,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #ceag  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #be1 #bjba,mr4   
,l>son ( ,connecticut 7= himself1 ,mrs4 
,walorski1 ,ms4 ,sn*ez1 ,mr4 ,burgess1 &
 ,mrs4 ,trahan7 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   
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$ic>e            
,b5efici>ies ,act ( #bjba4  #b4 ,f9d+s  
,! ,congress f9ds ! foll[+3 7#a7 ,!     
total annual exp5se ( provid+ c>e =     
o/eoporotic fractures among ,m$ic>e     

b5efici>ies1 includ+ direct m$ical co/s 
z well z indirect societal co/s relat$  
to productivity losses & in=mal c>egiv+1
 has be5 e/imat$ at #eg billion 9 #bjah1
 ) an expect$ increase to ov] #ie       
billion 9 #bjdj4  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 ,o/eoporosis disproportionately    
impacts wom51 :o acc\nt = #ga p]c5t (   
o/eoporotic fractures1 & #ge p]c5t (    
co/s4  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 ,ne>ly "o 9   
five ,m$ic>e pati5ts die )9 "o ye> ( a  
new o/eoporotic fracture4 ,b5efici>ies )
 a hip fracture _h ! highe/ mortality   
:]e approximately #cj p]c5t di$ )9 #ab  
mon?s ( ! fracture4  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$ict+   
/roke4  7#i7 ,s9ce #bjjg1 ,m$ic>e has   
cut ,,dxa reimbursem5t by ov] #gb p]c5t4
 ,by #bjai1 ! paym5t cuts caus$ a loss (
 #dd p]c5t ( ,,dxa (fice provid]s       
result+ 9 decl9es 9 expect$ ,,dxa te/+1 
leav+ #a4fe million wom5 undiagnos$ &   
untreat$ = o/eoporosis4  7#aj7 ,a decade
 ( /eady decl9e 9 hip fractures /opp$   
abruptly 9 #bjac4 ,z ( #bjai1 !re h be5 
m ?an #ga1gge additional hip fractures1 
co/+ almo/ #c billion1 lead+ to almo/   
#af1jjj additional dea?s ?an expect$ if 

! decl9e _h cont9u$4  7#aa7 ,an e/imat$ 
#bje1jjj ,m$ic>e ,fee ,= ,s]vice        
b5efici>ies1 or ab\t #ae p]c5t ( ^? :o  
_h a new o/eoporotic fracture1 suff]$ "o
 or m subsequ5t fractures )9 #ab mon?s (
 ! initial fracture4  #c4 ,increas+     
access to o/eoporosis prev5tion &       
treatm5t ,section #ahdh7;b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7;b77 is am5d$-- 7#a7 9        
p>agraph 7#d77;,b7-- 7,a7 by /rik+ & !  
fir/ #b mon?s ( #bjab & ins]t+ ! fir/ #b
 mon?s ( #bjab1 & #bjbb & ea* subsequ5t 
ye>2 &  7,b7 by /rik+ p>agraph 7#f7 &   
ins]t+ p>agraphs 7#f7 & 7#ab72 &  7#b7  
by add+ at ! end ! foll[+3  7#ab7       
,e/abli%+ m9imum paym5t = o/eoporosis   
te/s ,= dual-en]gy x-ray absorptiometry 
s]vices 7id5tifi$ by ,,hcpcs codes      
#ggjhj & #ggjhb & successor codes #ggjhe
 & #ggjhf 7& any succe$+ codes77 furni%$
 dur+ #bjbb 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