For purposes of this subparagraph, the term 
‘assets’ means all property, real or personal, 
tangible or intangible, wherever situated (within 
the meaning of section 2031) and such property 
shall be valued in the same manner as for pur-
poses of part III of subchapter A of chapter 
11.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to taxable years beginning after 
the date of the enactment of this Act. 
(c) APPROPRIATIONS TO FEDERAL SUPPLEMENTARY 
MEDICAL INSURANCE TRUST FUND.— 
(1) IN
GENERAL.—There are hereby appro-
priated to the Federal Supplementary Medical Insur-
ance Trust Fund amounts equivalent to the amounts 
received in the Treasury by reason of the amend-
ment made by subsection (a). Rules similar to the 
rules of section 9601 of the Internal Revenue Code 
of 1986 shall apply with respect to transfers made 
by reason of the preceding sentence. 
(2) 
CONFORMING
AMENDMENT.—Section 
1841(a) of the Social Security Act (42 U.S.C. 
1395t) is amended by inserting ‘‘, or section 2(b) of 
the SALT Act,’’ after ‘‘this part’’. 
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SEC. 3. PROVIDING COVERAGE FOR HEARING CARE UNDER 
THE MEDICARE PROGRAM. 
(a) PROVISION OF AUDIOLOGY SERVICES BY QUALI-
FIED AUDIOLOGISTS AND QUALIFIED HEARING AID PRO-
FESSIONALS.— 
(1) IN GENERAL.—Section 1861(ll) of the So-
cial Security Act (42 U.S.C. 1395x(ll)) is amend-
ed— 
(A) in paragraph (3)— 
(i) by inserting ‘‘(and, beginning Jan-
uary 1, 2025, such aural rehabilitation and 
treatment services)’’ after ‘‘assessment 
services’’; 
(ii) by inserting ‘‘, and, beginning on 
January 1, 2025, such hearing assessment 
services furnished by a qualified hearing 
aid professional,’’ after ‘‘by a qualified au-
diologist’’; and 
(iii) by striking ‘‘the audiologist’’ and 
inserting ‘‘the audiologist or qualified hear-
ing aid professional’’; and 
(B) in paragraph (4), by adding at the end 
the following new subparagraph: 
‘‘(C) The term ‘qualified hearing aid profes-
sional’ means, with respect to hearing assessment 
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services described in paragraph (3), an individual 
who— 
‘‘(i) is licensed or registered as a hearing 
aid dispenser, hearing aid specialist, hearing in-
strument dispenser, or related professional by 
the State in which the individual furnishes such 
services; and 
‘‘(ii) meets such other requirements as the 
Secretary determines appropriate (including re-
quirements relating to educational certifications 
or accreditations), taking into account any addi-
tional requirements for hearing aid specialists, 
hearing aid dispensers, and hearing instrument 
dispensers established by Medicare Advantage 
organizations under part C, State plans (or 
waivers of such plans) under title XIX, and the 
group health plans and health insurance issuers 
(as such terms are defined in section 2791 of 
the Public Health Service Act).’’. 
(2) PAYMENT
FOR
QUALIFIED
HEARING
AID 
PROFESSIONALS.—Section 1833(a)(1) of the Social 
Security Act (42 U.S.C. 1395l(a)(1)) is amended— 
(A) by striking ‘‘and’’ before ‘‘(HH)’’; and 
(B) by inserting before the semicolon at 
the end the following: ‘‘and (II) with respect to 
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hearing assessment services (as described in 
paragraph (3) of section 1861(ll)) furnished by 
a qualified hearing aid professional (as defined 
in paragraph (4)(C) of such section), the 
amounts paid shall be equal to 80 percent of 
the lesser of the actual charge for such services 
or 85 percent of the amount for such services 
determined under the payment basis determined 
under section 1848’’. 
(b) COVERAGE OF HEARING AIDS.— 
(1) INCLUSION
OF
HEARING
AIDS
AS
PROS-
THETIC DEVICES.—Section 1861(s)(8) of the Social 
Security Act (42 U.S.C. 1395x(s)(8)) is amended by 
inserting ‘‘, and including hearing aids (as described 
in section 1834(h)(7)) furnished on or after January 
1, 2025, to individuals diagnosed with moderately 
severe, severe, or profound hearing loss’’ before the 
semicolon at the end. 
