I 

116TH CONGRESS 

2D SESSION H. R. 7127 

To amend title XVIII of the Social Security Act to make technical amendments to the separate payment under the Medicare program for disposable negative pressure wound therapy devices. 

IN THE HOUSE OF REPRESENTATIVES 

JUNE 8, 2020 

Mr. BUTTERFIELD (for himself and Mr. MULLIN) 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 make 

technical amendments to the separate payment under 

the Medicare program for disposable negative pressure 

wound therapy devices. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. TECHNICAL AMENDMENTS TO MEDICARE SEP4 ARATE PAYMENT FOR DISPOSABLE NEGA5 TIVE PRESSURE WOUND THERAPY DEVICES. 

6 (a) IN GENERAL.—Section 1834(s) of the Social Se7 curity Act (42 U.S.C. 1395m(s)) is amended— 


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•HR 7127 IH

1 (1) in paragraph (1), by adding at the end the 

2 following new sentence: ‘‘Such separate payment 

3 shall be a national payment rate established each 

4 year for the applicable disposable device itself, and 

5 not for the related professional services or home visit 

6 to furnish the device, and shall be made under the 

7 prospective payment system established under sec8 tion 1895, as an add-on payment for the device in 

9 addition to other payments available to a home 

10 health agency under such section.’’; 

11 (2) in paragraph (3), by adding at the end the 

12 following new sentences: ‘‘In calculating the separate 

13 payment amount for applicable disposable devices in 

14 a given year, the Secretary shall assume no facility 

15 level adjustments are applied and the wage adjust16 ment factor shall be 1.0, regardless of the wage ad17 justment factor that would otherwise apply under 

18 section 1833(t). The separate payment for the appli19 cable disposable device shall be made under the pro20 spective payment system established under section 

21 1895, and nothing in this paragraph shall be con22 strued to authorize the separate payment for the ap23 plicable disposable device to be under a different 

24 payment system.’’; and 


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•HR 7127 IH

1 (3) by adding at the end the following new 

2 paragraph: 

3 ‘‘(4) IMPLEMENTATION.—As part of submitting 

4 claims eligible for or related to the separate add-on 

5 payment established under this subsection, the Sec6 retary shall accept and process claims submitted 

7 using the type of bill that is most commonly used by 

8 home health agencies to bill services under a home 

9 health plan of care, and the Secretary shall not re10 quire home health agencies to account for the time 

11 spent applying the applicable disposable device sepa12 rately from the time spent treating other conditions 

13 or to submit claims for payment under a payment 

14 system other than the prospective payment system 

15 established under section 1895.’’. 

16 (b) REGULATIONS.—Not later than 180 days after 

17 the date of the enactment of this Act, the Secretary of 

18 Health and Human Services shall promulgate interim final 

19 regulations implementing the provisions of, including 

20 amendments made by, subsection (a). 

Æ 


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