TITLE VI--PROVISIONS RELATING TO PART B
Subtitle B--Preventive Services
SEC. 611. COVERAGE OF AN INITIAL PREVENTIVE PHYSICAL EXAMINATION.
(a) COVERAGE- Section 1861(s)(2) (42 U.S.C.
1395x(s)(2)) is amended--
(1) in subparagraph (U), by striking
`and' at the end;
(2) in subparagraph (V)(iii), by inserting
`and' at the end; and
(3) by adding at the end the following
new subparagraph:
`(W) an initial preventive physical examination (as defined in
subsection (ww));'.
(b) SERVICES DESCRIBED- Section 1861 (42 U.S.C.
1395x) is amended by adding at the end the following new subsection:
`Initial Preventive Physical Examination
`(ww)(1) The term `initial preventive physical examination' means
physicians' services consisting of a physical examination (including
measurement of height, weight, and blood pressure, and an electrocardiogram)
with the goal of health promotion and disease detection and includes
education, counseling, and referral with respect to screening and other
preventive services described in paragraph (2), but does not include clinical
laboratory tests.
`(2) The screening and other preventive services described in this
paragraph include the following:
`(A) Pneumococcal, influenza, and hepatitis B vaccine and administration
under subsection (s)(10).
`(B) Screening mammography as defined in subsection (jj).
`(C) Screening pap smear and screening pelvic exam as defined in
subsection (nn).
`(D) Prostate cancer screening tests as defined in subsection
(oo).
`(E) Colorectal cancer screening tests as defined in subsection
(pp).
`(F) Diabetes outpatient self-management training services as defined in
subsection (qq)(1).
`(G) Bone mass measurement as defined in subsection (rr).
`(H) Screening for glaucoma as defined in subsection (uu).
`(I) Medical nutrition therapy services as defined in subsection
(vv).
`(J) Cardiovascular screening blood tests as defined in subsection
(xx)(1).
`(K) Diabetes screening tests as defined in subsection (yy).'.
(c) PAYMENT AS PHYSICIANS' SERVICES- Section
1848(j)(3) (42 U.S.C. 1395w-4(j)(3)) is amended by inserting `(2)(W),' after
`(2)(S),'.
(d) OTHER CONFORMING AMENDMENTS- (1)
Section 1862(a) (42 U.S.C. 1395y(a)), as amended by section 303(i)(3)(B), is
amended--
(i) by striking `and'
at the end of subparagraph (I);
(ii) by striking the
semicolon at the end of subparagraph (J) and inserting `, and'; and
(iii) by adding at
the end the following new subparagraph:
`(K) in the case of an initial preventive physical examination, which is
performed not later than 6 months after the date the individual's first
coverage period begins under part B;'; and
(B) in paragraph (7), by striking
`or (H)' and inserting `(H), or (K)'.
(2) Clauses (i) and (ii) of section 1861(s)(2)(K)
(42 U.S.C. 1395x(s)(2)(K)) are each amended by inserting `and services described
in subsection (ww)(1)' after `services which would be physicians' services'.
(e) EFFECTIVE DATE- The amendments made by
this section shall apply to services furnished on or after January 1, 2005,
but only for individuals whose coverage period under part B begins on or after
such date.