(2) PAYMENT
LIMITATIONS
FOR
HEARING 
AIDS.—Section 1834(h) of the Social Security Act 
(42 U.S.C. 1395m(h)) is amended by adding at the 
end the following new paragraphs: 
‘‘(6) PAYMENT ONLY ON AN ASSIGNMENT-RE-
LATED BASIS.—Payment for hearing aids for which 
payment may be made under this part may be made 
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only on an assignment-related basis. The provisions 
of section 1842(b)(18)(B) shall apply to hearing aids 
in the same manner as they apply to services fur-
nished by a practitioner described in subsection 
(b)(18)(C). 
‘‘(7) LIMITATIONS FOR HEARING AIDS.—Pay-
ment may be made under this part with respect to 
an individual, with respect to hearing aids furnished 
on or after January 1, 2025— 
‘‘(A) not more than once per ear during a 
5-year period; 
‘‘(B) only for types of such hearing aids 
that are determined appropriate by the Sec-
retary; and 
‘‘(C) only if furnished pursuant to a writ-
ten order of a physician, qualified audiologist 
(as defined in section 1861(ll)(4)), qualified 
hearing aid professional (as so defined), physi-
cian assistant, nurse practitioner, or clinical 
nurse specialist.’’. 
(3) 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— 
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(i) in the header, by inserting ‘‘AND 
HEARING AIDS’’ after ‘‘ORTHOTICS’’; 
(ii) by inserting ‘‘, or of hearing aids 
described in paragraph (2)(D) of such sec-
tion,’’ after ‘‘2011,’’; and 
(iii) in clause (i), by inserting ‘‘or 
such hearing aids’’ after ‘‘such orthotics’’. 
(B) CONFORMING AMENDMENT.— 
(i) IN GENERAL.—Section 1847(a)(2) 
of the Social Security Act (42 U.S.C. 
1395w–3(a)(2)) is amended by adding at 
the end the following new subparagraph: 
‘‘(D) HEARING
AIDS.—Hearing aids de-
scribed in section 1861(s)(8) 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
HEARING
AIDS.—Those 
items and services described in paragraph 
(2)(D) if furnished by a physician or other 
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practitioner (as defined by the Secretary) to the 
physician’s or practitioner’s own patients as 
part of the physician’s or practitioner’s profes-
sional service.’’. 
(4) INCLUSION
OF
QUALIFIED
AUDIOLOGISTS 
AND QUALIFIED HEARING AID PROFESSIONALS AS 
CERTAIN PRACTITIONERS TO RECEIVE PAYMENT ON 
AN
ASSIGNMENT-RELATED
BASIS.—Section 
1842(b)(18)(C) of the Social Security Act (42 
U.S.C. 1395u(b)(18)(C)), is amended by adding at 
the end the following new clauses: 
‘‘(ix) Beginning on January 1, 2025, 
a qualified audiologist (as defined in sec-
tion 1861(ll)(4)(B)). 
‘‘(x) A qualified hearing aid profes-
sional 
(as 
defined 
in 
section 
1861(ll)(4)(C)).’’. 
(c) EXCLUSION MODIFICATION.—Section 1862(a)(7) 
of the Social Security Act (42 U.S.C. 1395y(a)(7)) is 
amended by inserting ‘‘(except such hearing aids or exami-
nations therefor as described in and otherwise allowed 
under section 1861(s)(8))’’ after ‘‘hearing aids or exami-
nations therefor’’. 
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(d) INCLUSION
AS EXCEPTED MEDICAL TREAT-
MENT.—Section 1821(b)(5)(A) of the Social Security Act 
(42 U.S.C. 1395i–5(b)(5)(A)) is amended— 
(1) in clause (i), by striking ‘‘or’’; 
(2) in clause (ii), by striking the period and in-
serting ‘‘, or’’; and 
(3) by adding at the end the following new 
clause: 
‘‘(iii) consisting of audiology services 
described in subsection (ll)(3) of section 
1861, or hearing aids described in sub-
section (s)(8) of such section, that are pay-
able under part B as a result of the 
amendments made by the SALT Act.’’. 
