I 
113TH CONGRESS 
2D SESSION 
H. R. 4035 
To amend title XVIII of the Social Security Act to provide Medicare bene-
ficiaries coordinated care and greater choice with regard to accessing 
hearing health services and benefits. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 11, 2014 
Mr. MCDERMOTT (for himself and Mr. LATHAM) 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 subse-
quently 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 provide 
Medicare beneficiaries coordinated care and greater 
choice with regard to accessing hearing health services 
and benefits. 
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 ‘‘Access to Hearing 
Healthcare Act of 2014’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
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(1) Approximately 36,000,000 Americans expe-
rience some degree of hearing loss and by 2030 that 
number is expected to increase to 78,000,000 Ameri-
cans. 
(2) Hearing impairment is one of the most 
common conditions affecting older adults, with ap-
proximately 33 percent of Americans aged 60 years 
and over and 40 to 50 percent of those aged 75 
years and older experiencing hearing loss. 
(3) The National Institute on Deafness and 
Other Communication Disorders estimates that ap-
proximately 15 percent (26 million) of Americans 
between the ages of 20 and 69 have high frequency 
hearing loss due to exposure to loud sounds or noise 
at work or in leisure activities. 
(4) Hearing loss is a major barrier to partici-
pating in society, both economically and socially. 
(5) Hearing loss among senior citizens, if left 
untreated, can result in isolation and depression. 
(6) The Department of Veterans Affairs allows 
veterans to directly access audiologists and has re-
ported that this policy, adopted in 1992, provides 
high-quality, efficient, and cost-effective hearing 
care. 
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(7) The Office of Personnel Management allows 
Federal employees and Members of Congress to di-
rectly access audiologists through the Federal Em-
ployees Health Benefits Program. 
(8) Audiologists are licensed in each State and 
the District of Columbia and the scope of services 
furnished by audiologists is determined by each ju-
risdiction involved. 
(9) Consistency in Federal policy with respect 
to hearing health services should be encouraged to 
the greatest extent possible. 
(10) Audiologists hold master’s or doctoral de-
grees in audiology, completing university training 
programs which provide for rigorous theoretical and 
clinical education on evaluation, diagnosis, and 
treatment. 
(11) As of January 1, 2010, audiologists are 
categorized under a unique broad occupation cat-
egory within the Standard Occupational Classifica-
tion (SOC) system to better reflect the diagnostic 
and treatment nature of the services they provide. 
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SEC. 3. ENABLING MEDICARE BENEFICIARIES TO HAVE 
THEIR 
CHOICE 
OF 
QUALIFIED 
HEARING 
HEALTH CARE PROVIDERS. 
Section 1861(ll)(3) of the Social Security Act (42 
U.S.C. 1395x(ll)(3)) is amended by inserting before the 
period at the end the following: ‘‘, without regard to any 
requirement that the individual receiving the audiology 
services be under the care of (or referred by) a physician 
or other health care practitioner or that such services are 
provided under the supervision of a physician or other 
health care practitioner’’. 
SEC. 4. INCLUSION OF AUDIOLOGY SERVICES AS MEDICAL 
SERVICES UNDER MEDICARE PART B; PAY-
MENT FOR SUCH SERVICES. 
(a) IN GENERAL.—Section 1861(s)(2) of the Social 
Security Act (42 U.S.C. 1395x(s)(2)) is amended— 
(1) in subparagraph (EE), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (FF), by inserting ‘‘and’’ 
at the end; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(GG) audiology services (as defined in 
subsection (ll)(3));’’. 
(b) PAYMENT UNDER THE PHYSICIAN FEE SCHED-
ULE.—Section 1848(j)(3) of the Social Security Act (42 
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