II
109th CONGRESS
1st Session
S. 390
IN THE SENATE OF THE UNITED STATES
February 15, 2005
Mr. Dodd (for himself and Mr. Bunning) 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 coverage of ultrasound screening for abdominal aortic aneurysms under part B of the medicare program.
Short title
This Act may be cited as the
Screening Abdominal Aortic Aneurysms
Very Efficiently Act of 2005
.
Medicare coverage of ultrasound screening for abdominal aortic aneurysms
In general
Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended—
in subsection (s)(2)—
by striking and
at the end of subparagraph
(Y);
by adding and
at the end of subparagraph (Z);
and
by adding at the end the following new subparagraph:
ultrasound screening for abdominal aortic aneurysm (as defined in subsection (bbb)) for an individual who has not been previously furnished such ultrasound screening and who—
has a family history of abdominal aortic aneurysm;
manifests risk factors for cardiovascular disease (such as smoking or hypertension);
evidences arthrosclerotic vascular disease; or
has other risk factors for abdominal aortic aneurysm as the Secretary may specify;
; and
by adding at the end the following new subsection:
Ultrasound screening for abdominal aortic aneurysm
The term ultrasound screening for abdominal aortic aneurysm means—
a procedure using sound waves (or such other procedures using alternative technologies, of commensurate accuracy and cost, that the Secretary may specify) for the early detection of abdominal aortic aneurysm; and
includes a physician’s interpretation of the results of the procedure.
.
Inclusion of ultrasound screening for abdominal aortic aneurysm in screening services for which education, counseling, and referral is provided for under benefits for initial preventive physical examination
Section 1861(ww)(2) of the Social Security Act (42 U.S.C. 1395x(ww)(2)) is amended by adding at the end the following new subparagraph:
Ultrasound screening for abdominal aortic aneurysm as defined in section 1861(bbb).
.
Payment for ultrasound screening for abdominal aortic aneurysm
Section 1848(j)(3) of the
Social Security Act (42 U.S.C.
1395w–4(j)(3)) is amended by inserting (2)(AA)
after (2)(W)
.
Frequency and quality standards
Section 1862(a)(1) of the Social Security Act (42 U.S.C. 1395m(a)(1)) is amended—
by striking and
at the end of subparagraph
(L);
by striking the semicolon at the end of subparagraph (M) and
inserting ; and
; and
by adding at the end the following new subparagraph:
in the case of ultrasound screening for abdominal aortic aneurysm—
which is performed more frequently than is provided for under section 1861(s)(2)(AA); or
which is performed by an individual or diagnostic laboratory that does not meet quality assurance standards established by the Secretary, including with respect to individuals performing ultrasound screening for abdominal aortic aneurysm (other than physicians) and diagnostic laboratories, that the individual or laboratory is certified by the appropriate State licensing or certification agency or, in the case of service performed in a State that does not license or certify such individuals or laboratories, by a national certification or accreditation organization recognized by the Secretary.
.
Non-Application of part B deductible
Section 1833(b) of the Social Security Act (42 U.S.C. 1395l(b)) is amended—
by striking and
after section
1861(jj)),
; and
by inserting , and (7) such deductible shall not apply
with respect to ultrasound screening for abdominal aortic aneurysm (as defined
in section 1861(bbb))
after 1861(nn))
.
Consultation in establishment of quality assurance standards and designation of recognition of national accreditation organizations
The Secretary shall consult with national medical, vascular technologist, and sonographer societies in establishing—
risk factors under section 1861(s)(2)(AA)(iv) of the Social Security Act, as added by subsection (a)(1)(C); and
quality assurance standards under section 1862(a)(1)(N)(ii) of such Act, as added by subsection (d)(3).
Effective date
The amendments made by this section shall apply to ultrasounds screening for abdominal aortic aneurysm performed on or after January 1, 2006.
National educational and information campaign
In general
After consultation with national medical, vascular technologist, and sonographer societies, the Secretary of Health and Human Services shall carry out a national education and information campaign to promote awareness among health care practitioners and the general public with respect to the importance of early detection and treatment of abdominal aortic aneurysms.
Use of funds
The Secretary may use amounts appropriated pursuant to this section to make grants to national medical, vascular technologist, and sonographer societies (in accordance with procedures and criteria specified by the Secretary) to enable them to educate practitioners and providers about matters relating to such aneurysms.
Authorization of appropriations
There is authorized to be appropriated for fiscal year 2006 and each fiscal year thereafter such sums as may be necessary to carry out this section.