Sec. 2. Waiving medicare coinsurance for certain colorectal cancer screening tests
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Section 1833(a) of the Social Security Act ( 42 U.S.C. 1395l(a) ) is amended— in the second sentence, by striking section 1834(0) and inserting section 1834(o) ; by moving such second sentence 2 ems to the left; and by inserting the following third sentence following such second sentence: For services furnished on or after January 1, 2022, paragraph (1)(Y) shall apply with respect to a colorectal cancer screening test regardless of the code that is billed for the establishment of a diagnosis as a result of the test, or for the removal of tissue or other matter or other procedure that is furnished in connection with, as a result of, and in the same clinical encounter as the screening test. .
Section 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended— in subsection (a)(1)(Y), by inserting subject to subsection (dd), before with respect to ; and by adding at the end the following new subsection: In the case of a colorectal cancer screening test to which paragraph (1)(Y) of subsection
(a)would not apply but for the third sentence of such subsection that is furnished during a year beginning on or after January 1, 2022, and before January 1, 2030, the amount paid shall be equal to the specified percent (as defined in paragraph (2)) for such year of the lesser of the actual charge for the service or the amount determined under the fee schedule that applies to such test under this part (or, in the case such test is a covered OPD service (as defined in subsection (t)(1)(B)), the amount determined under subsection (t)). For purposes of paragraph (1), the term specified percent means— for 2022 and 2023, 80 percent; for 2024 and 2025, 85 percent; for 2026 and 2027, 90 percent; and for 2028 and 2029, 95 percent. . Paragraphs
(2)and
(3)of section 1834(d) of the Social Security Act ( 42 U.S.C. 1395m(d) ) are each amended— in subparagraph (C)(ii), in the matter preceding subclause (I), by striking Notwithstanding and inserting Subject to section 1833(a)(1)(Y), but notwithstanding ; and in subparagraph (D), by striking If during and inserting Subject to section 1833(a)(1)(Y), if during .
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Sec. 2
Waiving medicare coinsurance for certain colorectal cancer screening tests
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