HR 1958

112th CONGRESS
1st Session

H. R. 1958

To amend title XVIII of the Social Security Act to modify the designation of accreditation organizations for orthotics and prosthetics, to apply accreditation and licensure requirements to suppliers of such devices and items for purposes of payment under the Medicare program, and to modify the payment rules for such devices and items under such program to account for practitioner qualifications and complexity of care.

IN THE HOUSE OF REPRESENTATIVES

May 24, 2011

Ms. BERKLEY (for herself, Mr. THOMPSON of Pennsylvania, Mr. RUPPERSBERGER, Mr. GUTHRIE, and Mr. NEAL) 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 modify the designation of accreditation organizations for orthotics and prosthetics, to apply accreditation and licensure requirements to suppliers of such devices and items for purposes of payment under the Medicare program, and to modify the payment rules for such devices and items under such program to account for practitioner qualifications and complexity of care.

SECTION 1. SHORT TITLE.

SEC. 2. MODIFICATION OF REQUIREMENTS APPLICABLE UNDER MEDICARE TO DESIGNATION OF ACCREDITATION ORGANIZATIONS FOR SUPPLIERS OF ORTHOTICS AND PROSTHETICS.

SEC. 3. APPLICATION OF EXISTING ACCREDITATION AND LICENSURE REQUIREMENTS TO CERTAIN PROSTHETICS AND CUSTOM-FABRICATED OR CUSTOM-FITTED ORTHOTICS.

SEC. 4. MEDICARE PAYMENT RULES FOR ORTHOTICS AND PROSTHETICS TO ACCOUNT FOR PRACTITIONER QUALIFICATIONS AND COMPLEXITY OF CARE.

`(aa) A bachelor's degree or master's degree in prosthetics as offered by educational institutions accredited by the Commission on Accreditation of Allied Health Education Programs.

`(bb) A bachelor's degree, plus a certificate in prosthetics as offered by educational institutions accredited by the Commission on Accreditation of Allied Health Education Programs.

`(cc) A foreign degree determined by the World Education Service to be equivalent to an educational program in prosthetics accredited by the Commission on Accreditation of Allied Health Education Programs.

`(aa) satisfies any of the education requirements described in clause (i)(III), except that for purposes of this subclause such clause shall be applied by substituting the term `orthotics' each place the term `prosthetics' is used; or

`(bb) is certified or licensed in orthotics to ensure the appropriate provision of orthotic care within the practitioner's normal scope of practice.

SEC. 5. REPORTS.

SEC. 6. REDUCTION IN MEDICARE SPENDING.

END