Title: Lymphedema Treatment Act
Policy area: Health

Summary:
Lymphedema Treatment Act
This bill provides for Medicare coverage of lymphedema compression treatment items. Specifically, the bill provides for coverage of (1) standard and custom fitted gradient compression garments that are prescribed by a physician or other specified health care professional to treat lymphedema, and (2) other devices determined to be effective in the prevention or treatment of lymphedema.

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 1315 Introduced in Senate (IS)]

<DOC>






117th CONGRESS
  1st Session
                                S. 1315

To amend title XVIII of the Social Security Act to provide for coverage 
 of certain lymphedema compression treatment items under the Medicare 
                                program.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             April 22, 2021

 Ms. Cantwell (for herself, Mr. Grassley, Mr. Merkley, Mr. Young, Ms. 
 Baldwin, Mr. Blunt, Ms. Duckworth, Mr. Wicker, Ms. Sinema, Mr. Rubio, 
  Ms. Klobuchar, Ms. Ernst, Ms. Smith, Mrs. Hyde-Smith, Mr. Reed, Mr. 
Tillis, Mr. Brown, Mr. Sullivan, Mr. Markey, Mr. Daines, Mr. Casey, Mr. 
 Scott of South Carolina, Mrs. Shaheen, Mrs. Capito, Ms. Stabenow, Ms. 
  Murkowski, Mr. Cardin, Mr. Boozman, Mr. Blumenthal, Mr. Rounds, Mr. 
Schatz, Mr. Inhofe, Mr. Van Hollen, Mr. Hoeven, Mr. Coons, Mr. Scott of 
  Florida, Mr. Menendez, Mr. Lankford, Mr. Bennet, Mrs. Fischer, Ms. 
  Cortez Masto, Mr. Graham, Mrs. Murray, Mr. Carper, Ms. Warren, Mr. 
 Booker, Mr. King, Mr. Durbin, Mr. Whitehouse, Mr. Tester, Mr. Warner, 
 Ms. Rosen, Mr. Padilla, and Mr. Kelly) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to provide for coverage 
 of certain lymphedema compression treatment items under the Medicare 
                                program.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Lymphedema Treatment Act''.

SEC. 2. MEDICARE COVERAGE OF CERTAIN LYMPHEDEMA COMPRESSION TREATMENT 
              ITEMS.

    (a) In General.--Section 1861 of the Social Security Act (42 U.S.C. 
1395x) is amended--
            (1) in subsection (s)(2)--
                    (A) in subparagraph (GG), by striking ``and'' after 
                the semicolon at the end;
                    (B) in subparagraph (HH), by striking the period at 
                the end and inserting ``; and''; and
                    (C) by adding at the end the following new 
                subparagraph:
            ``(II) lymphedema compression treatment items (as defined 
        in subsection (lll));''; and
            (2) by adding at the end the following new subsection:

                ``Lymphedema Compression Treatment Items

    ``(lll) The term `lymphedema compression treatment items' means--
            ``(1) standard and custom fitted gradient compression 
        garments that are--
                    ``(A) furnished on or after January 1, 2023, to an 
                individual with a diagnosis of lymphedema for the 
                treatment of such condition;
                    ``(B) primarily and customarily used in the medical 
                treatment of lymphedema, as determined by the 
                Secretary; and
                    ``(C) prescribed by a physician (or a physician 
                assistant, nurse practitioner, or a clinical nurse 
                specialist (as those terms are defined in section 
                1861(aa)(5)) to the extent authorized under State law); 
                and
            ``(2) other devices determined by the Secretary to be 
        effective in the prevention or treatment of lymphedema.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to lymphedema compression treatment items furnished on or after 
January 1, 2023.
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