[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 360 Introduced in House (IH)]







106th CONGRESS
  1st Session
                                H. R. 360

To amend title XVIII of the Social Security Act to provide for coverage 
under the Medicare Program of insulin pumps as items of durable medical 
                               equipment.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            January 19, 1999

 Mr. Ewing (for himself, Mr. Nethercutt, Mr. Lipinski, Mr. Lantos, Mr. 
  Sandlin, Mr. Matsui, Mr. Bentsen, Mr. Jenkins, Ms. Kilpatrick, Mr. 
 Romero-Barcelo, Mr. Pomeroy, Mr. Ehlers, Mr. Nadler, Mr. Hinchey, Mr. 
 Cook, Mr. Delahunt, Mrs. Mink of Hawaii, Mr. Allen, Mrs. Thurman, Mr. 
     Smith of New Jersey, Mr. LaFalce, Mr. Filner, and Mr. Condit) 
 introduced the following bill; which was referred to the Committee on 
  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 
under the Medicare Program of insulin pumps as items of durable medical 
                               equipment.

    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 ``Medicare Insulin Pump Coverage Act 
of 1999''.

SEC. 2. COVERAGE OF INSULIN PUMPS UNDER MEDICARE.

    (a) Inclusion as Item of Durable Medical Equipment.--Section 
1861(n) of the Social Security Act (42 U.S.C. 1395x(n)) is amended by 
inserting ``and insulin infusion pumps (as defined in subsection (uu)) 
prescribed by the physician of an individual with type I diabetes who 
is experiencing severe swings of high and low blood glucose levels and 
has successfully completed a training program that meets standards 
established by the Secretary or who has used such a pump without 
interruption for at least 18 months immediately before enrollment under 
part B'' before the semicolon.
    (b) Definition of Insulin Infusion Pump.--Section 1861 of such Act 
(42 U.S.C. 1395x) is amended by adding at the end the following new 
subsection:

                        ``Insulin Infusion Pump

    ``(uu) The term `insulin infusion pump' means an infusion pump, 
approved by the Federal Food and Drug Administration, that provides for 
the computerized delivery of insulin for individuals with diabetes in 
lieu of multiple daily manual insulin injections.''.
    (c) Payment for Supplies Relating to Infusion Pumps.--Section 
1834(a)(2)(A) of such Act (42 U.S.C. 1395m(a)(2)(A)) is amended--
            (1) in clause (ii), by striking ``or'' at the end;
            (2) in clause (iii), by inserting ``or'' at the end; and
            (3) by inserting after clause (iii) the following new 
        clause:
                            ``(iv) which is an accessory used in 
                        conjunction with an insulin infusion pump (as 
                        defined in section 1861(uu)),''.
    (d) Effective Date.--The amendments made by this section shall 
apply with respect to items of durable medical equipment furnished 
under title XVIII of the Social Security Act on or after the date of 
the enactment of this Act.
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