Amends title XVIII (Medicare) of the Social Security Act to provide for a change in the payment amount for screening mammography performed in 2002 under Medicare.
Provides that, for cost reporting periods between October 1, 2001, and October 1, 2006, in applying the limitations regarding the total number of full-time equivalent residents in the field of allopathic or osteopathic medicine under Medicare for a hospital, the Secretary of Health and Human Services shall not take into account a maximum of three residents in the field of radiology to the extent the hospital increases the number of radiology residents above the number of such residents for the hospital's most recent cost reporting period ending before October 1, 2001.
Amends the Public Health Service Act to revise authorization of appropriations and allocation provisions with regard to interdisciplinary, community-based linkages, with changes establishing a specified authorization of appropriations for FY 2002 and a specified amount to be available for awards of grants and contracts under provisions on allied health and other disciplines.
Directs the Comptroller General to study: (1) the relative value units established by the Secretary of Health and Human Services under the Medicare physician fee schedule for physicians' services that are gender-specific; and (2) adjustments to payment amounts under the prospective payment system for inpatient hospital services and for covered skilled nursing facility services that are gender-specific.
Directs the Medicare Payment Advisory Commission to study the relative value units established by the Secretary under the such fee schedule for screening services that are reimbursed under it.
[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1354 Introduced in House (IH)]
107th CONGRESS
1st Session
H. R. 1354
To amend title XVIII of the Social Security Act to provide enhanced
reimbursement for, and expanded capacity to, mammography services under
the Medicare Program, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
April 3, 2001
Mr. King (for himself, Mr. Graham, Mr. Weiner, Ms. Slaughter, Mr.
Blagojevich, Mrs. McCarthy of New York, Mrs. Myrick, Mrs. Maloney of
New York, Mr. Shows, Ms. Eshoo, Mr. Thompson of Mississippi, Mr.
Langevin, Mr. Traficant, Mr. Israel, Mr. Serrano, Mr. Andrews, Ms.
Hooley of Oregon, Mr. Nadler, Mrs. Roukema, Ms. Jackson-Lee of Texas,
Mr. Brady of Pennsylvania, Mrs. Thurman, Mr. McNulty, and Mrs. Kelly)
introduced the following bill; which was referred to the Committee on
Energy and Commerce, and in addition to the Committee on Ways and
Means, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to provide enhanced
reimbursement for, and expanded capacity to, mammography services under
the Medicare Program, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Assure Access to Mammography Act of
2001''.
TITLE I--ENHANCED REIMBURSEMENT FOR SCREENING MAMMOGRAPHY UNDER THE
MEDICARE PROGRAM
SEC. 101. ENHANCED REIMBURSEMENT UNDER THE MEDICARE PROGRAM FOR
SCREENING MAMMOGRAPHIES FURNISHED IN 2002.
(a) One-Year Delay of Inclusion of Payment for Screening
Mammography in Physician Fee Schedule.--Section 104(c) of the Medicare,
Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (as
enacted into law by section 1(a)(6) of Public Law 106-554) is amended
by striking ``January 1, 2002'' and inserting ``January 1, 2003''.
(b) Change in Payment Amount.--Section 1834(c)(3)(A) of the Social
Security Act (42 U.S.C. 1395m(c)(3)(A)) is amended--
(1) in the heading, by striking ``$55, indexed.--'' and
inserting ``In general.--'';
(2) in clause (i), by striking ``and'' at the end;
(3) in clause (ii)--
(A) by striking ``a subsequent year'' and inserting
``1992 through 2001,''; and
(B) by striking ``that subsequent year.'' and
inserting ``that year, and''; and
(4) by adding at the end the following new clause:
``(iii) for screening mammography performed
in 2002, is $90.''.
(c) Effective Dates.--
(1) BIPA amendment.--The amendment made by subsection (a)
shall take effect as if included in the enactment of section
104 of the Medicare, Medicaid, and SCHIP Benefits Improvement
and Protection Act of 2000 (as enacted into law by section
1(a)(6) of Public Law 106-554).
(2) Mammography in 2002.--The amendments made by subsection
(b) shall apply with respect to screening mammographies
furnished during 2002.
