Page:United States Statutes at Large Volume 114 Part 5.djvu/508

 114 STAT. 2763A-468 PUBLIC LAW 106-554—APPENDIX F (b) EFFECTIVE DATE.—The amendments made by subsection (a) shall apply to items and services furnished on or after July 1, 2001. SEC. 102. COVERAGE OF SCREENING FOR GLAUCOMA. (a) COVERAGE.— Section 1861(s)(2) (42 U.S.C. 1395x(s)(2)) is amended— (1) by striking "and" at the end of subparagraph (S); (2) by inserting "and" at the end of subparagraph (T); and (3) by adding at the end the following: "(U) screening for glaucoma (as defined in subsection (uu)) for individuals determined to be at high risk for glaucoma, individuals with a family history of glaucoma and individuals with diabetes;". (b) SERVICES DESCRIBED.— Section 1861 (42 U.S.C. 1395x) is amended by adding at the end the following new subsection: "Screening for Glaucoma "(uu) The term 'screening for glaucoma' means a dilated eye examination with an intraocular pressure measurement, and a direct ophthalmoscopy or a slit-lamp biomicroscopic examination for the early detection of glaucoma which is furnished by or under the direct supervision of an optometrist or ophthalmologist who is legally authorized to furnish such services under State law (or the State regulatory mechanism provided by State law) of the State in which the services are furnished, as would otherwise be covered if furnished by a physician or as an incident to a physician's professional service, if the individual involved has not had such an examination in the preceding year.". (c) CONFORMING AMENDMENT.— Section 1862(a)(1)(F) (42 U.S.C. 1395y(a)(l)(F)) is amended— (1) by striking "and,"; and (2) by adding at the end the following: "and, in the case of screening for glaucoma, which is performed more frequently than is provided under section 1861(uu),". (d) EFFECTIVE DATE.— The amendments made by this section shall apply to services furnished on or after January 1, 2002. SEC. 103. COVERAGE OF SCREENING COLONOSCOPY FOR AVERAGE RISK INDIVIDUALS. (a) IN GENERAL. —Section 1861(pp) (42 U.S.C. 1395x(pp)) is amended— (1) in paragraph (1)(C), by striking "In the case of an individual at high risk for colorectal cancer, screening colonoscopy" and inserting "Screening colonoscopy"; and (2) in paragraph (2), by striking "In paragraph (1)(C), an" and inserting "An". (b) FREQUENCY LIMITS FOR SCREENING COLONOSCOPY.—Section 1834(d) (42 U.S.C. 1395m(d)) is amended— (1) in paragraph (2)(E)(ii), by inserting before the period at the end the following: "or, in the case of an individual who is not at high risk for colorectal cancer, if the procedure is performed within the 119 months after a previous screening colonoscopy"; and (2) in paragraph (3)—

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