< Back to S. 3024 (106th Congress, 1999–2000)

Text of the Medicare Glaucoma Detection Act of 2000

This bill was introduced on September 11, 2000, in a previous session of Congress, but was not enacted. The text of the bill below is as of Sep 11, 2000 (Introduced).

Source: GPO

S 3024 IS

106th CONGRESS

2d Session

S. 3024

To amend title XVIII of the Social Security Act to provide for coverage of glaucoma detection services under part B of the medicare program.

IN THE SENATE OF THE UNITED STATES

September 11, 2000

Mr. ROBB (for himself, Mr. CHAFEE, and Mr. MOYNIHAN) 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 provide for coverage of glaucoma detection services under part B of the medicare program.

    Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ‘Medicare Glaucoma Detection Act of 2000’.

SEC. 2. MEDICARE COVERAGE OF GLAUCOMA DETECTION TESTS.

    (a) IN GENERAL- Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended--

      (1) in subsection (s)(2)--

        (A) in subparagraph (S), by striking ‘and’ at the end;

        (B) in subparagraph (T), by inserting ‘and’ at the end; and

        (C) by adding at the end the following new subparagraph:

      ‘(U) glaucoma detection tests (as defined in subsection (uu));’; and

      (2) by adding at the end the following new subsection:

‘Glaucoma Detection Tests

    ‘(uu) The term ‘glaucoma detection test’ means all of the following conducted for the purpose of early detection of glaucoma:

      ‘(1) A dilated eye examination with an intraocular pressure measurement.

      ‘(2) Direct ophthalmoscopy or slit-lamp biomicroscopic examination.’.

    (b) LIMITATION ON ELIGIBILITY AND FREQUENCY- Section 1834 of the Social Security Act (42 U.S.C. 1395m) is amended by adding at the end the following new subsection:

    ‘(m) LIMITATION ON COVERAGE OF GLAUCOMA DETECTION TESTS-

      ‘(1) IN GENERAL- Notwithstanding any other provision of this part, with respect to expenses incurred for glaucoma detection tests (as defined in section 1861(uu)), payment may be made only for glaucoma detection tests conducted--

        ‘(A) for individuals described in paragraph (2); and

        ‘(B) consistent with the frequency permitted under paragraph (3).

      ‘(2) INDIVIDUALS ELIGIBLE FOR BENEFIT- Individuals described in this paragraph are as follows:

        ‘(A) Individuals who are 60 years of age or older and who have a family history of glaucoma.

        ‘(B) Other individuals who are at high risk (as determined by the Secretary) of developing glaucoma.

      ‘(3) FREQUENCY LIMIT-

        ‘(A) IN GENERAL- Subject to subparagraph (B), payment may not be made under this part for a glaucoma detection test performed for an individual within 23 months following the month in which a glaucoma detection test was performed under this part for the individual.

        ‘(B) EXCEPTION- The Secretary may permit a glaucoma detection test to be covered on a more frequent basis than that provided under subparagraph (A) under such circumstances as the Secretary determines to be appropriate.’.

    (c) NO APPLICATION OF DEDUCTIBLE- Section 1833(b)(5) of the Social Security Act (42 U.S.C. 1395l(b)(5)) is amended by inserting ‘or with respect to glaucoma detection tests (as defined in section 1861(uu))’ after ‘1861(jj))’.

    (d) CONFORMING AMENDMENTS- Section 1862(a) of the Social Security Act (42 U.S.C. 1395y(a)) is amended--

      (1) in paragraph (1)--

        (A) in subparagraph (H), by striking ‘and’ at the end;

        (B) in subparagraph (I), by striking the semicolon at the end and inserting ‘, and’; and

        (C) by adding at the end the following new subparagraph:

      ‘(J) in the case of glaucoma detection tests (as defined in section 1861(uu)), which are furnished to an individual not described in paragraph (2) of section 1834(m) or which are performed more frequently than is covered under paragraph (3) of such section;’; and

      (2) in paragraph (7), by striking ‘or (H)’ and inserting ‘(H), or (I)’.

    (e) EFFECTIVE DATE- The amendments made by this section apply to tests provided on or after January 1, 2001.