S. 1164Senate110th Congress (2007-2009)In Committee

Colon Cancer Screen for Life Act of 2007

Introduced April 19, 2007

Legislative Activity

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

April 19, 2007

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SenateIntro Referral

Introduced in Senate

April 19, 2007

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S4756)

April 19, 2007

SenateIntro Referral

Read twice and referred to the Committee on Finance.

April 19, 2007

Floor Debate

10 members

What members said about S. 1164 on the floor

4 Republicans6 Democrats
Lamar Alexander
Sen. Lamar AlexanderR-TN · Apr 19, 2007

Mr. President, today I introduce legislation to reduce air pollution and the threat of global warming by enacting strict standards on the four major pollutants from powerplants. I send the…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Apr 19, 2007

Mr. President, I rise today to introduce America's Red Rock Wilderness Act of 2007. This legislation continues our Nation's commitment to preserve our natural heritage. Preservation of our Nation's…

Benjamin L. Cardin
Sen. Benjamin L. CardinD-MD · Apr 19, 2007

Mr. President, today I introduce the Colon Cancer Screen for Life Act of 2007 along with my colleagues, Senator Collins, Senator Lieberman, and Senator Graham. Many people are aware that colon cancer…

Tom Harkin
Sen. Tom HarkinD-IA · Apr 19, 2007

Mr. President, today, I rise to introduce legislation that will strike the consumptive demand clause from Section 307 of the Tariff Act of 1930 (19 U.S.C. 1307). Section 307 prohibits the importation…

John Warner
Sen. John WarnerR-VA · Apr 19, 2007

Mr. President, I rise today to introduce the Federal Employee Combat Zone Tax Parity Act, which would provide parity to civilian Federal employees by extending the tax credit currently received by…

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Benjamin L. Cardin
Sen. Benjamin L. CardinD-MD · Apr 19, 2007

Mr. President, today I introduce the Colon Cancer Screen for Life Act of 2007 along with my colleagues, Senator Collins, Senator Lieberman, and Senator Graham. Many people are aware that colon cancer…

Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Apr 19, 2007

Mr. President, I am very pleased to again join with the Senior Senator from Illinois, Mr. Durbin, as an original cosponsor of legislation, America's Red Rocks Wilderness Act of 2007, to designate…

Jeff Bingaman
Sen. Jeff BingamanD-NM · Apr 19, 2007

Mr. President, I am pleased today to join with my colleagues Senators Craig and Conrad and others in introducing the Medicare Medical Nutrition Therapy Act of 2007. This marks the fourth consecutive…

Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · Apr 19, 2007

Mr. President, today I introduce the Blinded Veterans Paired Organ Act of 2007. This legislation would update the eligibility requirements for certain benefits provided to veterans with a service-…

James M. Inhofe
Sen. James M. InhofeR-OK · Apr 19, 2007

Mr. President, I rise today to introduce the Alternative Fuel Standard Act. The bill that I am introducing today reflects the President's draft legislation to which he referred in his State of the…

Larry E. Craig
Sen. Larry E. CraigR-ID · Apr 19, 2007

Mr. President, I rise today to introduce the ``Specialty Crop Competition Act of 2007.'' This bipartisan legislation co- sponsored by the distinguished Senator from Michigan, Senator Stabenow,…

Bill Text

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Introduced in SenateIssued April 19, 2007

II

110th CONGRESS

1st Session

S. 1164

IN THE SENATE OF THE UNITED STATES

April 19, 2007

Mr. Cardin (for himself, Ms. Collins, Mr. Lieberman, Mr. Graham, and Mr. Nelson of Nebraska) 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 improve patient access to, and utilization of, the colorectal cancer screening benefit under the Medicare Program.

1.

Short title

This Act may be cited as the Colon Cancer Screen for Life Act of 2007.

2.

Sense of congress

It is the sense of Congress that—

(1)

colorectal cancer screening tests (as defined in section 1861(pp)(1) of the Social Security Act (42 U.S.C. 1395x(pp)(1)) covered under the Medicare Program have been severely underutilized, with the Comptroller General of the United States reporting in 2000 that since coverage of such tests was implemented, the percentage of beneficiaries under the Medicare Program receiving either a screening or a diagnostic colonoscopy has increased by only 1 percent;

(2)

in recognition of the need to improve rates of colorectal cancer screening in the Medicare Program, Congress enacted provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to require physicians to provide a referral for colorectal cancer screening as part of the new initial preventive physical examination, beginning January 1, 2005;

(3)

the Centers for Medicare & Medicaid Services should encourage health care providers to use more effective screening and diagnostic health care technologies in the area of colorectal cancer screening;

(4)

in recent years, the Centers for Medicare & Medicaid Services has subjected colorectal cancer screening tests to some of the largest reimbursement reductions under the Medicare Program;

(5)

unlike other preventive screening tests covered under the Medicare Program, health care providers must consult with beneficiaries prior to furnishing a screening colonoscopy in order to—

(A)

ascertain the medical and family history of the beneficiary; and

(B)

inform the beneficiary of preparatory steps that must be taken prior to the procedure; and

(6)

reimbursement under the Medicare Program is not currently available for the consultations described in paragraph (5) despite the fact that reimbursement is provided under such program for similar consultations prior to a diagnostic colonoscopy.

