I 
115TH CONGRESS 
1ST SESSION H. R. 4229 
To extend the transition to new payment rates for durable medical equipment 
under the Medicare program and amend title XVIII of the Social Security 
Act to update the Medicare budget neutrality requirement for oxygen. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 2, 2017 
Mrs. MCMORRIS RODGERS (for herself, Mr. ADERHOLT, Mr. BISHOP of Geor-
gia, Mrs. BLACKBURN, Mr. BLUM, Mr. BUCSHON, Mr. COLLINS of Geor-
gia, Mr. COLLINS of New York, Mr. COOK, Mr. CRAMER, Mr. DUFFY, 
Mr. DUNCAN of Tennessee, Mr. FERGUSON, Mr. GALLAGHER, Mr. 
GIANFORTE, Mr. GRAVES of Georgia, Mr. GRAVES of Missouri, Mr. GRIF-
FITH, Mr. HARPER, Mrs. HARTZLER, Mr. JENKINS of West Virginia, Ms. 
JENKINS of Kansas, Mr. JOHNSON of Ohio, Mr. JOYCE of Ohio, Ms. 
KAPTUR, Mr. KELLY of Pennsylvania, Mr. KING of Iowa, Ms. KUSTER 
of New Hampshire, Mr. LAMALFA, Mr. LAMBORN, Mr. LATTA, Mr. 
LONG, Mr. LUETKEMEYER, Mr. MARINO, Mr. MARSHALL, Mr. MOULTON, 
Mrs. NOEM, Mr. ROGERS of Alabama, Mr. ROTHFUS, Ms. SEWELL of 
Alabama, Mr. SMITH of Missouri, Mr. TIBERI, Mr. TIPTON, Mr. TUR-
NER, Mrs. WAGNER, Mr. WELCH, Mr. YOUNG of Iowa, Mr. RYAN of 
Ohio, Mr. ROE of Tennessee, Mr. ALLEN, Mr. VISCLOSKY, Mr. KELLY 
of Mississippi, Mr. MULLIN, and Mr. LOEBSACK) 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 extend the transition to new payment rates for durable 
medical equipment under the Medicare program and 
amend title XVIII of the Social Security Act to update 
the Medicare budget neutrality requirement for oxygen. 
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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 ‘‘Protecting Home Oxy-
gen & Medical Equipment Access Act of 2017’’ or the 
‘‘Protecting HOME Access Act of 2017’’. 
SEC. 2. EXTENSION OF THE TRANSITION TO NEW PAYMENT 
RATES FOR DURABLE MEDICAL EQUIPMENT 
UNDER THE MEDICARE PROGRAM. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall extend the transition period de-
scribed in clause (i) of section 414.210(g)(9) of title 42, 
Code of Federal Regulations, from January 1, 2017, to 
December 31, 2018 (with the full implementation de-
scribed in clause (ii) of such section applying to items and 
services furnished with dates of service on or after Janu-
ary 1, 2019). 
(b) PAYMENT AMOUNT.—Notwithstanding section 
414.210(g)(8) of title 42, Code of Federal Regulations, 
reimbursement rates for applicable items and services ap-
plied pursuant to subsection (a) shall be equal to reim-
bursement rates in effect on January 1, 2016. 
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SEC. 3. BUDGET NEUTRALITY FOR OXYGEN UNDER THE 
MEDICARE PROGRAM. 
(a) IN GENERAL.—Section 1834(a)(9)(D)(ii) of the 
Social Security Act (42 U.S.C. 1395m(a)(9)(D)(ii)) is 
amended by adding at the end the following new sentence: 
‘‘The requirement of the preceding sentence shall not 
apply to an action described in clause (i) with respect to 
items and services described in such clause for which there 
is conducted a competitive acquisition program under sec-
tion 1847(a) or with respect to which payment is adjusted 
pursuant to clause (ii) or (iii) of paragraph (1)(F).’’. 
(b) EFFECTIVE DATE.—The amendment made by 
paragraph (1) shall apply with respect to items and serv-
ices furnished on or after the date that is 30 days after 
the date of the enactment of this Act. 
Æ 
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