Bill > HR5397

This bill aims to amend the Social Security Act to provide coverage of external infusion pumps and non-self-administerable home infusion drugs under the Medicare program. Specifically, it clarifies that an external infusion pump and associated infusion drug or supplies shall be treated as meeting the "appropriate for use in the home" requirement for durable medical equipment under Medicare if certain criteria are satisfied, such as the drug labeling requiring preparation or administration by a health care professional, and a qualified home infusion therapy supplier administering the drug safely and effectively in the patient's home. The bill also requires any home infusion drug associated with an external infusion pump that meets these criteria to be included in the Medicare Local Coverage Determination on External Infusion Pumps, with payment authorized for related home infusion therapy services.