Bill > HR5262

Introduced Session

To amend title XVIII of the Social Security Act to protect beneficiaries with limb loss and other orthopedic conditions by providing access to appropriate, safe, effective, patient-centered orthotic and prosthetic care, to reduce fraud, waste, and abuse with respect to orthotics and prosthetics, and for other purposes. This bill revises payment rules and establishes several requirements relating to coverage of orthotics and prosthetics under Medicare. Specifically, the bill requires suppliers of orthotics and prosthetics to meet certain standards with respect to licensure and accreditation, physical facilities, and liability insurance. Orthotists and prosthetists may also issue written orders for commercial purposes that meet specified standards; such orders must be signed by the treating physician. The bill also prohibits payment under Medicare for certain prosthetics and orthotics that are delivered via drop shipment (i.e., direct shipment to a beneficiary who has not received corresponding patient care from a health care practitioner).

AI Summary

Committee Categories

Mike Thompson (D)*,  Joyce Beatty (D),  G. Butterfield (D),  Gil Cisneros (D),  Theodore Deutch (D),  Brett Guthrie (R),  Steven Horsford (D),  Grace Napolitano (D),  David Roe (R),  Raul Ruiz (D),  G.T. Thompson (R),  Jeff Van Drew (R), 

Referred to the Subcommittee on Health. (on 11/25/2019)

Official Document