SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare Orthotics and 
Prosthetics Patient-Centered Care Act’’. 
SEC. 2. INCREASING PROTECTIONS FOR MEDICARE BENE-
FICIARIES RECEIVING ORTHOTIC AND PROS-
THETIC CARE. 
(a) PROHIBITION ON PAYMENT FOR ITEMS DELIV-
ERED BY DROP SHIPMENT.— 
(1) IN GENERAL.—Section 1834(h)(1) of the 
Social Security Act (42 U.S.C. 1395m(h)(1)) is 
amended by adding at the end the following new 
subparagraph: 
‘‘(I) PROHIBITION ON PAYMENT FOR CER-
TAIN ITEMS FURNISHED USING A DROP SHIP-
MENT.— 
‘‘(i) IN GENERAL.—No payment shall 
be made under this subsection for an item 
described in clause (ii) furnished to an in-
dividual via a drop shipment. 
‘‘(ii) ITEMS DESCRIBED.—This items 
described in this clause are the following: 
‘‘(I) A prosthesis (as defined in 
subparagraph (H)(4)(B)), except that 
such term does not include supplies 
for such prosthesis. 
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‘‘(II) A custom-fabricated ortho-
sis (as described in subparagraph 
(F)(ii)), or a custom-fitted orthosis, 
except that such term does not in-
clude supplies for such orthosis. 
‘‘(III) Off-the-shelf orthotics (as 
defined in section 1847(a)(2)(C)) that 
are not otherwise subject to competi-
tive bidding and delivered by drop 
shipment. 
‘‘(iii) DROP SHIPMENT DEFINED.—In 
this subparagraph, the term ‘drop ship-
ment’ means the direct shipment of a pros-
thesis or an orthosis to an individual that 
has not received training or education with 
respect to fitting and adjustment or train-
ing in the care and use of such prosthesis 
or orthosis from a qualified practitioner 
(as described in subparagraph (F)(iii)).’’. 
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) shall apply to items furnished on 
or after the first day of the first full calendar year 
following the date of enactment of this Act. 
(b) ADDITIONAL PRACTITIONERS EXEMPT FROM 
COMPETITIVE ACQUISITION.—Section 1847(a)(7)(A)(i) of 
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the Social Security Act (42 U.S.C. 1395w–3(a)(7)(A)(i)) 
is amended— 
(1) by inserting ‘‘, physical therapist, occupa-
tional therapist, orthotist, prosthetist’’ after ‘‘by a 
physician’’; and 
(2) by inserting ‘‘, physical therapist, occupa-
tional therapist, orthotist, prosthetist’’ after ‘‘the 
physician’s’’ in each place such term occurs. 
(c) ENSURING BENEFICIARY ACCESS TO REPLACE-
MENT CUSTOM-FITTED ORTHOTIC DEVICES AND CUS-
TOM-FABRICATED
ORTHOTIC
DEVICES.—Section 
1834(h)(1)(G) of the Social Security Act (42 U.S.C. 
1395m(h)(1)(G)) is amended— 
(1) in the heading, by inserting ‘‘, CUSTOM- 
FITTED
ORTHOTIC
DEVICES, CUSTOM-FABRICATED 
ORTHOTIC
DEVICES,’’ after ‘‘REPLACEMENT
OF 
PROSTHETIC DEVICES’’; and 
(2) in clause (i), by inserting ‘‘, replacement of 
custom-fitted orthotic devices, replacement of cus-
tom-fabricated orthotic devices,’’ after ‘‘which are 
artificial limbs,’’. 
(d) UPDATING DEFINITIONS
OF ORTHOTICS
AND 
PROSTHETICS.—Section 1834(h)(4)(C) of the Social Se-
curity Act (42 U.S.C. 1395m(h)(4)(C)) is amended by 
striking ‘‘the term ‘orthotics and prosthetics’ has the 
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meaning given such term’’, and inserting ‘‘the terms 
‘orthotics and prosthetics’ and ‘orthoses and prostheses’ 
have the meaning given such terms’’. 
(e) REGULATIONS.—Not later than 1 year after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services shall promulgate final regulations to 
implement the amendments made by this Act. 
Æ 
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