Lymphedema Treatment Act

Lymphedema Treatment Act

This bill provides for Medicare coverage of lymphedema compression treatment items. Specifically, the bill provides for coverage of standard and custom fitted gradient compression garments and other approved items that are prescribed by a physician or other specified health care professional to treat lymphedema.

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3630 Introduced in House (IH)]

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117th CONGRESS
  1st Session
                                H. R. 3630

To amend title XVIII of the Social Security Act to provide for coverage 
 of certain lymphedema compression treatment items under the Medicare 
                                program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 28, 2021

Ms. Schakowsky (for herself, Mr. Carter of Georgia, Mr. Blumenauer, Mr. 
 Kelly of Pennsylvania, Mr. Fitzpatrick, Ms. Sewell, Ms. DeGette, Mr. 
Levin of Michigan, Mr. Aderholt, Mrs. Axne, Mr. Ferguson, Mr. Wilson of 
 South Carolina, Mr. Joyce of Pennsylvania, Mr. Brown, Ms. Newman, Mr. 
  Smith of Washington, Mr. Mullin, Ms. Wild, Ms. Ross, Ms. Wasserman 
Schultz, Mr. Brendan F. Boyle of Pennsylvania, Mr. Grijalva, Ms. Titus, 
Mrs. Lawrence, Ms. Velazquez, Ms. McCollum, Mr. O'Halleran, Mr. Suozzi, 
Mr. Michael F. Doyle of Pennsylvania, Mr. Price of North Carolina, Mr. 
Meeks, Mr. Butterfield, Ms. Barragan, Ms. Herrera Beutler, Mr. Doggett, 
 Mr. Castro of Texas, Mr. Larson of Connecticut, Ms. Garcia of Texas, 
Ms. Scanlon, Mr. Johnson of Ohio, Mr. McNerney, Mr. Wittman, Mr. Austin 
 Scott of Georgia, Mr. Tonko, Mr. Cicilline, Ms. Matsui, Mr. Connolly, 
Miss Gonzalez-Colon, Mr. Vela, Ms. Pressley, Ms. Lee of California, Mr. 
  Burchett, Mr. Carbajal, Mr. Deutch, Ms. DelBene, Mr. Pascrell, Ms. 
   Pingree, Mr. Carson, Mr. McHenry, Ms. Bonamici, Mr. Kilmer, Mrs. 
    Miller-Meeks, Mr. Vicente Gonzalez of Texas, Mr. DeFazio, Mrs. 
 Napolitano, Mr. Thompson of California, Mr. Rodney Davis of Illinois, 
Ms. Jacobs of California, Mr. Dunn, Ms. Williams of Georgia, Ms. Clark 
 of Massachusetts, Mr. Crow, Mr. Budd, Ms. Blunt Rochester, Mr. Trone, 
Mr. Kildee, Mr. Van Drew, Mr. Cohen, Mr. Bacon, Mr. Hollingsworth, Mr. 
  Amodei, Mr. Phillips, Mr. Wenstrup, Mr. McKinley, Ms. Sherrill, Mr. 
  Westerman, Mr. Delgado, Ms. Underwood, Mr. Posey, Ms. Schrier, Mr. 
Massie, Mr. Cole, Mr. Hice of Georgia, Mr. Rutherford, Mr. Yarmuth, Mr. 
  Payne, Ms. Houlahan, Ms. Davids of Kansas, Mr. Kind, Mr. Guest, Mr. 
 Foster, Ms. Cheney, Mr. Ruppersberger, Ms. Brownley, Mr. LaHood, Mr. 
 Allen, Mr. Johnson of Georgia, Mr. Bishop of Georgia, Mr. Cooper, Mr. 
 Mann, Mr. Rice of South Carolina, Mr. Pocan, Ms. Meng, Ms. Dean, Mr. 
Armstrong, Mr. Thompson of Mississippi, Mrs. McBath, Mr. Grothman, Mr. 
   Evans, Mr. Reschenthaler, Mr. Sires, Mr. Timmons, Ms. Tenney, Ms. 
Bourdeaux, Mr. Nadler, Mr. Higgins of New York, Mr. Lamb, Mrs. Carolyn 
    B. Maloney of New York, Mr. Morelle, Mr. Bera, Mr. Lucas, Mrs. 
Kirkpatrick, Mr. Fleischmann, Mr. Gallego, Mr. Meuser, Mr. McCaul, Mr. 
 Correa, Ms. Strickland, Mr. Rouzer, Ms. Van Duyne, Mr. David Scott of 
Georgia, Mr. Allred, Mr. Young, Mr. Gottheimer, Ms. Adams, Mr. Levin of 
California, Mr. Moulton, and Mr. Taylor) 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 coverage 
 of certain lymphedema compression treatment items under the Medicare 
                                program.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Lymphedema Treatment Act''.

SEC. 2. MEDICARE COVERAGE OF CERTAIN LYMPHEDEMA COMPRESSION TREATMENT 
              ITEMS.

    (a) In General.--Section 1861 of the Social Security Act (42 U.S.C. 
1395x) is amended--
            (1) in subsection (s)(2)--
                    (A) in subparagraph (GG), by striking ``and'' after 
                the semicolon at the end;
                    (B) in subparagraph (HH), by striking the period at 
                the end and inserting ``; and''; and
                    (C) by adding at the end the following new 
                subparagraph:
            ``(II) lymphedema compression treatment items (as defined 
        in subsection (lll));''; and
            (2) by adding at the end the following new subsection:

                ``Lymphedema Compression Treatment Items

    ``(lll) The term `lymphedema compression treatment items' means--
            ``(1) standard and custom fitted gradient compression 
        garments that are--
                    ``(A) furnished on or after January 1, 2023, to an 
                individual with a diagnosis of lymphedema for the 
                treatment of such condition;
                    ``(B) primarily and customarily used in the medical 
                treatment of lymphedema, as determined by the 
                Secretary; and
                    ``(C) prescribed by a physician (or a physician 
                assistant, nurse practitioner, or a clinical nurse 
                specialist (as those terms are defined in section 
                1861(aa)(5)) to the extent authorized under State law); 
                and
            ``(2) other devices determined by the Secretary to be 
        effective in the prevention or treatment of lymphedema.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to lymphedema compression treatment items furnished on or after 
January 1, 2023.
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