Bill > HR4475

This bill, called the Medicare Orthotics and Prosthetics Patient-Centered Care Act, aims to improve healthcare services for Medicare beneficiaries with limb loss and orthopedic conditions by introducing several key changes. First, the bill prohibits Medicare payments for orthotic and prosthetic devices delivered via "drop shipment," which means direct shipment to patients without proper training from a qualified practitioner on how to use and adjust the device. The legislation also expands the list of practitioners exempt from competitive acquisition requirements to include physical therapists, occupational therapists, orthotists, and prosthetists, giving patients more flexibility in obtaining these medical devices. Additionally, the bill ensures Medicare beneficiaries have better access to replacement custom-fitted and custom-fabricated orthotic devices, similar to existing provisions for prosthetic limb replacements. The Secretary of Health and Human Services is required to develop final regulations implementing these changes within one year of the bill's enactment, with the overall goal of reducing fraud, improving patient care, and ensuring safe and effective orthotic and prosthetic services for Medicare recipients.

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https://www.congress.gov/bill/119th-congress/house-bill/4475/all-info