Medicare Lung Cancer Early Detection Promotion Act of 2011

Medicare Lung Cancer Early Detection Promotion Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act to prescribe an increased radiologist service payment for chest radiography (x-ray) services that use Computer Aided Detection technology for the early detection of lung cancer.

[Congressional Bills 112th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1172 Introduced in House (IH)]

112th CONGRESS
  1st Session
                                H. R. 1172

To amend title XVIII of the Social Security Act to provide an increased 
payment for chest radiography (x-ray) services that use Computer Aided 
Detection technology for the purpose of early detection of lung cancer.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 17, 2011

 Ms. Berkley 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 an increased 
payment for chest radiography (x-ray) services that use Computer Aided 
Detection technology for the purpose of early detection of lung cancer.

    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 ``Medicare Lung Cancer Early Detection 
Promotion Act of 2011''.

SEC. 2. MEDICARE PAYMENT FOR CHEST RADIOGRAPHY THAT USES COMPUTER AIDED 
              DETECTION TECHNOLOGY.

    Section 1834 of the Social Security Act (42 U.S.C. 1395m) is 
amended--
            (1) in subsection (b)(1)(B), by striking ``subsection 
        (c)(1)(A)'' and inserting ``subsections (c)(1)(A) and (p)''; 
        and
            (2) by adding at the end the following new subsection:
    ``(p) Payment for Chest Radiography Services That Use Computer 
Aided Detection Technology for the Early Detection of Lung Cancer.--
            ``(1) In general.--Notwithstanding any other provision of 
        this part, with respect to chest radiography services 
        (identified as of September 1, 2006, by HCPCS codes 71010, 
        71020, 71021, 71022, and 71030, and as subsequently modified by 
        the Secretary) furnished on or after January 1, 2012, that use 
        Computer Aided Detection technology for the early detection of 
        lung cancer (as defined in paragraph (4)), the amount of 
        payment shall be equal to--
                    ``(A) with respect to the technical component of 
                such services--
                            ``(i) the amount of payment under the fee 
                        schedule established under section 1848 for 
                        such component for the year that would 
                        otherwise apply; plus
                            ``(ii) the amount described in paragraph 
                        (2); and
                    ``(B) with respect to the professional component of 
                such services--
                            ``(i) the amount of payment under the fee 
                        schedule established under section 1848 for 
                        such component for the year that would 
                        otherwise apply; plus
                            ``(ii) the amount described in paragraph 
                        (3).
            ``(2) Amount described for technical component.--The amount 
        described in this paragraph for services furnished--
                    ``(A) during 2012 is $12; or
                    ``(B) during a subsequent year is the amount 
                established under this paragraph for the preceding 
                year, increased by the update determined under section 
                1848(d) for the year.
            ``(3) Amount described for professional component.--The 
        amount described in this paragraph for services furnished--
                    ``(A) during 2012 is $4; and
                    ``(B) during a subsequent year is the amount 
                established under this paragraph for the preceding year 
                increased by the update determined under section 
                1848(d) for the year.
            ``(4) Computer aided detection technology for the early 
        detection of lung cancer defined.--In this subsection, the term 
        `Computer Aided Detection technology for the early detection of 
        lung cancer' means a computer software technology which allows 
        for the production of a digital chest x-ray image or the 
        conversion of a chest x-ray into a digital image to be 
        subsequently analyzed for early lung cancer nodules and which 
        the Food and Drug Administration has granted approval or 
        clearance.
            ``(5) New codes.--The Secretary shall establish new codes 
        for chest radiography services described in paragraph (1) in 
        order to implement this subsection.''.
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