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

<DOC>





                                                 Union Calendar No. 336
117th CONGRESS
  2d Session
                                H. R. 3630

                      [Report No. 117-430, Part I]

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 of Maryland, 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

                             July 22, 2022

Additional sponsors: Ms. Omar, Mr. Jones, Mr. Malinowski, Ms. Chu, Ms. 
Jackson Lee, Mr. Fortenberry, Mrs. Bice of Oklahoma, Mrs. Dingell, Mrs. 
Harshbarger, Mr. Aguilar, Mr. Emmer, Mr. Ruiz, Mr. Turner, Mr. Cleaver, 
 Ms. Manning, Mr. Murphy of North Carolina, Mr. Cartwright, Mr. Waltz, 
 Ms. Porter, Mr. Krishnamoorthi, Mr. Schrader, Mr. Casten, Ms. Craig, 
    Ms. Mace, Mr. Bilirakis, Mrs. Luria, Mr. Lawson of Florida, Mr. 
 Luetkemeyer, Mr. Loudermilk, Mr. Crist, Mr. Welch, Mr. Langevin, Mr. 
   Gallagher, Ms. Spanberger, Mr. Palazzo, Mr. Kahele, Mr. Rush, Mr. 
Thompson of Pennsylvania, Mr. Lynch, Mr. Griffith, Mr. Diaz-Balart, Mr. 
Neguse, Mr. Estes, Mr. Smith of Missouri, Mr. Smucker, Mr. Bergman, Mr. 
    DeSaulnier, Ms. Jayapal, Mr. Peters, Mr. Kim of New Jersey, Mr. 
 Huizenga, Mr. Hudson, Mr. Smith of Nebraska, Ms. Leger Fernandez, Mr. 
 Case, Mr. Schiff, Mr. Lieu, Mr. Larsen of Washington, Mr. Steil, Mr. 
 Sarbanes, Mr. Banks, Mrs. Watson Coleman, Ms. Slotkin, Mr. Crawford, 
 Mr. Sablan, Mr. Lowenthal, Mr. Panetta, Mr. Kelly of Mississippi, Mr. 
     Jeffries, Mr. Balderson, Mr. Graves of Missouri, Ms. Moore of 
Wisconsin, Ms. Roybal-Allard, Mr. Cardenas, Mr. Gibbs, Mrs. Trahan, Mr. 
  Lamborn, Mr. Auchincloss, Mr. Himes, Mrs. Hartzler, Mrs. Hayes, Ms. 
Lois Frankel of Florida, Mr. Hill, Mr. Duncan, Mr. Brooks, Ms. Sanchez, 
  Mrs. Demings, Mr. Meijer, Ms. Salazar, Mr. Valadao, Mrs. Torres of 
 California, Mr. Katko, Mrs. Hinson, Ms. Kelly of Illinois, Ms. Castor 
 of Florida, Mr. Simpson, Miss Rice of New York, Mr. C. Scott Franklin 
of Florida, Ms. Clarke of New York, Mr. Soto, Ms. Stefanik, Mr. Garcia 
 of Illinois, Mr. Espaillat, Mr. Bost, Mrs. Steel, Mr. McGovern, Mrs. 
Walorski, Mr. Horsford, Ms. Kaptur, Mr. Ryan, Mr. Calvert, Mr. Raskin, 
 Mr. Pappas, Mr. Tiffany, Mr. Norcross, Mr. Walberg, Mr. Swalwell, Mr. 
 Huffman, Mr. Gooden of Texas, Mr. Stauber, Mr. Johnson of Louisiana, 
Ms. Norton, Mr. Costa, Mr. Joyce of Ohio, Mr. Stanton, Mr. Quigley, Mr. 
Mrvan, Mr. Steube, Mr. Newhouse, Mr. Takano, Mr. Perlmutter, Mr. Harder 
of California, Mr. Gonzalez of Ohio, Ms. Johnson of Texas, Mr. Womack, 
Mr. Cuellar, Mr. Schneider, Ms. Kuster, Mr. Danny K. Davis of Illinois, 
   Mr. Khanna, Mr. Vargas, Mr. Jackson, Mr. Keller, Mr. Gohmert, Ms. 
  DeLauro, Mr. Schweikert, Ms. Tlaib, Mr. Garbarino, Mr. Gimenez, Ms. 
 Brown of Ohio, Mrs. Radewagen, Mr. Courtney, Mr. Ellzey, Ms. Granger, 
 Mr. LaTurner, Mr. Veasey, Mrs. Fletcher, Mr. DesJarlais, Mrs. Beatty, 
 Mrs. Murphy of Florida, Mr. Hern, Mr. Graves of Louisiana, Ms. Bass, 
     Mr. LaMalfa, Ms. Wexton, Mr. Keating, Ms. Letlow, Mrs. Kim of 
 California, Mr. Fitzgerald, Mr. Green of Tennessee, Mr. Smith of New 
Jersey, Mr. Bishop of North Carolina, Ms. Stevens, Ms. Malliotakis, Mr. 
    Garamendi, Mr. Gomez, Mr. McEachin, Mr. Long, Mr. Feenstra, Mr. 
Burgess, Ms. Speier, Mr. Sean Patrick Maloney of New York, Mr. Norman, 
Mr. Moore of Alabama, Mrs. Cammack, Mr. Owens, Mr. Torres of New York, 
Mr. Williams of Texas, Mr. Mast, Ms. Wilson of Florida, Mrs. Cherfilus-
   McCormick, Mr. Perry, Mr. Cawthorn, Mr. Beyer, Mr. Davidson, Mr. 
   Golden, Ms. Stansbury, Ms. Lofgren, Mr. Carter of Louisiana, Mrs. 
 Wagner, Mr. Gaetz, Mr. Scott of Virginia, Mr. Webster of Florida, Mr. 
San Nicolas, Mr. Sherman, Mr. Green of Texas, Ms. Herrell, Mr. Zeldin, 
                     Mr. Arrington, and Mr. Donalds

