Bill > S2329

This bill aims to improve Medicare coverage and protections for patients receiving orthotic and prosthetic care by implementing several key changes. First, the bill prohibits Medicare payments for orthotics and prosthetics delivered via "drop shipment," which is defined as direct shipment to a patient without proper training from a qualified practitioner on fitting, adjustment, and use of the device. Second, the bill expands the list of practitioners exempt from competitive acquisition requirements to include physical therapists, occupational therapists, orthotists, and prosthetists, ensuring more flexibility in device procurement. Third, the bill enhances beneficiary access to replacement custom-fitted and custom-fabricated orthotic devices, making it easier for patients to obtain necessary medical equipment. The legislation requires the Department of Health and Human Services to develop final regulations implementing these changes within one year of the bill's enactment. Overall, the bill seeks to reduce fraud, improve patient care, and ensure Medicare beneficiaries with limb loss and orthopedic conditions have appropriate and safe access to necessary medical devices.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/2329/all-info