(e) RURAL
HEALTH
CLINICS
AND
FEDERALLY 
QUALIFIED HEALTH CENTERS.— 
(1) CLARIFYING
COVERAGE
OF
AUDIOLOGY 
SERVICES
AS
PHYSICIANS’ 
SERVICES.—Section 
1861(aa)(1)(A) of the Social Security Act (42 
U.S.C. 1395x(aa)(1)(A)) is amended by inserting 
‘‘(including audiology services (as defined in sub-
section (ll)(3)))’’ after ‘‘physicians’ services’’. 
(2) INCLUSION
OF
QUALIFIED
AUDIOLOGISTS 
AND QUALIFIED HEARING AID PROFESSIONALS AS 
RHC
AND
FQHC
PRACTITIONERS.—Section 
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1861(aa)(1)(B) of the Social Security Act (42 
U.S.C. 1395x(aa)(1)(B)) is amended by inserting 
‘‘or by a qualified audiologist or a qualified hearing 
aid professional (as such terms are defined in sub-
section (ll)),’’ after ‘‘(as defined in subsection 
(hh)(1)),’’. 
(3) TEMPORARY PAYMENT RATES FOR CERTAIN 
SERVICES UNDER THE RHC AIR AND FQHC PPS.— 
(A) AIR.—Section 1833 of the Social Se-
curity Act (42 U.S.C. 1395l) is amended— 
(i) in subsection (a)(3)(A), by insert-
ing ‘‘(which shall, in the case of audiology 
services (as defined in section 1861(ll)(3)), 
in lieu of any limits on reasonable charges 
otherwise applicable, be based on the rates 
payable for such services under the pay-
ment basis determined under section 1848 
until such time as the Secretary deter-
mines sufficient data has been collected to 
otherwise apply such limits (or January 1, 
2031, if no such determination has been 
made as of such date))’’ after ‘‘may pre-
scribe in regulations’’; and 
(ii) by adding at the end the following 
new subsection: 
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‘‘(ee) DISREGARD OF COSTS ATTRIBUTABLE TO CER-
TAIN SERVICES FROM CALCULATION OF RHC AIR.— 
Payments for rural health clinic services other than audi-
ology services (as defined in section 1861(ll)(3)) under the 
methodology for all-inclusive rates (established by the Sec-
retary) under subsection (a)(3) shall not take into account 
the costs of such services while rates for such services are 
based on rates payable for such services under the pay-
ment basis established under section 1848.’’. 
(B) PPS.—Section 1834(o) of the Social 
Security Act (42 U.S.C. 1395m(o)) is amended 
by adding at the end the following new para-
graph: 
‘‘(5) TEMPORARY PAYMENT RATES BASED ON 
PFS FOR CERTAIN SERVICES.—The Secretary shall, 
in establishing payment rates for audiology services 
(as defined in section 1861(ll)(3)) that are Federally 
qualified health center services under the prospective 
payment system established under this subsection, in 
lieu of the rates otherwise applicable under such sys-
tem, base such rates on rates payable for such serv-
ices under the payment basis established under sec-
tion 1848 until such time as the Secretary deter-
mines sufficient data has been collected to otherwise 
establish rates for such services under such system 
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(or January 1, 2031, if no such determination has 
been made as of such date). Payments for Federally 
qualified health center services other than such audi-
ology services under such system shall not take into 
account the costs of such services while rates for 
such services are based on rates payable for such 
services under the payment basis established under 
section 1848.’’. 
(f) IMPLEMENTATION.— 
(1) IN GENERAL.—In addition to amounts oth-
erwise available, the Secretary of Health and 
Human Services shall provide for the transfer from 
the Federal Supplementary Medical Insurance Trust 
Fund established under section 1841 of the Social 
Security Act (42 U.S.C. 1395t) to the Centers for 
Medicare & Medicaid Services Program Management 
Account of— 
(A) $20,000,000 for each of fiscal years 
2024 and 2025 for purposes of implementing 
the amendments made by this section; and 
(B) such sums as determined appropriate 
by the Secretary for each subsequent fiscal year 
for purposes of administering the provisions of 
such amendments. 
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(2) AVAILABILITY
AND
ADDITIONAL
USE
OF 
FUNDS.—Funds transferred pursuant to paragraph 
(1) shall remain available until expended and may be 
used, in addition to the purposes specified in para-
graph (1), to implement the amendments made by 
section 4. 
