To amend title XVIII of the Social Security Act to provide for clarification under the Medicare program about minimal self-adjustment for off-the-shelf orthotics.

This bill specifically includes off-the-shelf orthotics that require minimal self-adjustment by the patient as covered services under Medicare.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4772 Introduced in House (IH)]

<DOC>






115th CONGRESS
  2d Session
                                H. R. 4772

    To amend title XVIII of the Social Security Act to provide for 
clarification under the Medicare program about minimal self-adjustment 
                      for off-the-shelf orthotics.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            January 11, 2018

 Mr. Bishop of Michigan (for himself, Mr. Thompson of California, and 
Mr. Thompson of Pennsylvania) introduced the following bill; which was 
 referred to the Committee on Energy and Commerce, and in addition to 
   the Committee on Ways and Means, for a period to be subsequently 
   determined by the Speaker, in each case for consideration of such 
 provisions as fall within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
    To amend title XVIII of the Social Security Act to provide for 
clarification under the Medicare program about minimal self-adjustment 
                      for off-the-shelf orthotics.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. CLARIFICATION ABOUT MINIMAL SELF-ADJUSTMENT FOR OFF-THE-
              SHELF ORTHOTICS.

    (a) In General.--Section 1847(a)(2)(C) of the Social Security Act 
(42 U.S.C. 1395w-3(a)(2)(C)) is amended--
            (1) by inserting ``furnished to a patient'' after ``section 
        1861(s)(9)'';
            (2) by inserting ``by that patient (and not by any other 
        person)'' after ``minimal self-adjustment''; and
            (3) by striking ``to fit to the individual'' and inserting 
        ``to fit to that patient''.
    (b) Inclusion in Medical and Other Health Services.--Section 
1861(s)(9) of the Social Security Act (42 U.S.C. 1395x(s)(9)) is 
amended--
            (1) by striking ``leg, arm'' and inserting ``(A) leg, 
        arm'';
            (2) in subparagraph (A), as added by paragraph (1), by 
        striking the semicolon at the end and inserting ``; and''; and
            (3) by adding the following new subparagraph:
                    ``(B) off-the-shelf orthotics (as defined in 
                section 1847(a)(2)(C)).''.
    (c) Effective Date.--The amendments made by this section shall take 
effect on April 1, 2007, and apply to items and services furnished on 
or after such date.
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