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Bill > HR4315

US HR4315

US HR4315
Medicare Orthotics and Prosthetics Patient-Centered Care Act

summary

Introduced
06/23/2023
In Committee
06/29/2023
Crossed Over
Passed
Dead
01/03/2025

Introduced Session

118th 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.

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 access to appropriate, safe, and effective orthotic and prosthetic care. Specifically, it prohibits Medicare from paying for certain prosthetic and orthotic items that are delivered by "drop shipment" without proper fitting and training. It also exempts additional practitioners, such as physical therapists and orthotists, from competitive bidding requirements, and ensures beneficiary access to replacement custom-fitted and custom-fabricated orthotic devices. The bill also updates the definitions of "orthotics and prosthetics" and "orthoses and prostheses" used in the Social Security Act. The Secretary of Health and Human Services is required to promulgate regulations to implement these changes within one year of the bill's enactment.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (45)

G.T. Thompson (R)*,  Kelly Armstrong (R),  Troy Balderson (R),  Gus Bilirakis (R),  Sanford Bishop (D),  Mike Bost (R),  Julia Brownley (D),  Larry Bucshon (R),  Yadira Caraveo (D),  Steve Cohen (D),  Angie Craig (D),  Jason Crow (D),  Sharice Davids (D),  Don Davis (D),  Brian Fitzpatrick (R),  Marie Gluesenkamp Pérez (D),  Josh Gottheimer (D),  Brett Guthrie (R),  Josh Harder (D),  Pramila Jayapal (D),  Bill Johnson (R),  John Joyce (R),  Mike Kelly (R),  Ann Kuster (D),  Nick LaLota (R),  Mike Lawler (R),  Nancy Mace (R),  Tracey Mann (R),  Jim McGovern (D),  Dan Meuser (R),  Mariannette Miller-Meeks (R),  Joe Neguse (D),  Eleanor Holmes Norton (D),  Chris Pappas (D),  August Pfluger (R),  Dean Phillips (D),  Raul Ruiz (D),  Dutch Ruppersberger (D),  Pete Sessions (R),  Terri Sewell (D),  Adrian Smith (R),  Melanie Stansbury (D),  Shri Thanedar (D),  Mike Thompson (D),  Tim Walberg (R), 

Last Action

Referred to the Subcommittee on Health. (on 06/29/2023)

Bill Topics

Health
  • ‐ Availability and Affordability of Medical Devices and Equipment
  • ‐ Health Insurance Reform
(2 Companion Bills)

bill text

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Document Type Source Location Created
State Bill Page https://www.congress.gov/bill/118th-congress/house-bill/4315/all-info 06/26/2023
BillText https://www.congress.gov/118/bills/hr4315/BILLS-118hr4315ih.pdf 08/02/2023
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