,,ii  #aag? ,,congress  #a/ ,session    
,s4 #badi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ba1 #bjba ,mr4  
,he9ri* 7= himself1 ,mr4 ,wick]1 & ,mr4 
,padilla7 introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide cov]age "u ! ,m$ic>e program =  
,,fda-approv$ qualify+ colorectal canc] 
scre5+ blood-bas$ te/s1 to increase     
p>ticipation 9 colorectal canc] scre5+ 9
 "u-scre5$ communities ( color1 to (fset
 ! ,,covid-#ai p&emic driv5 decl9es 9   
colorectal canc] scre5+1 & = o!r        
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,donald ,payne1 ,sr41      
,colorectal ,canc] ,detection ,act (    
#bjba4  #b4 ,m$ic>e cov]age =           
,,fda-approv$ qualify+ colorectal canc] 
scre5+ blood-bas$ te/s  7a7 ,9 g5]al    
,section #ahfa7pp7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciex7pp77 is     
am5d$--  7#a7 9 p>agraph 7#a7-- 7,a7 by 
r$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 ,qualify+ colorectal 
canc] scre5+ blood-bas$ te/4  2 &  7#b7 
by add+ at ! end ! foll[+ new p>agraph3 
7#c7 ,! t]m qualify+ colorectal canc]   
scre5+ blood-bas$ te/ means1 ) respect  
to a ye>1 a scre5+ blood-bas$ te/ = !   
e>ly detection ( colorectal canc]       
furni%$ 9 ! ye> t 0 m>ket$ or us$1 z    
applicable1 9 accordance ) ! relevant   
provisions ( section #cec ( ! ,public   
,heal? ,s]vice ,act or ! ,f$]al ,food1  
,drug1 & ,cosmetic ,act m ?an #f mon?s  
be=e ! beg9n+ ( ! ye>4  4  7b7 ,frequ5cy
 limits = colorectal canc] scre5+ te/s &
 paym5t am\nt = qualify+ colorectal     
canc] scre5+ blood-,bas$ te/s ,section  
#ahcd7;d7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciem7d77 is am5d$--    
7#a7 by am5d+ clause 7ii7 ( p>agraph    
7#a77;,b7 to read z foll[s3  7ii7 if !  
te/ is p]=m$ )9-- 7,i7 ! #aa mon?s aft] 
a previ\s scre5+ fecal-occult blood te/ 
or a previ\s qualify+ colorectal canc]  

scre5+ blood-bas$ te/2  7,,ii7 ! #ce    
mon?s aft] a previ\s scre5+ flexible    
sigmoidoscopy or a previ\s scre5+       
colonoscopy ) ad5oma f9d+s2  7,,iii7 !  
#ei mon?s aft] a previ\s scre5+         
colonoscopy ) small polyp f9d+s2 or     
7,,iv7 ! #aai mon?s aft] a previ\s      
scre5+ colonoscopy )\t ad5oma f9d+s or  
small polyp f9d+s4  2  7#b7 9 p>agraph  
7#b77;,e77ii71 by ins]t+ or )9 ! #ce    
mon?s aft] a previ\s scre5+ fecal-occult
 blood te/ or previ\s qualify+          
colorectal canc] scre5+ blood-bas$ te/  
aft] sigmoidoscopy2  7#c7 by am5d+      
subp>agraph 7,e7 ( p>agraph 7#c7 to read
 z foll[s3  7,e7 ,frequ5cy limit ,no    
paym5t may be made "u ?is "p = a        
colorectal canc] scre5+ te/ consi/+ ( a 
scre5+ colonoscopy--  7i7 if ! proc$ure 
is p]=m$ )9 ! #aa mon?s aft] a previ\s  
scre5+ fecal-occult blood te/ or previ\s
 qualify+ colorectal canc] scre5+       
blood-bas$ te/2  7ii7 = individuals at  
high risk = colorectal canc] if !       
proc$ure is p]=m$ )9 ! #bc mon?s aft] a 

previ\s scre5+ colonoscopy2 or  7iii7 = 
individuals n at high risk = colorectal 
canc] if ! proc$ure is p]=m$ )9 ! #aai  
mon?s aft] a previ\s scre5+ colonoscopy 
or )9 ! #dg mon?s aft] a previ\s scre5+ 
flexible sigmoidoscopy4  2 &  7#d7 by   
add+ at ! end ! foll[+ new p>agraph3    
7#d7 ,qualify+ colorectal canc] scre5+  
blood-bas$ te/s  7,a7 ,paym5t am\nt ,!  
paym5t am\nt = colorectal canc] scre5+  
te/s consi/+ ( qualify+ colorectal canc]
 scre5+ blood-bas$ te/s %all be e/abli%$
 by ! ,secret>y4  7,b7 ,frequ5cy limit  
,p>agraph 7#a77;,b7 %all apply to       
colorectal canc] scre5+ te/s consi/+ (  
qualify+ colorectal canc] scre5+        
blood-bas$ te/s 9 ! same mann] z su*    
p>agraph applies to colorectal canc]    
scre5+ te/s consi/+ ( fecal-occult blood
 te/s4  4  7c7 ,effective date ,!       
am5dm5ts made by ?is section %all apply 
to colorectal canc] scre5+ te/s furni%$ 
9 a ye> beg9n+ m ?an #f mon?s aft] !    
date ( ! enactm5t ( ?is ,act4