,a7 
= su* s]vices id5tifi$ by ,,hcpcs code  
#ggjhj1 equal to #ih 7) national m9imum 
paym5t am\nts ( #hg4aa = ! te*nical     
compon5t & #aj4hi = ! pr(essional       
compon5t72  7,b7 = su* s]vices id5tifi$ 
by ,,hcpcs code #ggjhf1 equal to #ce 7) 
national m9imum paym5t am\nts ( #bg4ah =
 ! te*nical compon5t & #g4hb = !        
pr(essional compon5t72 &  7,c7 = !      
bundl$ code = dual en]gy absorptiometry 
& v]tebral fracture assessm5t /udies    
id5tifi$ z ,,hcpcs code #ggjhe1 equal to
 #acc 7) national m9imum paym5t am\nts (

 #aad4bi = ! te*nical compon5t & #ah4ga 
= ! pr(essional compon5t74  ,su* m9imum 
paym5t am\nts %all be adju/$ by !       
geographical adju/m5t factor e/abli%$ "u
 subsection 7e77#b7 = ! s]vices = !     
respective ye>4  4