3.

Increase in part B reimbursement for colorectal cancer screening and diagnostic tests

(a)

In general

Section 1834(d) of the Social Security Act (42 U.S.C. 1395m(d)) is amended by adding at the end the following new paragraph:

(4)

Enhanced part B payment for colorectal cancer screening and diagnostic tests

(A)

Nonfacility rates

Notwithstanding paragraphs (2)(A) and (3)(A), the Secretary shall establish national minimum payment amounts for CPT codes 45378, 45380, and 45385, and HCPCS codes G0105 and GO121 for items and services furnished on or after January 1, 2008, which reflect a 10-percent increase above the relative value units in effect as the nonfacility rates for such codes on December 31, 2007, with such revised payment level to apply to items and services performed in a nonfacility setting.

(B)

Facility rates

Notwithstanding paragraphs (2)(A) and (3)(A), the Secretary shall establish national minimum payment amounts for CPT codes 45378, 45380, and 45385, and HCPCS codes G0105 and GO121 for items and services furnished on or after January 1, 2008, which reflect a 30-percent increase above the relative value units in effect as the facility rates for such codes on December 31, 2007, with such revised payment level to apply to items and services performed in a facility setting.

(C)

Annual adjustments

In the case of items and services furnished on or after January 1, 2008, the payment rates described in subparagraphs (A) and (B) shall, subject to the minimum payment amounts established in such subparagraphs, be adjusted annually as provided in section 1848.

.

(b)

No effect on HOPD payments

The Secretary of Health and Human Services shall not take into account the provisions of section 1834(d)(4) of the Social Security Act, as added by subsection (a), in determining the amount of payment for any covered OPD service under the prospective payment system for hospital outpatient department services under section 1833(t) of such Act (42 U.S.C. 1395l(t)).

4.

Medicare coverage of office visit or consultation prior to a screening colonoscopy or in conjunction with a beneficiary's decision to obtain such a screening

(a)

Coverage

Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended—

(1)

in subparagraph (Z), by striking and at the end;

(2)

in subparagraph (AA), by inserting and at the end; and

(3)

by adding at the end the following new subparagraph:

(BB)

an outpatient office visit or consultation for the purpose of beneficiary education, assuring selection of the proper screening test, and securing information relating to the procedure and sedation of the beneficiary, prior to a colorectal cancer screening test consisting of a screening colonoscopy or in conjunction with the beneficiary's decision to obtain such a screening, regardless of whether such screening is medically indicated with respect to the beneficiary;

.

(b)

Payment

(1)

In general

Section 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended—

(A)

by striking and before (V); and

(B)

by inserting before the semicolon at the end the following: “, and (W) with respect to an outpatient office visit or consultation under section 1861(s)(2)(BB), the amounts paid shall be 80 percent of the lesser of the actual charge or the amount established under section 1848”.

(2)

Payment under physician fee schedule

Section 1848(j)(3) of the Social Security Act (42 U.S.C. 1395w–4(j)(3)) is amended by inserting (2)(BB), after (2)(AA),.

(3)

Requirement for establishment of payment amount under physician fee schedule

Section 1834(d) of the Social Security Act (42 U.S.C. 1395m(d)), as amended by section 3, is amended by adding at the end the following new paragraph:

(5)

Payment for outpatient office visit or consultation prior to screening colonoscopy

With respect to an outpatient office visit or consultation under section 1861(s)(2)(BB), payment under section 1848 shall be consistent with the payment amounts for CPT codes 99203 and 99243.

.

(c)

Effective date

The amendments made by this section shall apply to items and services provided on or after January 1, 2008.

5.

Technical amendment to waiver of deductible for colorectal cancer screening tests

(a)

In general

Section 1833(b)(8) of the Social Security Act (42 U.S.C. 1395l(b)(8)), as inserted by section 5113(a) of the Deficit Reduction Act of 2005 (Public Law 109–171), is amended by inserting , regardless of the code applied, a particular diagnosis, or whether a connected procedure is performed after 1861(pp)(1)).

(b)

Effective date

The amendment made by this section shall apply to items and services furnished on or after January 1, 2008.