; and (2) such recommendations last issued before 2009 applied to any screening mammography modality under section 1861(jj) of the Social Security Act ( 42 U.S.C. 1395x(jj) ). (b) Continuing medicare coverage without coinsurance Section 1833(a)(1)(Y) of the Social Security Act ( 42 U.S.C. 1395l(a)(1)(Y) ) is amended by inserting after in the case of such services described in subparagraph (A) the following: (other than screening mammography) . (c) Maintaining frequency of medicare coverage Section 1834(c)(2)(B)(ii) of the Social Security Act ( 42 U.S.C. 1395m(c)(2)(B)(ii) ) is amended by inserting before the period at the end the following: , except that in the case of a woman over 39 years of age, such revision may not decrease such frequency . (d) Clarifying the definition of screening mammography Section 1861(jj) of the Social Security Act ( 42 U.S.C. 1395x(jj) ) is amended by inserting , including any digital modality of such a procedure, after radiologic procedure . (e) Application to services furnished through Department of Veterans Affairs Section 7322(b) of title 38, United States Code, is amended to read as follows: (b) The policy developed under subsection (a), and any other policy of the Department of Veterans Affairs relating to mammography screening, shall— (1) specify standards of mammography screening that ensure that the frequency of such screenings is not less than the frequency of such screenings provided pursuant to section 2(a) of the Protecting Access to Lifesaving Screenings Act (PALS Act) of 2017 ; (2) provide recommendations, consistent with paragraph (1), with respect to screening, and the frequency of screening, for veterans, without regard to age, who have clinical symptoms, risk factors, or family history of breast cancer; and (3) provide for clinician discretion in individual cases. .