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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. VELA ́ZQUEZ, Ms. MCCOLLUM, Mr. O’HALLERAN, Mr. 

SUOZZI, Mr. MICHAEL F. DOYLE of Pennsylvania, Mr. PRICE of North 

Carolina, Mr. MEEKS, Mr. BUTTERFIELD, Ms. BARRAGA ́N, 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 GONZA ́LEZ-COLO ́N, 

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. MILLERMEEKS, 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, 


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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. CA ́RDENAS, 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. 

SA ́NCHEZ, 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. GARCI ́A 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. 


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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] 


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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. 


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

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Lymphedema Treatment 

5 Act’’. 

6 SEC. 2. MEDICARE COVERAGE OF CERTAIN LYMPHEDEMA 

7 COMPRESSION TREATMENT ITEMS. 

8 (a) COVERAGE.— 

9 (1) IN GENERAL.—Section 1861 of the Social Se10 curity Act (42 U.S.C. 1395x) is amended— 

11 (A) in subsection (s)(2)— 

12 (i) in subparagraph (GG), by striking 

13 ‘‘and’’ after the semicolon at the end; 

14 (ii) in subparagraph (HH), by strik15 ing the period at the end and inserting ‘‘; 

16 and’’; and 

17 (iii) by adding at the end the following 

18 new subparagraph: 

19 ‘‘(II) lymphedema compression treatment items 

20 (as defined in subsection (lll));’’; and 

21 (B) by adding at the end the following new 

22 subsection: 

23 ‘‘(lll) LYMPHEDEMA COMPRESSION TREATMENT

24 ITEMS.—The term ‘lymphedema compression treatment 

25 items’ means standard and custom fitted gradient compresVerDate Sep 11 2014 23:50 Jul 22, 2022 Jkt 029200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6203 E:\BILLS\H3630.RH H3630

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1 sion garments and other items determined by the Secretary 

2 that are— 

3 ‘‘(1) furnished on or after January 1, 2024, to 

4 an individual with a diagnosis of lymphedema for the 

5 treatment of such condition; 

6 ‘‘(2) primarily and customarily used to serve a 

7 medical purpose and for the treatment of 

8 lymphedema, as determined by the Secretary; and 

9 ‘‘(3) prescribed by a physician (or a physician 

10 assistant, nurse practitioner, or a clinical nurse spe11 cialist (as those terms are defined in section 

12 1861(aa)(5)) to the extent authorized under State 

13 law).’’. 

14 (2) PAYMENT.— 

15 (A) IN GENERAL.—Section 1833(a)(1) of the 

16 Social Security Act (42 U.S.C. 1395l(a)(1)) is 

17 amended— 

18 (i) by striking ‘‘and’’ before ‘‘(DD)’’; 

19 and 

20 (ii) by inserting before the semicolon at 

21 the end the following: ‘‘and (EE) with re22 spect to lymphedema compression treatment 

23 items (as defined in section 1861(lll)), the 

24 amount paid shall be equal to 80 percent of 

25 the lesser of the actual charge or the amount 


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1 determined under the payment basis deter2 mined under section 1834(z)’’. 

3 (B) PAYMENT BASIS AND LIMITATIONS.— 

4 Section 1834 of the Social Security Act (42 

5 U.S.C. 1395m) is amended by adding at the end 

6 the following new subsection: 

7 ‘‘(z) PAYMENT FOR LYMPHEDEMA COMPRESSION

8 TREATMENT ITEMS.— 

9 ‘‘(1) IN GENERAL.—The Secretary shall deter10 mine an appropriate payment basis for lymphedema 

11 compression treatment items (as defined in section 

12 1861(lll)). In making such a determination, the Sec13 retary may take into account payment rates for such 

14 items under State plans (or waivers of such plans) 

15 under title XIX, the Veterans Health Administration, 

16 and group health plans and health insurance coverage 

17 (as such terms are defined in section 2791 of the Pub18 lic Health Service Act), and such other information 

19 as the Secretary determines appropriate. 

20 ‘‘(2) FREQUENCY LIMITATION.—No payment 

21 may be made under this part for lymphedema com22 pression treatment items furnished other than at such 

23 frequency as the Secretary may establish. 

24 ‘‘(3) APPLICATION OF COMPETITIVE ACQUISI25 TION.—In the case of lymphedema compression treatVerDate Sep 11 2014 22:29 Jul 22, 2022 Jkt 029200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6203 E:\BILLS\H3630.RH H3630

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1 ment items that are included in a competitive acqui2 sition program in a competitive acquisition area 

3 under section 1847(a)— 

4 ‘‘(A) the payment basis under this sub5 section for such items furnished in such area 

6 shall be the payment basis determined under 

7 such competitive acquisition program; and 

8 ‘‘(B) the Secretary may use information on 

9 the payment determined under such competitive 

10 acquisition programs to adjust the payment 

11 amount otherwise determined under this sub12 section for an area that is not a competitive ac13 quisition area under section 1847, and in the 

14 case of such adjustment, paragraphs (8) and (9) 

15 of section 1842(b) shall not be applied.’’. 

16 (3) CONFORMING AMENDMENT.—Section 

17 1847(a)(2) of the Social Security Act (42 U.S.C. 

18 1395w–3(a)(2)) is amended by adding at the end the 

19 following new subparagraph: 

20 ‘‘(D) LYMPHEDEMA COMPRESSION TREAT21 MENT ITEMS.—Lymphedema compression treat22 ment items (as defined in section 1861(lll)) for 

23 which payment would otherwise be made under 

24 section 1834(z).’’. 


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1 (b) INCLUSION IN REQUIREMENTS FOR SUPPLIERS OF

2 MEDICAL EQUIPMENT AND SUPPLIES.—Section 1834 of the 

3 Social Security Act (42 U.S.C. 1395m) is amended— 

4 (1) in subsection (a)(20)(D), by adding at the 

5 end the following new clause: 

6 ‘‘(iv) Lymphedema compression treat7 ment items (as defined in section 

8 1861(lll)).’’. 

9 (2) in subsection (j)(5)— 

10 (A) by redesignating subparagraphs (E) 

11 and (F) as subparagraphs (F) and (G), respec12 tively; and 

13 (B) by inserting after subparagraph (D) the 

14 following new subparagraph: 

15 ‘‘(E) lymphedema compression treatment 

16 items (as defined in section 1861(lll));’’. 


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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 

program. pression treatment items under the Medicare provide for coverage of certain lymphedema comJULY 22, 2022 

Reported from the Committee on Energy and Commerce 

with an amendment 

JULY 22, 2022 

Committee on Ways and Means discharged; committed to 

Union and ordered to be printed the Committee of the Whole House on the State of the 


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