(3) ADMINISTRATION.—The Secretary may im-
plement, by program instruction or otherwise, any of 
the provisions of, or amendments made by, this sec-
tion. 
SEC. 4. PROVIDING COVERAGE FOR VISION CARE UNDER 
THE MEDICARE PROGRAM. 
(a) COVERAGE.—Section 1861(s)(2) of the Social Se-
curity Act (42 U.S.C. 1395x(s)(2)) is amended— 
(1) in subparagraph (II), by striking ‘‘and’’ 
after the semicolon at the end; 
(2) in subparagraph (JJ), by striking the pe-
riod at the end and adding ‘‘; and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(KK) vision services (as defined in subsection 
(nnn));’’. 
(b) VISION SERVICES DEFINED.—Section 1861 of 
the Social Security Act (42 U.S.C. 1395x) is amended by 
adding at the end the following new subsection: 
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‘‘(nnn) VISION SERVICES.—The term ‘vision services’ 
means— 
‘‘(1) routine eye examinations to determine the 
refractive state of the eyes, including procedures per-
formed during the course of such examination; and 
‘‘(2) contact lens fitting services, 
furnished on or after January 1, 2025, by or under the 
direct supervision of an ophthalmologist or optometrist 
who is legally authorized to furnish such examinations, 
procedures, or fitting services (as applicable) under State 
law (or the State regulatory mechanism provided by State 
law) of the State in which the examinations, procedures, 
or fitting services are furnished.’’. 
(c) PAYMENT LIMITATIONS.—Section 1834 of the 
Social Security Act (42 U.S.C. 1395m) is amended by 
adding at the end the following new subsection: 
‘‘(aa) LIMITATION FOR VISION SERVICES.—With re-
spect to vision services (as defined in section 1861(nnn)) 
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 2-year 
period.’’. 
(d) PAYMENT UNDER PHYSICIAN FEE SCHEDULE.— 
Section 1848(j)(3) of the Social Security Act (42 U.S.C. 
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1395w–4(j)(3)) is amended by inserting ‘‘(2)(KK),’’ be-
fore ‘‘(3)’’. 
(e) COVERAGE OF CONVENTIONAL EYEGLASSES AND 
CONTACT LENSES.— 
(1) IN
GENERAL.—Section 1861(s)(8) of the 
Social Security 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 surgery with insertion 
of an intraocular lens’’ and inserting ‘‘, including 
one pair of conventional eyeglasses or contact lenses 
furnished subsequent to each cataract surgery with 
insertion of an intraocular lens, if furnished before 
January 1, 2025, and including conventional eye-
glasses or contact lenses (as described in section 
1834(h)(8)), whether or not furnished subsequent to 
such a surgery, if furnished on or after January 1, 
2025’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
1842(b)(11)(A) of the Social Security Act (42 
U.S.C. 1395u(b)(11)(A)) is amended by inserting 
‘‘furnished prior to January 1, 2025,’’ after ‘‘relat-
ing to them,’’. 
(f) SPECIAL PAYMENT RULES FOR EYEGLASSES AND 
CONTACT LENSES.— 
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(1) LIMITATIONS.—Section 1834(h) of the So-
cial Security Act (42 U.S.C. 1395m(h)), as amended 
by section 3, is further amended by adding at the 
end the following new paragraph: 
‘‘(8) 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, 2025, subject to 
subparagraph (B), payment may be made under 
this part only— 
‘‘(i) during a 2-year period, for either 
1 pair of eyeglasses (including lenses and 
frames) or not more than a 2-year supply 
of contact lenses; 
‘‘(ii) with respect to amounts attrib-
utable to the lenses and frames of such a 
pair of eyeglasses or amounts attributable 
to such a 2-year supply of contact lenses, 
in an amount not greater than— 
‘‘(I) for a pair of eyeglasses fur-
nished in, or a 2-year supply of con-
tact lenses beginning in, 2025— 
‘‘(aa) $85 for the lenses of 
such pair of eyeglasses and $85 
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for the frames of such pair of 
eyeglasses; or 
‘‘(bb) $85 for such 2-year 
supply of contact lenses; and 
‘‘(II) for the lenses and frames of 
a pair of eyeglasses furnished in, or a 
2-year supply of contact lenses begin-
ning in, a subsequent year, the dollar 
amounts 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 (United States city average) 
for the 12-month period ending with 
June of the previous year; 
‘‘(iii) if furnished pursuant to a writ-
ten order of an ophthalmologist or optom-
etrist described in subsection (nnn); and 
‘‘(iv) if during the 2-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. 
