period (2007–2013), 45 percent of older female Medicare beneficiaries had no DXA bone density test, and 25 percent had only one test. (10) DXA testing in older women declined in 2014 to the lowest point in 10 years. (11) A decade of steady decline in hip fractures stopped abruptly in 2013. Since then, there have been more than 14,000 additional hip fractures, costing over $560 million, leading to 2,800 more deaths than expected if the decline had continued. 2. Increasing access to osteoporosis prevention and treatment Section 1848(b) of the Social Security Act ( 42 U.S.C. 1395w–4(b) ) is amended— (1) in paragraph (4)(B)— (A) by striking and the first 2 months of 2012 and inserting the first 2 months of 2012, 2017, and each subsequent year