IN THE SENATE OF THE UNITED STATES
June 20, 2019
Mrs. Blackburn (for herself, Mrs. Feinstein, Mrs. Capito, Mrs. Shaheen, Ms. Murkowski, Mrs. Gillibrand, Mrs. Hyde-Smith, Mr. Portman, Ms. Warren, Ms. Klobuchar, and Ms. Stabenow) introduced the following bill; which was read twice and referred to the Committee on Finance
To amend title XVIII of the Social Security Act to protect coverage for screening mammography, and for other purposes.
This Act may be cited as the
Protecting Access to Lifesaving Screenings Act of 2019 or the
Protecting coverage for screening mammography
Effective during the period beginning on the date of the enactment of this Act and ending January 1, 2025, any provision of law that refers (including through cross-reference to another provision of law) to the current recommendations of the United States Preventive Services Task Force with respect to breast cancer screening mammography shall be administered as if—
such reference to such current recommendations were a reference to the recommendations of such Task Force with respect to breast cancer screening mammography last issued before 2009; and
such recommendations last issued before 2009 applied to any screening mammography modality under section 1861(jj) of the Social Security Act (42 U.S.C. 1395x(jj)).
Continuing medicare coverage without coinsurance
Section 1833(a)(1)(Y) of the Social Security Act (42 U.S.C. 1395l(a)(1)(Y)) is amended by inserting after
in the case of such services described in subparagraph (A) the following:
(other than screening mammography).
Maintaining frequency of medicare coverage
Section 1834(c)(2)(B)(ii) of the Social Security Act (42 U.S.C. 1395m(c)(2)(B)(ii)) is amended by inserting before the period at the end the following:
, except that in the case of a woman over 39 years of age, such revision may not decrease such frequency.
Clarifying the definition of screening mammography
Section 1861(jj) of the Social Security Act (42 U.S.C. 1395x(jj)) is amended by inserting
, including any digital modality (such as screening breast tomosynthesis) of such a procedure, after
Application to services furnished through Department of Veterans Affairs
Section 7322(b) of title 38, United States Code, is amended to read as follows:
The policy developed under subsection (a), and any other policy of the Department of Veterans Affairs relating to mammography screening, shall—
specify standards of mammography screening that ensure that the frequency of such screenings is not less than the frequency of such screenings provided pursuant to section 2(a) of the Protecting Access to Lifesaving Screenings Act of 2019;
provide recommendations, consistent with paragraph (1), with respect to screening, and the frequency of screening, for veterans, without regard to age, who have clinical symptoms, risk factors, or family history of breast cancer; and
provide for clinician discretion in individual cases.