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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5388 Introduced in House (IH)]

<DOC>

118th CONGRESS
  1st Session
                                H. R. 5388

To amend title XVIII of the Social Security Act to provide coverage of 
  certain technologies and medical devices under the Medicare program.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                           September 12, 2023

 Mr. Balderson (for himself and Mr. Buchanan) introduced the following 
  bill; which was referred to the Committee on Ways and Means, and in 
 addition to the Committee on Energy and Commerce, 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 coverage of 
  certain technologies and medical devices 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 ``Supporting Innovation for Seniors 
Act''.

SEC. 2. COVERAGE OF CERTAIN TECHNOLOGIES AND MEDICAL DEVICES.

    Section 1852(a)(3) of the Social Security Act (42 U.S.C. 1395w-
22(a)(3) is amended--
            (1) in subparagraph (A), by striking ``subparagraph (D)'' 
        and inserting ``subparagraphs (D) and (E)''; and
            (2) by adding at the end the following new subparagraph:
                    ``(E) Coverage of certain technologies and medical 
                devices.--
                            ``(i) In general.--For plan year 2025 and 
                        subsequent plan years, in addition to any 
                        supplemental health care benefits otherwise 
                        provided under this paragraph, an MA plan, 
                        including a specialized MA plan for special 
                        needs individuals (as defined in section 
                        1859(b)(6)), may provide the supplemental 
                        benefits described in clause (ii).
                            ``(ii) Supplemental benefits described.--
                                    ``(I) In general.--The supplemental 
                                benefits described in this clause are 
                                as follows:
                                            ``(aa) A medical device or 
                                        technology that has a national 
                                        coverage determination or local 
                                        coverage determination under 
                                        this title for an indication 
                                        that is different than the 
                                        indication for such coverage 
                                        determination.
                                            ``(bb) A technology that 
                                        does not fit into another 
                                        benefit category under this 
                                        title.
                                    ``(II) Authority to waive 
                                uniformity requirements.--The Secretary 
                                may, only with respect to supplemental 
                                benefits provided under this 
                                subparagraph, waive the uniformity 
                                requirements under this part, as 
                                determined appropriate by the 
                                Secretary.''.
                                 <all>
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