Title: To amend title XVIII of the Social Security Act to make technical amendments to the separate payment under the Medicare program for disposable negative pressure wound therapy devices.
Policy area: Health

Summary:
This bill modifies the Medicare payment methodology for disposable negative pressure wound therapy devices. In particular, the bill specifies that payment must be a national payment rate for the device itself and not for related professional services or visits, and must be made as an add-on payment for the device under the prospective payment system for home health services.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7127 Introduced in House (IH)]

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116th CONGRESS
  2d Session
                                H. R. 7127

   To amend title XVIII of the Social Security Act to make technical 
   amendments to the separate payment under the Medicare program for 
          disposable negative pressure wound therapy devices.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              June 8, 2020

 Mr. Butterfield (for himself and Mr. Mullin) 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 
subsequently 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 make technical 
   amendments to the separate payment under the Medicare program for 
          disposable negative pressure wound therapy devices.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. TECHNICAL AMENDMENTS TO MEDICARE SEPARATE PAYMENT FOR 
              DISPOSABLE NEGATIVE PRESSURE WOUND THERAPY DEVICES.

    (a) In General.--Section 1834(s) of the Social Security Act (42 
U.S.C. 1395m(s)) is amended--
            (1) in paragraph (1), by adding at the end the following 
        new sentence: ``Such separate payment shall be a national 
        payment rate established each year for the applicable 
        disposable device itself, and not for the related professional 
        services or home visit to furnish the device, and shall be made 
        under the prospective payment system established under section 
        1895, as an add-on payment for the device in addition to other 
        payments available to a home health agency under such 
        section.'';
            (2) in paragraph (3), by adding at the end the following 
        new sentences: ``In calculating the separate payment amount for 
        applicable disposable devices in a given year, the Secretary 
        shall assume no facility level adjustments are applied and the 
        wage adjustment factor shall be 1.0, regardless of the wage 
        adjustment factor that would otherwise apply under section 
        1833(t). The separate payment for the applicable disposable 
        device shall be made under the prospective payment system 
        established under section 1895, and nothing in this paragraph 
        shall be construed to authorize the separate payment for the 
        applicable disposable device to be under a different payment 
        system.''; and
            (3) by adding at the end the following new paragraph:
            ``(4) Implementation.--As part of submitting claims 
        eligible for or related to the separate add-on payment 
        established under this subsection, the Secretary shall accept 
        and process claims submitted using the type of bill that is 
        most commonly used by home health agencies to bill services 
        under a home health plan of care, and the Secretary shall not 
        require home health agencies to account for the time spent 
        applying the applicable disposable device separately from the 
        time spent treating other conditions or to submit claims for 
        payment under a payment system other than the prospective 
        payment system established under section 1895.''.
    (b) Regulations.--Not later than 180 days after the date of the 
enactment of this Act, the Secretary of Health and Human Services shall 
promulgate interim final regulations implementing the provisions of, 
including amendments made by, subsection (a).
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