Page:United States Statutes at Large Volume 114 Part 5.djvu/509

 PUBLIC LAW 106-554—APPENDIX F 114 STAT. 2763A-469 (A) in the heading by striking "FOR INDIVIDUALS AT HIGH RISK FOR COLORECTAL CANCER"; (B) in subparagraph (A), by striking "for individuals at high risk for colorectal cancer (as defined in section 1861(pp)(2))"; and (C) in subparagraph (E), by inserting before the period at the end the following: "or for other individuals if the procedure is performed within the 119 months after a previous screening colonoscopy or within 47 months after a previous screening flexible sigmoidoscopy". (c) EFFECTIVE DATE. —The amendments made by this section shall apply to colorectal cancer screening services provided on or afterJuly 1,200 L SEC. 104. MODERNIZATION OF SCREENING MAMMOGRAPHY BENEFIT. (a) INCLUSION IN PHYSICIAN FEE SCHEDULE. —Section 1848(j)(3) (42 U.S.C. 1395w-4(j)(3)) is amended by inserting "(13)," after " (4),". (b) CONFORMING AMENDMENT. —Section 1834(c) (42 U.S.C. 1395m(c)) is amended to read as follows: "(c) PAYMENT AND STANDARDS FOR SCREENING MAMMOG- RAPHY. — "(1) IN GENERAL. — With respect to expenses incurred for screening mammography (as defined in section 1861(jj)), pay- ment may be made only— "(A) for screening mammography conducted consistent with the frequency permitted under paragraph (2); and "(B) if the screening mammography is conducted by a facility that has a certificate (or provisional certificate) issued under section 354 of the Public Health Service Act. "(2) FREQUENCY COVERED. — "(A) IN GENERAL.— Subject to revision by the Secretary under subparagraph (B)— "(i) no payment may be made under this part for screening mammography performed on a woman under 35 years of age; "(ii) payment may be made under this part for only one screening mammography performed on a woman over 34 years of age, but under 40 years of age; and "(iii) in the case of a woman over 39 years of age, payment may not be made under this part for screening mammography performed within 11 months following the month in which a previous screening mammography was performed. "(B) REVISION OF FREQUENCY.— "(i) REVIEW.— The Secretary, in consultation with the Director of the National Cancer Institute, shall review periodically the appropriate frequency for performing screening mammography, based on age and such other factors as the Secretary believes to be pertinent. "(ii) REVISION OF FREQUENCY. —The Secretary, taking into consideration the review made under clause (i), may revise from time to time the frequency with which screening mammography may be paid for under this subsection.".

