law) of the State in which the examinations, procedures, 
or fitting services are furnished.’’. 
(c) PAYMENT; COINSURANCE; AND LIMITATIONS.— 
(1) IN GENERAL.—Section 1833(a)(1) of the 
Social Security Act (42 U.S.C. 1395l(a)(1)) is 
amended— 
(A) by striking ‘‘and’’ before ‘‘(DD)’’; and 
(B) by inserting before the semicolon at 
the end the following: ‘‘, and (EE) with respect 
to vision services (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 1848’’. 
(2) LIMITS SPECIFIED.—Section 1834 of the 
Social Security Act (42 U.S.C. 1395m) is amended 
by adding at the end the following new subsection: 
‘‘(z) LIMITATION FOR VISION SERVICES.—With re-
spect to vision services (as defined in section 1861(lll)) 
and an individual, payment may be made under this part 
for only 1 routine eye examination described in paragraph 
(1) of such section and 1 contact lens fitting service de-
scribed in paragraph (2) of such section during a 1-year 
period.’’. 
(d) PAYMENT UNDER PHYSICIAN FEE SCHEDULE.— 
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(1) IN
GENERAL.—Section 1848(j)(3) of the 
Social Security Act (42 U.S.C. 1395w–4(j)(3)) is 
amended by inserting ‘‘(2)(II),’’ before ‘‘(3)’’. 
(2) 
BUDGET
NEUTRALITY.—Section 
1848(c)(2)(B)(iv) of the Social Security Act (42 
U.S.C. 1395–w(c)(2)(B)(iv)) is amended— 
(A) in subclause (III), by striking ‘‘and’’ at 
the end; 
(B) in subclause (IV), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
subclause: 
‘‘(V) the amendment made by 
section 2(d)(1) of the Medicare Vision 
Act of 2021 shall not be taken into 
account in applying clause (ii)(II) for 
2024 and 2025.’’. 
(e) COVERAGE OF CONVENTIONAL EYEGLASSES AND 
CONTACT LENSES.—Section 1861(s)(8) of the Social Se-
curity Act (42 U.S.C. 1395x(s)(8)) is amended by striking 
‘‘, and including one pair of conventional eyeglasses or 
contact lenses furnished subsequent to each cataract sur-
gery with insertion of an intraocular lens’’ and inserting 
‘‘, including one pair of conventional eyeglasses or contact 
lenses furnished subsequent to each cataract surgery with 
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insertion of an intraocular lens, if furnished before Janu-
ary 1, 2024, and including conventional eyeglasses or con-
tact lenses, whether or not furnished subsequent to such 
a surgery, if furnished on or after January 1, 2024’’. 
(f) SPECIAL PAYMENT RULES FOR EYEGLASSES AND 
CONTACT LENSES.— 
(1) LIMITATIONS.—Section 1834(h) of the So-
cial Security Act (42 U.S.C. 1395m(h)) is amended 
by adding at the end the following new paragraph: 
‘‘(6) PAYMENT LIMITATIONS FOR EYEGLASSES 
AND CONTACT LENSES.— 
‘‘(A) IN GENERAL.—With respect to eye-
glasses and contact lenses furnished to an indi-
vidual on or after January 1, 2024, subject to 
subparagraph (B), payment may be made under 
this part only— 
‘‘(i) during a 1-year period, for either 
1 pair of eyeglasses (including lenses and 
frames) or a 1-year supply that is provided 
in not more than 180-day increments of 
contact lenses; 
‘‘(ii) with respect to amounts attrib-
utable to the frames of such a pair of eye-
glasses and amounts attributable to con-
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tact lenses furnished during a year, in an 
amount not greater than— 
‘‘(I) for 2024, $100; and 
‘‘(II) for a subsequent year, the 
amount specified under this subpara-
graph for the previous year, increased 
by the percentage change in the con-
sumer price index for all urban con-
sumers during such previous year; 
‘‘(iii) for types of eyeglass lenses, and 
for types of contact lenses, as determined 
appropriate by the Secretary; 
‘‘(iv) if furnished pursuant to a writ-
ten order of a physician described in sec-
tion 1861(kkk); and 
‘‘(v) if during the 1-year period de-
scribed in clause (i), the individual did not 
already receive (as described in subpara-
graph (B)) one pair of conventional eye-
glasses or contact lenses subsequent to a 
cataract surgery with insertion of an intra-
ocular lens furnished during such period. 
