TITLE VI--PROVISIONS RELATING TO PART B
Subtitle B--Preventive Services
SEC. 613. COVERAGE OF DIABETES SCREENING TESTS.
(a) COVERAGE- Section 1861(s)(2) (42 U.S.C.
1395x(s)(2)), as amended by section 612(a), is amended--
(1) in subparagraph (W), by striking
`and' at the end;
(2) in subparagraph (X), by adding
`and' at the end; and
(3) by adding at the end the following
new subparagraph:
`(Y) diabetes screening tests (as defined in subsection (yy));'.
(b) SERVICES DESCRIBED- Section 1861 (42 U.S.C.
1395x), as amended by section 612(b), is amended by adding at the end the following
new subsection:
`Diabetes Screening Tests
`(yy)(1) The term `diabetes screening tests' means testing furnished to an
individual at risk for diabetes (as defined in paragraph (2)) for the purpose
of early detection of diabetes, including--
`(A) a fasting plasma glucose test; and
`(B) such other tests, and modifications to tests, as the Secretary
determines appropriate, in consultation with appropriate
organizations.
`(2) For purposes of paragraph (1), the term `individual at risk for
diabetes' means an individual who has any of the following risk factors for
diabetes:
`(C) Obesity, defined as a body mass index greater than or equal to 30
kg/m2.
`(D) Previous identification of an elevated impaired fasting
glucose.
`(E) Previous identification of impaired glucose tolerance.
`(F) A risk factor consisting of at least 2 of the following
characteristics:
`(i) Overweight, defined as a body mass index greater than 25, but
less than 30, kg/m2.
`(ii) A family history of diabetes.
`(iii) A history of gestational diabetes mellitus or delivery of a
baby weighing greater than 9 pounds.
`(iv) 65 years of age or older.
`(3) The Secretary shall establish standards, in consultation with
appropriate organizations, regarding the frequency of diabetes screening
tests, except that such frequency may not be more often than twice within the
12-month period following the date of the most recent diabetes screening test
of that individual.'.
(c) FREQUENCY- Section 1862(a)(1) (42 U.S.C.
1395y(a)(1)), as amended by section 612(c), is amended--
(1) by striking `and' at the end of
subparagraph (K);
(2) by striking the semicolon at the
end of subparagraph (L) and inserting `, and'; and
(3) by adding at the end the following
new subparagraph:
`(M) in the case of a diabetes screening test (as defined in section
1861(yy)(1)), which is performed more frequently than is covered under
section 1861(yy)(3);'.
(d) EFFECTIVE DATE- The amendments made by
this section shall apply to tests furnished on or after January 1, 2005.
