S. 869Senate108th Congress (2003-2005)In Committee

Assure Access to Mammography Act of 2003

A bill to amend title XVIII of the Social Security Act to provide for enhanced reimbursement under the medicare program for screening and diagnostic mammography services, and for other purposes.

Sponsored by Tom HarkinSen. Tom Harkin (D-IA)
Introduced April 10, 2003

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

April 10, 2003

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SenateIntro Referral

Introduced in Senate

April 10, 2003

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S5194)

April 10, 2003

SenateIntro Referral

Read twice and referred to the Committee on Finance.

April 10, 2003

Floor Debate

23 members

What members said about S. 869 on the floor

10 Republicans13 Democrats
Jon Kyl
Sen. Jon KylR-AZ · Apr 10, 2003

Mr. President, I rise today to introduce the Intermediate Sanctions Compensatory Revenue Adjustment Act of 2003, ISCRAA. This legislation will restore to the States billions of dollars in revenue due…

John Cornyn
Sen. John CornynR-TX · Apr 10, 2003

Mr. President, I am pleased to join my colleague, Senator Kyl, to introduce today this landmark legislation to clean up our civil justice system. This legislation would enact a badly needed reform to…

John F. Kerry
Sen. John F. KerryD-MA · Apr 10, 2003

Mr. President, I am pleased to join my colleague Senator Snowe in introducing the Medicare Mental Health Copayment Equity Act. This legislation will establish mental health care parity in the…

John D. Rockefeller IV
Sen. John D. Rockefeller IVD-WV · Apr 10, 2003

Mr. President, today I am introducing two key education initiatives designed to promote quality education across our country and respond to the compelling needs in our schools. When I meet with…

Ron Wyden
Sen. Ron WydenD-OR · Apr 10, 2003

Mr. President, Senators Collins, Clinton, Byrd, Lieberman and I want the rebuilding of Iraq to be done in the best way possible-- for the Iraqi people and for the American taxpayers who will foot the…

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Gordon H. Smith
Sen. Gordon H. SmithR-OR · Apr 10, 2003

Mr. President, I rise today to introduce legislation that will restore to the members of the Confederated Tribes of the Coos, Lower Umpqua and Siuslaw Indians a small portion of their ancestral…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Apr 10, 2003

Mr. President, I rise today to introduce the Medicare Mental Health Copayment Equity Act with my colleague on the Finance Committee, Senator John Kerry. In brief, my bill would a correct a serious…

Ernest F. Hollings
Sen. Ernest F. HollingsD-SC · Apr 10, 2003

Mr. President, I rise today with my colleague Senator Gregg to introduce the Coastal and Estuarine Land Protection Act of 2003. Senator Gregg and I introduced this bill last session, and it was…

Jim Talent
Sen. Jim TalentR-MO · Apr 10, 2003

Mr. President, today I rise on behalf of myself and my colleagues, Senators Charles Schumer and Lindsey Graham, in support of the Sickle Cell Treatment Act of 2003, which will help hundreds of…

Thomas A. Daschle
Sen. Thomas A. DaschleD-SD · Apr 10, 2003

Mr. President, today I join with a bipartisan group of colleagues from the Senate Guard Caucus to introduce the National Guard and Reserve Comprehensive Health Benefits Act of 2003. This bill will…

Conrad R. Burns
Sen. Conrad R. BurnsR-MT · Apr 10, 2003

Mr. President, I would like to introduce a bill which names one of our post offices in Billings, Montana, after one of this Nation's greatest leaders and true patriot: former President Ronald Reagan.…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Apr 10, 2003

Mr. President, I am honored to be a cosponsor of the Microbicides Development Act of 2003. The legislation calls for a redoubling of the effort at the National Institutes of Health and the Centers…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Apr 10, 2003

Mr. President, today I am joined by Senator DeWine, by our minority leader, Senator Daschle, and by Senator Smith in introducing legislation that will boost the readiness of our Nation's military…

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Jon S. Corzine
Sen. Jon S. CorzineD-NJ · Apr 10, 2003

Mr. President, I rise today to introduce legislation, the Microbicides Development Act of 2003. I am very pleased to be introducing this bipartisan bill along with my colleagues, Senators Snowe,…

Herb Kohl
Sen. Herb KohlD-WI · Apr 10, 2003

Mr. President, I rise today to introduce the Child Safety Lock Act of 2003, on behalf of myself, Senator Durbin, Senator Schumer, Senator Corzine, and Senator Feinstein. Our measure will save…

John Edwards
Sen. John EdwardsD-NC · Apr 10, 2003

Mr. President, I rise today to introduce two important pieces of legislation that offer a helping hand to the members and families of the National Guard, the Reserves, and the regular active- duty…

Orrin G. Hatch
Sen. Orrin G. HatchR-UT · Apr 10, 2003

Mr. President, I rise today to join with my colleagues in introducing the Child Custody Protection Act and express my strong support for this important piece of legislation. Similar legislation was…

John Ensign
Sen. John EnsignR-NV · Apr 10, 2003

Mr. President, I rise to introduce the Child Custody Protection Act. This legislation makes it a Federal offense to knowingly transport a minor across a State line, with the intent that she obtain an…

Judd Gregg
Sen. Judd GreggR-NH · Apr 10, 2003

Mr. President, I rise today along with Senator Hollings to introduce the Coastal and Estuarine Land Protection Act. We are introducing this much needed coastal protection act along with Senators…