                             July 22, 2022

  Deleted sponsor: Mr. Perry (added March 18, 2022; deleted March 30, 
                                 2022)

                             July 22, 2022

  Reported from the Committee on Energy and Commerce with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

                             July 22, 2022

 Committee on Ways and Means discharged; committed to the Committee of 
  the Whole House on the State of the Union and ordered to be printed
[For text of introduced bill, see copy of bill as introduced on May 28, 
                                 2021]


_______________________________________________________________________

                                 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) Coverage.--
            (1) In general.--Section 1861 of the Social Security Act 
        (42 U.S.C. 1395x) is amended--
                    (A) in subsection (s)(2)--
                            (i) in subparagraph (GG), by striking 
                        ``and'' after the semicolon at the end;
                            (ii) in subparagraph (HH), by striking the 
                        period at the end and inserting ``; and''; and
                            (iii) by adding at the end the following 
                        new subparagraph:
            ``(II) lymphedema compression treatment items (as defined 
        in subsection (lll));''; and
                    (B) by adding at the end the following new 
                subsection:
    ``(lll) Lymphedema Compression Treatment Items.--The term 
`lymphedema compression treatment items' means standard and custom 
fitted gradient compression garments and other items determined by the 
Secretary that are--
            ``(1) furnished on or after January 1, 2024, to an 
        individual with a diagnosis of lymphedema for the treatment of 
        such condition;
            ``(2) primarily and customarily used to serve a medical 
        purpose and for the treatment of lymphedema, as determined by 
        the Secretary; and
            ``(3) 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).''.
            (2) Payment.--
                    (A) In general.--Section 1833(a)(1) of the Social 
                Security Act (42 U.S.C. 1395l(a)(1)) is amended--
                            (i) by striking ``and'' before ``(DD)''; 
                        and
                            (ii) by inserting before the semicolon at 
                        the end the following: ``and (EE) with respect 
                        to lymphedema compression treatment items (as 
                        defined in section 1861(lll)), the amount paid 
                        shall be equal to 80 percent of the lesser of 
                        the actual charge or the amount determined 
                        under the payment basis determined under 
                        section 1834(z)''.
                    (B) Payment basis and limitations.--Section 1834 of 
                the Social Security Act (42 U.S.C. 1395m) is amended by 
                adding at the end the following new subsection:
    ``(z) Payment for Lymphedema Compression Treatment Items.--
            ``(1) In general.--The Secretary shall determine an 
        appropriate payment basis for lymphedema compression treatment 
        items (as defined in section 1861(lll)). In making such a 
        determination, the Secretary may take into account payment 
        rates for such items under State plans (or waivers of such 
        plans) under title XIX, the Veterans Health Administration, and 
        group health plans and health insurance coverage (as such terms 
        are defined in section 2791 of the Public Health Service Act), 
        and such other information as the Secretary determines 
        appropriate.
            ``(2) Frequency limitation.--No payment may be made under 
        this part for lymphedema compression treatment items furnished 
        other than at such frequency as the Secretary may establish.
            ``(3) Application of competitive acquisition.--In the case 
        of lymphedema compression treatment items that are included in 
        a competitive acquisition program in a competitive acquisition 
        area under section 1847(a)--
                    ``(A) the payment basis under this subsection for 
                such items furnished in such area shall be the payment 
                basis determined under such competitive acquisition 
                program; and
                    ``(B) the Secretary may use information on the 
                payment determined under such competitive acquisition 
                programs to adjust the payment amount otherwise 
                determined under this subsection for an area that is 
                not a competitive acquisition area under section 1847, 
                and in the case of such adjustment, paragraphs (8) and 
                (9) of section 1842(b) shall not be applied.''.
            (3) Conforming amendment.--Section 1847(a)(2) of the Social 
        Security Act (42 U.S.C. 1395w-3(a)(2)) is amended by adding at 
        the end the following new subparagraph:
                    ``(D) Lymphedema compression treatment items.--
                Lymphedema compression treatment items (as defined in 
                section 1861(lll)) for which payment would otherwise be 
                made under section 1834(z).''.
    (b) Inclusion in Requirements for Suppliers of Medical Equipment 
and Supplies.--Section 1834 of the Social Security Act (42 U.S.C. 
1395m) is amended--
            (1) in subsection (a)(20)(D), by adding at the end the 
        following new clause:
                            ``(iv) Lymphedema compression treatment 
                        items (as defined in section 1861(lll)).''.
            (2) in subsection (j)(5)--
                    (A) by redesignating subparagraphs (E) and (F) as 
                subparagraphs (F) and (G), respectively; and
                    (B) by inserting after subparagraph (D) the 
                following new subparagraph:
                    ``(E) lymphedema compression treatment items (as 
                defined in section 1861(lll));''.
                                                 Union Calendar No. 336

117th CONGRESS

  2d Session

                               H. R. 3630

                      [Report No. 117-430, Part I]

_______________________________________________________________________

                                 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.

_______________________________________________________________________

                             July 22, 2022

  Reported from the Committee on Energy and Commerce with an amendment

                             July 22, 2022

 Committee on Ways and Means discharged; committed to the Committee of 
  the Whole House on the State of the Union and ordered to be printed