117 STAT. 2306
Standards.
42 USC 1395x note.
PUBLIC LAW 108–173—DEC. 8, 2003
‘‘(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: ‘‘(A) Hypertension. ‘‘(B) Dyslipidemia. ‘‘(C) Obesity, defined as a body mass index greater than 2. or equal to 30 kg/m ‘‘(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 2. than 25, but less than 30, kg/m ‘‘(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. SEC. 614. IMPROVED PAYMENT FOR CERTAIN MAMMOGRAPHY SERVICES.
Applicability. 42 USC 1395l note.
VerDate 11-MAY-2000
13:59 Aug 30, 2004
(a) EXCLUSION FROM OPD FEE SCHEDULE.—Section 1833(t)(1)(B)(iv) (42 U.S.C. 1395l(t)(1)(B)(iv)) is amended by inserting before the period at the end the following: ‘‘and does not include screening mammography (as defined in section 1861(jj)) and diagnostic mammography’’. (b) CONFORMING AMENDMENT.—Section 1833(a)(2)(E)(i) (42 U.S.C. 1395l(a)(2)(E)(i)) is amended by inserting ‘‘and, for services furnished on or after January 1, 2005, diagnostic mammography’’ after ‘‘screening mammography’’. (c) EFFECTIVE DATE.—The amendments made by this section shall apply— (1) in the case of screening mammography, to services furnished on or after the date of the enactment of this Act; and (2) in the case of diagnostic mammography, to services furnished on or after January 1, 2005.
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