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S. 497 (115th): Lymphedema Treatment Act

The text of the bill below is as of Mar 2, 2017 (Introduced).


II

115th CONGRESS

1st Session

S. 497

IN THE SENATE OF THE UNITED STATES

March 2, 2017

(for herself, Mr. Grassley, Mr. Brown, Mrs. Gillibrand, Mr. Coons, Mr. Franken, Mr. Tillis, Mr. Merkley, Mrs. Ernst, Mr. Blunt, and Ms. Klobuchar) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend title XVIII of the Social Security Act to provide for Medicare coverage of certain lymphedema compression treatment items as items of durable medical equipment.

1.

Short title

This Act may be cited as the Lymphedema Treatment Act.

2.

Medicare coverage of certain lymphedema compression treatment items as items of durable medical equipment

(a)

In general

Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended—

(1)

in subsection (n), in the first sentence, by inserting before the semicolon the following: and includes lymphedema compression treatment items (as defined in subsection (jjj)); and

(2)

by adding at the end the following new subsection:

(jjj)

Lymphedema compression treatment items

The term lymphedema compression treatment items

(1)

means, with respect to an individual, compression garments, devices, bandaging systems, components, and supplies—

(A)

that are primarily and customarily used in the medical treatment of lymphedema;

(B)

as 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

(C)

which would not, other than under subsection (s)(6), be included as medical and other health services under this title; and

(2)

includes—

(A)

multilayer compression bandaging systems;

(B)

custom or standard fit gradient compression garments;

(C)

non-elastic and low-elastic compression garments and compression wraps and directional flow pads; and

(D)

any other compression garments, bandaging systems, devices, and aids 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 180 days after the date of the enactment of this Act.