SCREENING PAP SMEAR AND PELVIC EXAMS.

SEC. 4102. SCREENING PAP SMEAR AND PELVIC EXAMS. (a) Coverage of Pelvic Exam; Increasing Frequency of Coverage of Pap Smear.—Section 1861(nn) (42 U.S.C. 1395x(nn)) is amended— (1) in the heading, by striking “Smear” and inserting “Smear; Screening Pelvic Exam”;111 STAT. 361 (2) by inserting “or vaginal” after “cervical” each place it appears; (3) by striking “(nn)” and inserting “(nn)(1)”; (4) by striking “3 years” and all that follows and inserting “3 years, or during the preceding year in the case of a woman described in paragraph (3).”; and (5) by adding at the end the following new paragraphs: “(2) The term ‘screening pelvic exam’ means a pelvic examination provided to a woman if the woman involved has not had such an examination during the preceding 3 years, or during the preceding year in the case of a woman described in paragraph (3), and includes a clinical breast examination. “(3) A woman described in this paragraph is a woman who— “(A) is of childbearing age and has had a test described in this subsection during any of the preceding 3 years that indicated the presence of cervical or vaginal cancer or other abnormality; or “(B) is at high risk of developing cervical or vaginal cancer (as determined pursuant to factors identified by the Secretary).”. (b) Waiver of Deductible.—The first sentence of section 1833(b) (42 U.S.C. 13951(b)), as amended by section 4101(b), is amended— (1) by striking “and” before “(5)”, and (2) by inserting before the period at the end the following: “, and (6) such deductible shall not apply with respect to screening pap smear and screening pelvic exam (as described in section 1861(nn))”. (c) Conforming Amendments.—Sections 1861(s)(14) and 1862(a)(1)(F) (42 U.S.C. 1395x(s)(14), 1395y(a)(1)(F)) are each amended by inserting “and screening pelvic exam” after “screening pap smear”. (d) Payment Under Physician Fee Schedule.—Section 1848(j)(3) (42 U.S.C. 1395w–4(j)(3)) is amended by striking “and (4)” and inserting “(4) and (14) (with respect to services described in section 1861(nn)(2))”. (e) Effective Date.—The amendments made by this section shall apply to items and services furnished on or after January 1, 1998.