EXPLANATION OF REP. SHAW'S AMENDMENT TO H.R.
4680: PROVIDING ANNUAL PAP TESTS TO SAVE WOMEN'S LIVES ACT AMENDMENT
OF 2000
Under current law, a Pap test and pelvic exam are covered by Medicare
once every 3 years, unless you have had an abnormal Pap test or you are at
high risk for cervical or vaginal cancer. This is clearly a disincentive
for many elderly women on fixed-incomes to seek these tests annually.
Since we began using Pap tests, cervical cancer rates have dropped
by over 70%. Yet half of women over the age of 50 do not have annual
Pap tests; and consequently, 40% to 50% of all cervical cancer deaths
occur in women over the age of 50. Twenty-five percent of all cervical
cancer deaths occur in women over the age of 65.
On January 1, 2000, Medicare began covering annual Prostate Specific
Antigen (PSA) tests for men, so this amendment would provide the same
coverage to women for annual Pap exams. It is a matter of fairness.
In January 1999, the Agency for Healthcare Research and Quality
(formerly the Agency for Healthcare Policy and Research) issued a report
on cervical cancer that found that annual Pap tests reduce false
negative test results and cervical cancer deaths.
There is no Congressional Budget Office score for this amendment, which
was originally introduced as H.R. 4571, although I am requesting such an
estimate.
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