(d) Construction.--Nothing in this section shall be construed as
affecting the provisions of section 104(d) of the Medicare, Medicaid,
and SCHIP Benefits Improvement and Protection Act of 2000 (as enacted
into law by section 1(a)(6) of Public Law 106-554) (relating to payment
for new technologies).
TITLE II--EXPANDED CAPACITY FOR MAMMOGRAPHY SERVICES
SEC. 201. NOT COUNTING CERTAIN RADIOLOGY RESIDENTS AGAINST GRADUATE
MEDICAL EDUCATION LIMITATIONS.
For cost reporting periods beginning on or after October 1, 2001,
and before October 1, 2006, in applying the limitations regarding the
total number of full-time equivalent residents in the field of
allopathic or osteopathic medicine under subsections (d)(5)(B)(v) and
(h)(4)(F) of section 1886 of the Social Security Act (42 U.S.C. 1395ww)
for a hospital, the Secretary of Health and Human Services shall not
take into account a maximum of 3 residents in the field of radiology to
the extent the hospital increases the number of radiology residents
above the number of such residents for the hospital's most recent cost
reporting period ending before October 1, 2001.
SEC. 202. ALLIED HEALTH PROFESSIONAL FUNDING.
Section 757 of the Public Health Service Act (42 U.S.C. 294g) is
amended--
(1) by striking subsection (a) and inserting the following
new subsection:
``(a) In General.--There are authorized to be appropriated to carry
out this part--
``(1) $55,600,000 for fiscal year 1998;
``(2) such sums as may be necessary for each of the fiscal
years 1999 through 2001;
``(3) $70,600,000 for fiscal year 2002; and
``(4) such sums as may be necessary for fiscal year 2003
and each subsequent fiscal year.''; and
(2) in subsection (b)(1)--
(A) in subparagraph (B), by striking ``and'' at the
end;
(B) in subparagraph (C), by striking ``, 754, and
755.'' and inserting ``and 754; and''; and
(C) by adding at the end the following new
subparagraph:
``(D) not less than $15,000,000 for awards of
grants and contracts under section 755.''.
TITLE III--STUDIES AND REPORTS ON MEDICARE REIMBURSEMENT FOR GENDER-
SPECIFIC AND SCREENING SERVICES
SEC. 301. GAO STUDY AND REPORT ON MEDICARE REIMBURSEMENT FOR GENDER-
SPECIFIC SERVICES.
(a) Study.--The Comptroller General of the United States shall
conduct a study of--
(1) the relative value units established by the Secretary
of Health and Human Services under the medicare physician fee
schedule under section 1848 of the Social Security Act (42
U.S.C. 1395w-4) for physicians' services that are gender-
specific; and
(2) adjustments to payment amounts under the prospective
payment systems for inpatient hospital services (under section
1886(d) of such Act (42 U.S.C. 1395ww(d))) and for covered
skilled nursing facility services (under section 1888(e) of
such Act (42 U.S.C. 1395yy(e))) that are gender specific.
(b) Report.--Not later than December 31, 2001, the Comptroller
General shall submit to Congress a report on the study conducted under
subsection (a), together with such recommendations regarding the
appropriateness of adjusting the relative value units for physicians'
services or the prospective payment amounts for inpatient hospital
services or covered skilled nursing facility services that are gender-
specific, as the Comptroller General determines appropriate.
SEC. 302. MEDPAC STUDY AND REPORT ON MEDICARE REIMBURSEMENT FOR
SCREENING SERVICES.
(a) Study.--The Medicare Payment Advisory Commission shall conduct
a study of the relative value units established by the Secretary of
Health and Human Services under the medicare physician fee schedule
under section 1848 of the Social Security Act (42 U.S.C. 1395w-4) for
screening services that are reimbursed under such fee schedule.
(b) Report.--Not later than March 1, 2002, the Commission shall
submit to Congress a report on the study conducted under subsection
(a), together with such recommendations regarding the appropriateness
of adjusting the relative value units for screening services that are
reimbursed under the physician fee schedule as the Commission
determines appropriate.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
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