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<bill bill-stage="Introduced-in-House" dms-id="H41AB70D9169248B5A6887C2EF36DA688" public-private="public" key="H" bill-type="olc"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>119 HR 4204 IH: Medicare Patient Choice Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2025-06-26</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">119th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 4204</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20250626">June 26, 2025</action-date><action-desc><sponsor name-id="S001199">Mr. Smucker</sponsor> (for himself and <cosponsor name-id="D000230">Mr. Davis of North Carolina</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HWM00">Committee on Ways and Means</committee-name>, and in addition to the Committee on <committee-name committee-id="HIF00">Energy and Commerce</committee-name>, 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</action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend title XVIII of the Social Security Act to allow Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors.</official-title></form><legis-body id="HD3505F1A764F4B628AC73E2E18DDE48A" style="OLC"> 
<section id="HAE768C790DC948879F226FBCC2E6ABD2" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Medicare Patient Choice Act</short-title></quote>.</text></section> <section commented="no" display-inline="no-display-inline" id="HF0CDE8E67FDA466DA0DCA8FD32316FCA"><enum>2.</enum><header>Free choice of therapists for Medicare beneficiaries</header><text display-inline="no-display-inline">Section 1802(b) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395a">42 U.S.C. 1395a(b)</external-xref>) is amended—</text> 
<paragraph commented="no" display-inline="no-display-inline" id="H369F9886F5E3498DBE9B57B659F011EF"><enum>(1)</enum><text>in paragraph (1)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="H23C4EAB358AB46A9B6A1E71EA84911E3"><enum>(A)</enum><text>in the matter preceding subparagraph (A), by striking <quote>physician or practitioner</quote> and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>; and</text></subparagraph> 
<subparagraph commented="no" display-inline="no-display-inline" id="HEC9130C33DC8470B80635860FC0D2C97"><enum>(B)</enum><text>in subparagraph (B), in the matter preceding clause (i), by striking <quote>physician or practitioner</quote> and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>;</text></subparagraph></paragraph> <paragraph commented="no" display-inline="no-display-inline" id="H279F39F6EE3941988EB02147A804E3E3"><enum>(2)</enum><text>in paragraph (2)(B)—</text> 
<subparagraph commented="no" display-inline="no-display-inline" id="H3598604E2AD947B28D66CCC1338F5B8B"><enum>(A)</enum><text>in clause (i), by striking <quote>physician or practitioner</quote> and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>;</text></subparagraph> <subparagraph commented="no" display-inline="no-display-inline" id="H1F2E4C4622464B5EA82B5B8978A7C225"><enum>(B)</enum><text>in clause (v), by striking <quote>physicians or practitioners</quote> and inserting <quote>physicians, practitioners, therapists, or qualified audiologists</quote>; and</text></subparagraph> 
<subparagraph commented="no" display-inline="no-display-inline" id="HE99E0AD89FDB4B2BAE03558AF8DC294E"><enum>(C)</enum><text>in the matter following clause (v), by striking <quote>physician or practitioner</quote> and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>;</text></subparagraph></paragraph> <paragraph commented="no" display-inline="no-display-inline" id="HD33A5AFE8A8A4F1A8FA1D94517F1BD75"><enum>(3)</enum><text>in paragraph (3)—</text> 
<subparagraph commented="no" display-inline="no-display-inline" id="H739B21540998444C94F26853465F1090"><enum>(A)</enum><text>in the heading, by striking <quote><header-in-text style="OLC" level="paragraph">physician or practitioner</header-in-text></quote> and inserting <quote><header-in-text style="OLC" level="paragraph">physician, practitioner, therapist, or qualified audiologist</header-in-text></quote>;</text></subparagraph> <subparagraph commented="no" display-inline="no-display-inline" id="H8D581A321F6E41028C6F41E703EF65E3"><enum>(B)</enum><text>in subparagraph (A), by striking <quote>physician or practitioner</quote> and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>;</text></subparagraph> 
<subparagraph commented="no" display-inline="no-display-inline" id="H4AAEE752D10A41D18C6FCADEF2EAD01A"><enum>(C)</enum><text>in subparagraph (B)—</text> <clause commented="no" display-inline="no-display-inline" id="H6E43532209F649629215E9429E1DCA3C"><enum>(i)</enum><text>in clause (i), by striking <quote>physician or practitioner</quote> each place it appears and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>; and</text></clause> 
<clause commented="no" display-inline="no-display-inline" id="H44EA0F7E5DF241218AB0488630BB5DBE"><enum>(ii)</enum><text>in clause (ii), by striking <quote>physician or practitioner</quote> and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>;</text></clause></subparagraph> <subparagraph commented="no" display-inline="no-display-inline" id="HAE2C3A7116094D158C9E58969FEFC24C"><enum>(D)</enum><text>in subparagraph (C)—</text> 
