Page:United States Statutes at Large Volume 111 Part 1.djvu/386

 Ill STAT. 362 PUBLIC LAW 105-33 —AUG. 5, 1997 "(2) The procedures described in this paragraph are as follows: "(A) A digital rectal examination. "(B) A prostate-specific antigen blood test. "(C) For years beginning after 2002, such other procedures as the Secretary finds appropriate for the purpose of early detection of prostate cancer, taking into account changes in technology and standards of medical practice, availability, effectiveness, costs, and such other factors as the Secretary considers appropriate.". (b) PAYMENT FOR PROSTATE-SPECIFIC ANTIGEN BLOOD TEST UNDER CLINICAL DIAGNOSTIC LABORATORY TEST FEE SCHEDULES.— Section 1833(h)(1)(A) (42 U.S.C. 13951(h)(1)(A)) is amended by inserting after "laboratory tests" the following: "(including prostate cancer screening tests under section 1861(oo) consisting of prostatespecific antigen blood tests)". (c) CONFORMING AMENDMENT.— Section 1862(a) (42 U.S.C. 1395y(a)) is amended— (1) in paragraph (1)— (A) in subparagraph (E), by striking "and" at the end, (B) in subparagraph (F), by striking the semicolon at the end and inserting ", and", and (C) by adding at the end the following new subparagraph: "(G) in the case of prostate cancer screening tests (as defined in section 1861(oo)), which are performed more frequently than is covered under such section;"; and (2) in paragraph (7), by striking "paragraph (1)(B) or under paragraph (1)(F)" and inserting "subparagraphs (B), (F), or (Oof paragraph (1)". (d) PAYMENT UNDER PHYSICIAN FEE SCHEDULE.—Section 1848(j)(3) (42 U.S.C. 1395w-4(j)(3)), as amended by section 4102, is amended by inserting ", (2)(P) (with respect to services described in subparagraphs (A) and (C) of section 1861(oo)(2)," after "(2)(G)" 42 USC 1395/ (e) EFFECTIVE DATE. —The amendments made by this section note. shall apply to items and services furnished on or after January 1, 2000. SEC. 4104. COVERAGE OF COLORECTAL SCREENING. (1) IN GENERAL.— Section 1861 (42 U.S.C. 1395x), as amended by section 4103(a), is amended— (A) in subsection (s)(2)— (i) by striking "and" at the end of subparagraph (P); (ii) by adding "and" at the end of subparagraph (Q); and (iii) by adding at the end the following new subparagraph: "(R) colorectal cancer screening tests (as defined in subsection (pp)); and"; and (B) by adding at the end the following new subsection: "Colorectal Cancer Screening Tests "(pp)(l) The term 'colorectal cancer screening test' means any of the following procedures furnished to an individual for the purpose of early detection of colorectal cancer: "(A) Screening fecal-occult blood test.

