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Bill > S4503


US S4503

US S4503
Medicare Orthotics and Prosthetics Patient-Centered Care Act


summary

Introduced
08/06/2020
In Committee
08/06/2020
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

116th Congress

Bill Summary

A bill 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

This bill, the Medicare Orthotics and Prosthetics Patient-Centered Care Act, aims to protect Medicare beneficiaries with limb loss and other orthopedic conditions by improving their access to appropriate, safe, and effective orthotic and prosthetic care. The bill establishes several requirements for orthotic and prosthetic suppliers, including licensure, accreditation, maintaining a physical facility, and liability insurance. It also allows orthotists and prosthetists to issue written orders for orthotics and prosthetics that must be signed by the treating physician. Additionally, the bill prohibits Medicare from paying for certain orthotics and prosthetics that are delivered by direct shipment to the beneficiary without the involvement of a qualified healthcare practitioner.

Committee Categories

Budget and Finance

Sponsors (5)

Last Action

Read twice and referred to the Committee on Finance. (on 08/06/2020)

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