Bill > S3872

This bill proposes to amend Title XVIII of the Social Security Act, which governs the Medicare program, to include wigs as a covered benefit under the category of durable medical equipment (DME). Specifically, it would add a provision to Section 1861(n) of the Act, which defines what constitutes DME, to explicitly include "cranial prostheses," a term used for wigs in this context. This coverage would be contingent upon a written certification from the patient's dermatologist, oncologist, or attending physician stating that the wig is medically necessary for rehabilitative treatment or due to hair loss caused by a health condition, such as autoimmune diseases, cancer, or chemotherapy. Additionally, a conforming amendment is made to Section 1862(a)(1) of the Act, which outlines services Medicare will not cover, to ensure that cranial prostheses not meeting the certification requirements outlined in the new provision will not be covered.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/3872/all-info