Supporting Annual Pap Test Screenings for
Women in the Medicare Program
September 27, 2000
The Honorable William Thomas Chairman, Ways and Means Health
Subcommittee U.S. House of Representatives Longworth House Office
Building Washington, D.C. 20515
Dear Chairman Thomas:
As the House Ways and Means Committee considers Medicare refinements
with respect to the Balanced Budget Act of 1997 (BBA), the
undersigned organizations strongly urge you to include language that would
provide annual coverage of screening Pap tests and pelvic examination for
Medicare beneficiaries. Representatives Clay Shaw and Karen Thurman have
introduced the Providing Annual Pap Tests to Save Women's Lives Act of
2000, H.R. 4571, which would give all women in the Medicare program
access to this life-saving test on an annual basis.
Currently, Medicare coverage of Pap test screening is only once every
three years. In 1997, as part of the enactment of the BBA, Congress made
important initial steps to increase a woman's chance of early detection of
cervical cancer by providing annual Pap tests and pelvic exams for women
who meet certain "high risk" criteria. However, because early detection is
key for survival of cervical cancer, we believe it is imperative that
Congress take the next step in preventive health care for our nation's
women Medicare beneficiaries by providing coverage of annual Pap
test screenings. As you know, in 1997 Congress realized the importance of
preventive screening for cancer in the BBA by authorizing annual prostate
cancer screening for men over the age of 50. Women in Medicare deserve the
same opportunities for early detection of cervical cancer.
No cancer screening test in medical history has proved as effective for
early detection of cancer as the Pap test. Since its introduction shortly
after World War II, death rates from cervical cancer have decreased 70
percent in the United States. However, despite the Pap test's unparalleled
record of success, studies show that of those women who die of cervical
cancer, 80 percent had not had a Pap test in the five years preceding
their deaths. A January 1999 report on cervical cancer by the Agency for
Healthcare Research and Quality found that cancer deaths, cancer cases and
the percentage of false negatives are reduced with annual screening tests.
In light of the critical role Pap test screening and pelvic
examinations play in the health and well-being of all women, we urge you
to include language that would fill the void that currently exists in
preventive health care for Medicare women across the country. Please feel
free to contact any of the organizations listed below if we can provide
any additional information to you or your staff.
Sincerely,
College of American Pathologists American College of
Obstetricians and Gynecologists American Osteopathic
Association American College of Osteopathic Family
Physicians American Society of Reproductive Medicine American
Medical Women's Association American College of Physicians - American
Society of Internal Medicine American Society of
Cytopathology American College of Nurse-Midwives
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