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‘‘(B) EXCEPTION.—With respect to a 2- 
year period described in subparagraph (A)(i), in 
the case of an individual who receives cataract 
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. 
‘‘(C) LIMITATION ON JUDICIAL REVIEW.— 
There shall be no administrative or judicial re-
view under section 1869 or otherwise of— 
‘‘(i) the determination of the types of 
eyeglasses and contact lenses covered 
under this paragraph; or 
‘‘(ii) the determination of fee schedule 
rates under this subsection for eyeglasses 
and contact lenses.’’. 
(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)), as amended by section 3, is 
further amended— 
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(i) in the header, by striking ‘‘AND 
HEARING AIDS’’ and inserting ‘‘HEARING 
AIDS, 
EYEGLASSES, 
AND
CONTACT 
LENSES’’; 
(ii) by inserting ‘‘and of eyeglasses 
and contact lenses described in paragraph 
(2)(E) of such section,’’ after ‘‘paragraph 
(2)(D) of such section,’’; and 
(iii) in clause (i), by inserting ‘‘, or 
such eyeglasses and contact lenses’’ after 
‘‘such hearing aids’’. 
(B) CONFORMING AMENDMENT.— 
(i) IN GENERAL.—Section 1847(a)(2) 
of the Social Security Act (42 U.S.C. 
1395w–3(a)(2)), as amended by section 3, 
is further amended by adding at the end 
the following new subparagraph: 
‘‘(E) 
EYEGLASSES
AND
CONTACT 
LENSES.—Eyeglasses and contact lenses de-
scribed in section 1861(s)(8) 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 
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(42 U.S.C. 1395w–3(a)(7)), as amended 
by section 3, is further amended by adding 
at the end the following new subparagraph: 
‘‘(D) CERTAIN EYEGLASSES AND CONTACT 
LENSES.—Those items and services described in 
paragraph (2)(E) 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) 
of the Social Security Act (42 U.S.C. 1395y(a)) is amend-
ed— 
(1) in paragraph (1)— 
(A) in subparagraph (O), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (P), by striking the 
semicolon at the end and inserting ‘‘, and’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(Q) in the case of vision services (as defined 
in section 1861(nnn)) that are routine eye examina-
tions and contact lens fitting services (as described 
in paragraph (1) or (2), respectively, of such sec-
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tion), which are furnished more frequently than once 
during a 2-year period;’’; and 
(2) in paragraph (7)— 
(A) by inserting ‘‘(other than such an ex-
amination that is a vision service that is cov-
ered under section 1861(s)(2)(KK))’’ after ‘‘eye 
examinations’’; and 
(B) by inserting ‘‘(other than such a proce-
dure that is a vision service that is covered 
under section 1861(s)(2)(KK))’’ after ‘‘refrac-
tive state of the eyes’’. 
(h) IMPLEMENTATION.— 
(1) FUNDING.— 
(A) IN GENERAL.—In addition to amounts 
otherwise available, the Secretary of Health and 
Human Services (in this subsection referred to 
as the ‘‘Secretary’’) shall provide for the trans-
fer 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 Account of— 
(i) $20,000,000 for each of fiscal 
years 2024 and 2025 for purposes of im-
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plementing the amendments made by this 
section; and 
(ii) such sums as determined appro-
priate by the Secretary for each subse-
quent fiscal year for purposes of admin-
istering the provisions of such amend-
ments. 
(B) AVAILABILITY AND ADDITIONAL USE 
OF
FUNDS.—Funds transferred pursuant to 
subparagraph (A) shall remain available until 
expended and may be used, in addition to the 
purpose specified in subparagraph (A)(i), to im-
plement the amendments made by section 3. 
(2) ADMINISTRATION.—The Secretary may im-
plement, by program instruction or otherwise, any of 
the provisions of, or amendments made by, this sec-
tion. 
Æ 
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