I 116th CONGRESS 1st Session H. R. 1948 IN THE HOUSE OF REPRESENTATIVES March 28, 2019 Ms. Schakowsky (for herself, Mr. Carter of Georgia , Mr. Blumenauer , Mr. Kelly of Pennsylvania , Mr. Ruiz , Mr. Welch , Mr. Gianforte , Ms. Matsui , Mr. DeFazio , Mr. Cicilline , Ms. Moore , Ms. Gabbard , Ms. Johnson of Texas , Mrs. Rodgers of Washington , Mr. Fitzpatrick , Mr. Gaetz , Mr. Diaz-Balart , Mr. Holding , Mrs. Bustos , Mr. Butterfield , Mr. Vela , Ms. Blunt Rochester , Mr. Rush , Mr. Khanna , Mr. Moulton , Mr. Yarmuth , Mr. Grijalva , Ms. Hill of California , Mr. Foster , Mr. Tonko , Mr. Hastings , Mr. Thompson of California , Mr. Cleaver , Mr. King of New York , Mr. Massie , Mr. King of Iowa , Mr. Rutherford , Mr. Lipinski , Mr. Cohen , Mr. Visclosky , Mr. Suozzi , Mrs. Davis of California , Mr. Gallego , Mr. Heck , Mr. Michael F. Doyle of Pennsylvania , Mr. Price of North Carolina , Mr. Cole , Mr. Smith of Nebraska , Mr. Westerman , Mr. Byrne , Mr. Rodney Davis of Illinois , Mr. Raskin , Mr. Kind , Mr. Rose of New York , Mr. Duffy , Mr. Katko , Mr. Stewart , Mr. Griffith , Miss González-Colón of Puerto Rico , Mrs. Brooks of Indiana , Mr. Zeldin , Mr. Ryan , Mr. Deutch , Ms. Sewell of Alabama , Ms. Kelly of Illinois , Ms. Mucarsel-Powell , Ms. Barragán , Ms. Schrier , Mr. Young , Mr. Mullin , Mr. Rice of South Carolina , Mrs. Radewagen , Mr. Neguse , Mr. Engel , Ms. McCollum , Mrs. Dingell , Mr. Cartwright , Mr. Cooper , Miss Rice of New York , Mr. Wilson of South Carolina , Mr. Hurd of Texas , Mr. Rooney of Florida , Mr. Wenstrup , Mr. Joyce of Ohio , Mr. Loebsack , Mr. Schiff , Mr. Morelle , Ms. Bonamici , Mr. Lawson of Florida , Mr. Posey , Mr. Lamborn , Ms. Adams , Mr. Palazzo , and Mr. Mitchell ) 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 provide for Medicare coverage of certain lymphedema compression treatment items as items of durable medical equipment.

1. Short title This Act may be cited as the Lymphedema Treatment Act of 2019 . 2. Medicare coverage of certain lymphedema compression treatment items as items of durable medical equipment (a) In general Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ) is amended— (1) in subsection (n), in the first sentence, by inserting before the semicolon the following: and includes lymphedema compression treatment items (as defined in subsection (kkk)) ; and (2) by adding at the end the following new subsection: (kkk) Lymphedema compression treatment items The term lymphedema compression treatment items — (1) means, with respect to an individual, compression garments, devices, bandaging systems, components, and supplies— (A) that are primarily and customarily used in the medical treatment of lymphedema; (B) as 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 (C) which would not, other than under subsection (s)(6), be included as medical and other health services under this title; and (2) includes— (A) multilayer compression bandaging systems; (B) custom or standard fit gradient compression garments; (C) non-elastic and low-elastic compression garments and compression wraps and directional flow pads; and (D) any other compression garments, bandaging systems, devices, and aids 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, 2021.