PROSTATE CANCER SCREENING TESTS.

SEC. 4103. PROSTATE CANCER SCREENING TESTS. (a) Coverage.—Section 1861 (42 U.S.C. 1395x) is amended— (1) in subsection (s)(2)— (A) by striking “and” at the end of subparagraphs (N) and (O), and (B) by inserting after subparagraph (O) the following new subparagraph: “(P) prostate cancer screening tests (as defined in subsection (oo)); and”; and (2) by adding at the end the following new subsection: “Prostate Cancer Screening Tests “(oo)(1) The term ‘prostate cancer screening test’ means a test that consists of any (or all) of the procedures described in paragraph (2) provided for the purpose of early detection of prostate cancer to a man over 50 years of age who has not had such a test during the preceding year.111 STAT. 362 “(2) The procedures described in this paragraph are as follows: “(A) A digital rectal examination. “(B) A prostate-specific antigen blood test. “(C) For years beginning after 2002, such other procedures as the Secretary finds appropriate for the purpose of early detection of prostate cancer, taking into account changes in technology and standards of medical practice, availability, effectiveness, costs, and such other factors as the Secretary considers appropriate.”. (b) Payment for Prostate-Specific Antigen Blood Test Under Clinical Diagnostic Laboratory Test Fee Schedules.—Section 1833(h)(1)(A) (42 U.S.C. 13951(h)(1)(A)) is amended by inserting after “laboratory tests” the following: “(including prostate cancer screening tests under section 1861(oo) consisting of prostate-specific antigen blood tests)”. (c) Conforming Amendment.—Section 1862(a) (42 U.S.C. 1395y(a)) is amended— (1) in paragraph (1)— (A) in subparagraph (E), by striking “and” at the end, (B) in subparagraph (F), by striking the semicolon at the end and inserting “, and”, and (C) by adding at the end the following new subparagraph: “(G) in the case of prostate cancer screening tests (as defined in section 1861(oo)), which are performed more frequently than is covered under such section, ; and (2) in paragraph (7), by striking “paragraph (1)(B) or under paragraph (1)(F)” and inserting “subparagraphs (B), (F), or (G) of paragraph (1)”. (d) Payment Under Physician Fee Schedule.—Section 1848(j)(3) (42 U.S.C. 1395w–4(j)(3)), as amended by section 4102, is amended by inserting “, (2)(P) (with respect to services described in subparagraphs (A) and (C) of section 1861(oo)(2),” after “(2)(G)” (e) Effective Date.—The amendments made by this section shall apply to items and services furnished on or after January 1, 2000.