I 
117TH CONGRESS 
1ST SESSION H. R. 2356 
To amend title XVIII of the Social Security Act to make technical amend-
ments to the separate payment under the Medicare program for dispos-
able negative pressure wound therapy devices. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 5, 2021 
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 sub-
sequently 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Better Wound Care 
at Home Act’’. 
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SEC. 2. TECHNICAL AMENDMENTS TO MEDICARE SEPA-
RATE PAYMENT FOR DISPOSABLE NEGATIVE 
PRESSURE WOUND THERAPY DEVICES. 
(a) IN GENERAL.—Section 1834(s) of the Social Se-
curity Act (42 U.S.C. 1395m(s)) is amended— 
(1) in paragraph (1), by adding at the end the 
following new sentence: ‘‘Effective as of January 1, 
2022, such separate payment shall be a national 
payment rate established each year for the applica-
ble disposable device itself, and not for the related 
professional services or home visit to furnish the de-
vice, and shall be made under the prospective pay-
ment system established under section 1895, as an 
add-on payment for the device in addition to other 
payments available to a home health agency under 
such section.’’; 
(2) in paragraph (3), by adding at the end the 
following new sentences: ‘‘In calculating the separate 
payment amount for applicable disposable devices in 
a given year, the Secretary shall assume no facility 
level adjustments are applied and the wage adjust-
ment factor shall be 1.0, regardless of the wage ad-
justment factor that would otherwise apply under 
section 1833(t). The separate payment for the appli-
cable disposable device shall be made under the pro-
spective payment system established under section 
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1895, and nothing in this paragraph shall be con-
strued to authorize the separate payment for the ap-
plicable disposable device to be under a different 
payment system.’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(4) IMPLEMENTATION.—As part of submitting 
claims eligible for or related to the separate add-on 
payment established under this subsection, the Sec-
retary shall accept and process claims submitted 
using the type of bill that is most commonly used by 
home health agencies to bill services under a home 
health plan of care, and the Secretary shall not re-
quire home health agencies to account for the time 
spent applying the applicable disposable device sepa-
rately from the time spent treating other conditions 
or to submit claims for payment under a payment 
system other than the prospective payment system 
established under section 1895. Notwithstanding any 
other provision of law, the Secretary may implement 
this subsection by program instruction or other-
wise.’’. 
Æ 
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