Lymphedema Treatment Act

Bill: 117-s-1315
Sponsor: full_name: Sen. Cantwell, Maria [D-WA]
Introduced: 2021-04-22
Policy area: Health
Subjects: Cardiovascular and respiratory health

Health care coverage and access

Immunology and vaccination

Medicare
Latest action: action_date: 2021-04-22
text: Read twice and referred to the Committee on Finance.

Summaries:
action_date: 2021-04-22
action_desc: Introduced in Senate
text: <p><b>Lymphedema Treatment Act</b></p> <p>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.</p>

tv_txt: II 117th CONGRESS 1st Session S. 1315 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.

1. Short title This Act may be cited as the Lymphedema Treatment Act . 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: (lll) Lymphedema compression treatment items 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.