‘‘(B) EXCEPTION.—With respect to a 1- 
year period described in subparagraph (A)(i), in 
the case of an individual who receives cataract 
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surgery with insertion of an intraocular lens, 
notwithstanding subparagraph (A), payment 
may be made under this part for one pair of 
conventional eyeglasses or contact lenses fur-
nished subsequent to such cataract surgery dur-
ing such period.’’. 
(2) APPLICATION
OF
COMPETITIVE
ACQUISI-
TION.— 
(A) IN GENERAL.—Section 1834(h)(1)(H) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395m(h)(1)(H)) is amended— 
(i) in the header by inserting ‘‘, EYE-
GLASSES, AND
CONTACT
LENSES’’ after 
‘‘ORTHOTICS’’; 
(ii) by inserting ‘‘and of eyeglasses 
and contact lenses described in paragraph 
(2)(D) of such section,’’ after ‘‘2009,’’; 
and 
(iii) in clause (i), by inserting ‘‘or 
such eyeglasses and contact lenses’’ after 
‘‘orthotics’’. 
(B) CONFORMING AMENDMENT.— 
(i) IN GENERAL.—Section 1847(a)(2) 
of the Social Security Act (42 U.S.C. 
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1395w–3(a)(2)) is amended by adding at 
the end the following new subparagraph: 
‘‘(D) 
EYEGLASSES
AND
CONTACT 
LENSES.—Eyeglasses and contact lenses for 
which payment would otherwise be made under 
section 1834(h).’’. 
(ii) EXEMPTION
OF
CERTAIN
ITEMS 
FROM
COMPETITIVE
ACQUISITION.—Sec-
tion 1847(a)(7) of the Social Security Act 
(42 U.S.C. 1395w–3(a)(7)) is amended by 
adding at the end the following new sub-
paragraph: 
‘‘(C) CERTAIN EYEGLASSES AND CONTACT 
LENSES.—Those items and services described in 
paragraph (2)(D) if furnished by a physician or 
other practitioner (as defined by the Secretary) 
to the physician’s or practitioner’s own patients 
as part of the physician’s or practitioner’s pro-
fessional service.’’. 
(g) 
EXCLUSION
MODIFICATIONS.—Section 
1862(a)(1) of the Social Security Act (42 U.S.C. 
1395y(a)) is amended— 
(1) in subparagraph (O), by striking ‘‘and’’ at 
the end; 
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(2) in subparagraph (P), by striking the semi-
colon at the end and inserting ‘‘, and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(Q) in the case of vision services (as defined 
in section 1861(lll)) that are routine eye examina-
tions and contact lens fitting services (as described 
in paragraph (1) or (2), respectively, of such sec-
tion), which are furnished more frequently than once 
during a 1-year period;’’. 
(h) REPEAL OF GROUND FOR EXCLUSION.—Section 
1862(a)(7) of the Social Security Act (42 U.S.C. 
1395y(a)(7)) is amended by striking ‘‘, eyeglasses (other 
than eyewear described in section 1861(s)(8)) or eye ex-
aminations for the purpose of prescribing, fitting, or 
changing eyeglasses, procedures performed (during the 
course of any eye examination) to determine the refractive 
state of the eyes’’. 
(i) LOW VISION AIDS.—Not later than one year after 
the date of the enactment of this Act, the Secretary of 
Health and Human Services shall, in consultation with rel-
evant stakeholders— 
(1) undergo a review and analysis of clinically 
indicated magnifiers, spectacles, and other similar 
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vision enhancement devices used to assist individuals 
with low vision and visual impairments; 
(2) based on such review identify such specific 
devices that are not, but which pursuant to adminis-
trative action could be, covered under the Medicare 
program under title XVIII of the Social Security Act 
coverage; and 
(3) take such administrative actions as are nec-
essary to provide for such coverage of such devices 
so identified as the Secretary determines appro-
priate. 
SEC. 3. IMPLEMENTATION FUNDING. 
The Secretary of Health and Human Services shall 
provide for the transfer from the Federal Supplementary 
Medical Insurance Trust Fund under section 1841 of the 
Social Security Act (42 U.S.C. 1395t) to the Centers for 
Medicare & Medicaid Services Program Management Ac-
count for the period of 2022 through 2026 of such sums 
as may be necessary for purposes of implementing the 
amendments made by section 2. 
Æ 
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