Page:United States Statutes at Large Volume 111 Part 1.djvu/392

 Ill STAT. 368 PUBLIC LAW 105-33 —AUG. 5, 1997 (C) by redesignating paragraphs (15) and (16) as paragraphs (16) and (17), respectively, and (D) by inserting after paragraph (14) the following new paragraph: "(15) bone mass measurement (as defined in subsection (rr)). "; and (2) by inserting after subsection (qq) the following new subsection: Regulations. 42 USC 1395X note. 42 USC 1395X note. "Bone Mass Measurement "(rr)(l) The term 'bone mass measurement' means a radiologic or radioisotopic procedure or other procedure approved by the Food and Drug Administration performed on a qualified individual (as defined in paragraph (2)) for the purpose of identifying bone mass or detecting bone loss or determining bone quality, and includes a physician's interpretation of the results of the procedure. "(2) For purposes of this subsection, the term 'qualified individual' means an individual who is (in accordance with regulations prescribed by the Secretary)— "(A) an estrogen-deficient woman at clinical risk for osteoporosis; "(B) an individual with vertebral abnormalities; "(C) an individual receiving long-term glucocorticoid steroid therapy; "(D) an individual with primary hyperparath5n'oidism; or "(E) an individual being monitored to assess the response to or efficacy of an approved osteoporosis drug therapy. "(3) The Secretary shall establish such standards regarding the frequency with which a qualified individual shall be eligible to be provided benefits for bone mass measurement under this title.". (b) PAYMENT UNDER PHYSICIAN FEE SCHEDULE.—Section 1848(j)(3) (42 U.S.C. 1395w-4(j)(3)), as amended by sections 4102, 4103, 4104 and 4105, is amended— (1) by striking "(4) and (14)" and inserting "(4), (14)" and (2) by inserting "and (15)" after "1861(nn)(2))". (c) CONFORMING AMENDMENTS.— Sections 1864(a), 1902(a)(9)(C), and 1915(a)(l)(B)(ii)(I) (42 U.S.C. 1395aa(a), 1396a(a)(9)(C), and 1396n(a)(l)(B)(ii)(I)) are amended by striking "paragraphs (15) and (16)" each place it appears and inserting "paragraphs (16) and (17)". (d) EFFECTIVE DATE. —The amendments made by this section shall apply to bone mass measurements performed on or after July 1, 1998. SEC. 4107. VACCINES OUTREACH EXPANSION. (a) EXTENSION OF INFLUENZA AND PNEUMOCOCCAL VACCINATION CAMPAIGN.—In order to increase utilization of pneumococcal and influenza vaccines in medicare beneficiaries, the Influenza and Pneumococcal Vaccination Campaign carried out by the Health Care Financing Administration in conjunction with the Centers for Disease Control and Prevention and the National Coalition for Adult Immunization, is extended until the end of fiscal year 2002. (b) AUTHORIZATION OF APPROPRIATION.— There are hereby authorized to be appropriated for each of fiscal years 1998 through 2002, $8,000,000 for the Campaign described in subsection (a).

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