<clause commented="no" display-inline="no-display-inline" id="H86182BB4448B4A7599F075D59B97B588"><enum>(i)</enum><text>in the matter preceding clause (i), by striking <quote>physician or practitioner</quote> and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>;</text></clause> <clause commented="no" display-inline="no-display-inline" id="H8396C99530964738A85EB02A9560DFB5"><enum>(ii)</enum><text>in clause (i), by striking <quote>physician or practitioner</quote> and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>; and</text></clause> 
<clause commented="no" display-inline="no-display-inline" id="HC1EA540C5E8C41BE85D716CBF9405689"><enum>(iii)</enum><text>in clause (ii), by striking <quote>physician or practitioner</quote> and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>; and</text></clause></subparagraph> <subparagraph commented="no" display-inline="no-display-inline" id="H5A8DF6A1DAEA4772BB3754868F2A2A08"><enum>(E)</enum><text>in subparagraph (D), by striking <quote>physician or practitioner</quote> each place it appears and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>;</text></subparagraph></paragraph> 
<paragraph id="H7F56874C922C4907A528FBB19173B697"><enum>(4)</enum><text>in paragraph (5)—</text> <subparagraph commented="no" display-inline="no-display-inline" id="HD1613F29C6034CA09D3865B2E87378AD"><enum>(A)</enum><text>in the heading, by striking <quote><header-in-text style="OLC" level="paragraph">physicians and practitioners</header-in-text></quote> and inserting <quote><header-in-text style="OLC" level="paragraph">physicians, practitioners, therapists, and qualified audiologists</header-in-text></quote>;</text></subparagraph> 
<subparagraph id="H5CDE59FEB5C844EC88A2F887DAE2A36D"><enum>(B)</enum><text>in subparagraph (A), by striking <quote>physicians and practitioners</quote> and inserting <quote>physicians, practitioners, therapists, and qualified audiologists</quote>; and</text></subparagraph> <subparagraph commented="no" display-inline="no-display-inline" id="HF83BF88673354C00AF67E36EB1EC0B0D"><enum>(C)</enum><text>in subparagraph (B)—</text> 
<clause commented="no" display-inline="no-display-inline" id="H8050CFD367B341CFA9747794E24526D2"><enum>(i)</enum><text>in the manner preceding clause (i), by striking <quote>physicians and practitioners</quote> and inserting <quote>physicians, practitioners, therapists, and qualified audiologists</quote>;</text></clause> <clause commented="no" display-inline="no-display-inline" id="H5D9A9276AF924815A7D42D2FBA457277"><enum>(ii)</enum><text>in clause (iv), by striking <quote>physicians and practitioners</quote> and inserting <quote>physicians, practitioners, therapists, and qualified audiologists</quote>; and</text></clause> 
<clause commented="no" display-inline="no-display-inline" id="H38B92CEE3DFF4351B405A8644CDC586E"><enum>(iii)</enum><text>in clause (v), by striking <quote>physicians and practitioners</quote> and inserting <quote>physicians, practitioners, therapists, and qualified audiologists</quote>; and</text></clause></subparagraph></paragraph> <paragraph id="H31BCD529D67F469E9D533226083945B9"><enum>(5)</enum><text>in paragraph (6)—</text> 
<subparagraph commented="no" display-inline="no-display-inline" id="H3021BFE69D5249869870B9F1775A0E6F"><enum>(A)</enum><text>in subparagraph (B), by striking <quote>paragraphs (1), (2), (3), and (4) of</quote>;</text></subparagraph> <subparagraph commented="no" display-inline="no-display-inline" id="HA7DEA50E0E754818801DD2CE5302A332"><enum>(B)</enum><text>in subparagraph (D)—</text> 
<clause commented="no" display-inline="no-display-inline" id="H75EFC7663A64497EA4B3BCD27EC765BB"><enum>(i)</enum><text>in the heading, by striking <quote><header-in-text style="OLC" level="subparagraph">physician or practitioner</header-in-text></quote> and inserting <quote><header-in-text style="OLC" level="subparagraph">physician, practitioner, therapist, or qualified audiologist</header-in-text></quote>; and</text></clause> <clause commented="no" display-inline="no-display-inline" id="H786B13FD19B443EEB6264C0B20B7AE3B"><enum>(ii)</enum><text>by striking <quote>physician or practitioner</quote> each place it appears and inserting <quote>physician, practitioner, therapist, or qualified audiologist</quote>; and</text></clause></subparagraph> 
<subparagraph commented="no" display-inline="no-display-inline" id="H1898017264584DE688CB4EDF3D3E0D46"><enum>(C)</enum><text>by adding at the end the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="H43AC280F1A064E6BB9D8BF3BF8AA852C"> <subparagraph id="H125E0757F44B497B852A41EBAA914A8E" indent="up1"><enum>(E)</enum><header>Therapist</header><text>The term <term>therapist</term> means a qualified physical therapist (as such term is used in section 1861(p)), a qualified occupational therapist (as such term is used in 1861(g)), or a qualified speech-language pathologist (as defined in 1861(ll)(4)(A)).</text></subparagraph> 
<subparagraph commented="no" display-inline="no-display-inline" id="H444D9C900B69442288AC51251AEA6FEC" indent="up1">
                            <enum>(F)</enum>
                            <header>Qualified audiologist</header>
 <text display-inline="yes-display-inline">The term <term>qualified audiologist</term> has the meaning given such term in section 1861(ll)(4)(B).</text>
                        </subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></section> 
</legis-body></bill>

