sion garments and other items determined by the Secretary 
that are— 
‘‘(1) furnished on or after January 1, 2024, to 
an individual with a diagnosis of lymphedema for the 
treatment of such condition; 
‘‘(2) primarily and customarily used to serve a 
medical 
purpose 
and 
for 
the 
treatment 
of 
lymphedema, as determined by the Secretary; and 
‘‘(3) prescribed by a physician (or a physician 
assistant, nurse practitioner, or a clinical nurse spe-
cialist (as those terms are defined in section 
1861(aa)(5)) to the extent authorized under State 
law).’’. 
(2) PAYMENT.— 
(A) IN GENERAL.—Section 1833(a)(1) of the 
Social Security Act (42 U.S.C. 1395l(a)(1)) is 
amended— 
(i) by striking ‘‘and’’ before ‘‘(DD)’’; 
and 
(ii) by inserting before the semicolon at 
the end the following: ‘‘and (EE) with re-
spect to lymphedema compression treatment 
items (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 
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determined under the payment basis deter-
mined under section 1834(z)’’. 
(B) PAYMENT
BASIS
AND
LIMITATIONS.— 
Section 1834 of the Social Security Act (42 
U.S.C. 1395m) is amended by adding at the end 
the following new subsection: 
‘‘(z) PAYMENT
FOR
LYMPHEDEMA
COMPRESSION 
TREATMENT ITEMS.— 
‘‘(1) IN GENERAL.—The Secretary shall deter-
mine an appropriate payment basis for lymphedema 
compression treatment items (as defined in section 
1861(lll)). In making such a determination, the Sec-
retary may take into account payment rates for such 
items under State plans (or waivers of such plans) 
under title XIX, the Veterans Health Administration, 
and group health plans and health insurance coverage 
(as such terms are defined in section 2791 of the Pub-
lic Health Service Act), and such other information 
as the Secretary determines appropriate. 
‘‘(2) FREQUENCY
LIMITATION.—No payment 
may be made under this part for lymphedema com-
pression treatment items furnished other than at such 
frequency as the Secretary may establish. 
‘‘(3) APPLICATION
OF
COMPETITIVE
ACQUISI-
TION.—In the case of lymphedema compression treat-
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ment items that are included in a competitive acqui-
sition program in a competitive acquisition area 
under section 1847(a)— 
‘‘(A) the payment basis under this sub-
section for such items furnished in such area 
shall be the payment basis determined under 
such competitive acquisition program; and 
‘‘(B) the Secretary may use information on 
the payment determined under such competitive 
acquisition programs to adjust the payment 
amount otherwise determined under this sub-
section for an area that is not a competitive ac-
quisition area under section 1847, and in the 
case of such adjustment, paragraphs (8) and (9) 
of section 1842(b) shall not be applied.’’. 
(3) 
CONFORMING
AMENDMENT.—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) LYMPHEDEMA
COMPRESSION
TREAT-
MENT ITEMS.—Lymphedema compression treat-
ment items (as defined in section 1861(lll)) for 
which payment would otherwise be made under 
section 1834(z).’’. 
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(b) INCLUSION IN REQUIREMENTS FOR SUPPLIERS OF 
MEDICAL EQUIPMENT AND SUPPLIES.—Section 1834 of the 
Social Security Act (42 U.S.C. 1395m) is amended— 
(1) in subsection (a)(20)(D), by adding at the 
end the following new clause: 
‘‘(iv) Lymphedema compression treat-
ment 
items 
(as 
defined 
in 
section 
1861(lll)).’’. 
(2) in subsection (j)(5)— 
(A) by redesignating subparagraphs (E) 
and (F) as subparagraphs (F) and (G), respec-
tively; and 
(B) by inserting after subparagraph (D) the 
following new subparagraph: 
‘‘(E) lymphedema compression treatment 
items (as defined in section 1861(lll));’’. 
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Union Calendar No. 336 
117TH CONGRESS 
2D SESSION 
H. R. 3630 
[Report No. 117–430, Part I] 
A BILL 
To amend title XVIII of the Social Security Act to 
provide for coverage of certain lymphedema com-
pression treatment items under the Medicare 
program. 
JULY 22, 2022 
Reported from the Committee on Energy and Commerce 
with an amendment 
JULY 22, 2022 
Committee on Ways and Means discharged; committed to 
the Committee of the Whole House on the State of the 
Union and ordered to be printed 
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