Jeff Bingaman
Sen. Jeff BingamanD-NM · Apr 10, 2003

Mr. President, I rise today to introduce a bill entitled the Department of Energy Catalysis Research and Development Act. Catalysis is at the heart of fuels production in the petroleum and chemical…

Tom Harkin
Sen. Tom HarkinD-IA · Apr 10, 2003

Mr. President. Today I am introducing legislation, the Assure Access to Mammography Act of 2003, on behalf of myself and my colleagues, Senators Snowe, Inouye, Graham of South Carolina, Murray,…

Tom Harkin
Sen. Tom HarkinD-IA · Apr 10, 2003

Mr. President. Today I am introducing legislation, the Assure Access to Mammography Act of 2003, on behalf of myself and my colleagues, Senators Snowe, Inouye, Graham of South Carolina, Murray,…

Barbara A. Mikulski
Sen. Barbara A. MikulskiD-MD · Jun 27, 2003

Madam President, I rise to state for the record my strong support of Senator Harkin's amendment to the Medicare prescription drug bill (S. 1) to increase Medicare reimbursement for mammorgrams. I am…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Apr 10, 2003

Mr. President, today we are introducing the Tax Administration Good Government Act. The legislation contains five major components. First, it provides additional safeguards for taxpayers. Second, the…

Bill Text

Latest available legislative text

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Introduced in SenateIssued April 10, 2003
        [Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 869 Introduced in Senate (IS)]

108th CONGRESS
1st Session
S. 869

To amend title XVIII of the Social Security Act to provide for enhanced
reimbursement under the medicare program for screening and diagnostic
mammography services, and for other purposes.

_______________________________________________________________________

IN THE SENATE OF THE UNITED STATES

April 10, 2003

Mr. Harkin (for himself, Ms. Snowe, Mr. Inouye, Mr. Graham of South
Carolina, Mrs. Murray, Mr. Corzine, Mr. Biden, Mr. Specter, Ms.
Landrieu, Mr. Johnson, Mrs. Lincoln, Mr. Hollings, Ms. Mikulski, Mrs.
Clinton, and Ms. Collins) introduced the following bill; which was read
twice and referred to the Committee on Finance

_______________________________________________________________________

A BILL

To amend title XVIII of the Social Security Act to provide for enhanced
reimbursement under the medicare program for screening and diagnostic
mammography services, 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
2003''.

SEC. 2. ENHANCED REIMBURSEMENT UNDER THE MEDICARE PROGRAM FOR SCREENING
AND DIAGNOSTIC MAMMOGRAPHY SERVICES FURNISHED IN 2003.

(a) Payments to Facilities for Screening and Diagnostic
Mammography.--
(1) In general.--Notwithstanding any other provision of
law, with respect to payment for a screening or diagnostic
mammography furnished to a medicare beneficiary, the amount of
payment made to a hospital-based facility (defined in paragraph
(4)) in which such screening or diagnostic mammography is
performed during the applicable period described in paragraph
(3) is equal to 200 percent of the amount of payment that would
otherwise apply under the fee schedule established under
section 1848 of the Social Security Act (42 U.S.C. 1395w-4)
with respect to the technical component of such screening or
diagnostic mammography.
(2) Temporary payment rule.--With respect to payments to a
hospital-based facility for screening or diagnostic mammography
described in paragraph (1) during the applicable period,
payment shall be made to the facility for such mammography
pursuant to this subsection and shall not be made under section
1833(t) of such Act (42 U.S.C. 1395l(t)).
(3) Applicable period.--The applicable period referred to
in paragraph (1) is the period beginning on the date of the
enactment of this Act and ending on the date the Secretary
establishes and implements an appropriate facility payment rate
under the prospective payment system for covered outpatient
services under such section 1833(t) for a screening or
diagnostic mammography furnished to a medicare beneficiary, but
in no case less than the amount payment provided for in
paragraph (1).
(4) Hospital-based facility defined.--In this subsection,
the term ``hospital-based facility'' means a facility for which
payment is made for a diagnostic or screening mammography under
such section 1833(t) but for this subsection.
(b) Not Counting Certain Radiology Residents Against Graduate
Medical Education Limitations.--
(1) In general.--For cost reporting periods beginning on or
after October 1, 2003, and before October 1, 2008, 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 1 additional resident in the field of
radiology per post-graduate year during each such cost
reporting period 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, 2003.
(2) Treatment for entire period of training program.--The
provisions of paragraph (1) shall apply for each year of the
full-time equivalent resident's approved medical residency
training program in the field of radiology not taken into
account by reason of paragraph (1).
(c) 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).

SEC. 3. IOM STUDY AND REPORT ON MEDICARE REIMBURSEMENT FOR GENDER-
SPECIFIC SERVICES.

(a) Study.--The Secretary of Health and Human Services shall enter
into an arrangement with the Institute of Medicine of the National
Academy of Sciences to conduct a study of--
(1) the relative value units established by the Secretary
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.--
(1) In general.--Such arrangement shall provide that the
Institute shall submit to the Secretary a report on the study
conducted under subsection (a) by not later than December 31,
2004.
(2) Recommendations.--The report shall include 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 Institute determines appropriate.
(3) Transmission to congress.--The Secretary shall promptly
transmit a copy of such report to Congress.

SEC. 4. 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, 2004, 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.
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