In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Stop Westward Aquatic Threats Act''.

SEC. 2. AMENDMENT OF NONINDIGENOUS AQUATIC NUISANCE PREVENTION AND 
              CONTROL ACT OF 1990.

    Except as otherwise expressly provided, whenever in this Act an 
amendment or repeal is expressed in terms of an amendment to, or repeal 
of, a section or other provision, the reference shall be considered to 
be made to a section or other provision of Nonindigenous Aquatic 
Nuisance Prevention and Control Act of 1990 (16 U.S.C. 4701 et seq.).

SEC. 3. 100TH MERIDIAN AND WESTWARD PROGRAM.

    Subtitle C (16 U.S.C. 4721 et seq.) is amended by adding at the end 
the following:

``SEC. 1210. 100TH MERIDIAN AND WESTWARD PROGRAM.

    ``(a) Public Information and Education.--The Secretary shall 
coordinate with the States to provide the public with information and 
education on the threat of zebra mussels and other aquatic nuisance 
species and how to prevent their westward advance.
    ``(b) Source States Action Plan.--The Secretary, in consultation 
with the Task Force, shall work with States that contain aquatic 
nuisance species, including zebra mussels, that threaten western States 
to develop and implement a prevention action plan that includes 
inspections of vessels at boat launches and elsewhere.
    ``(c) Movement Across the 100th Meridian.--
            ``(1) Early detection and rapid response.--The Secretary, 
        in consultation with the Task Force, shall seek to prevent 
        westward movement of aquatic nuisance species by monitoring and 
        preventing westward movement of zebra mussels and other aquatic 
        nuisance species across and beyond the 100th meridian, 
        monitoring water bodies, educating boaters leaving waters 
        infected by aquatic nuisance species, and providing rapid 
        response capacity in North Dakota, South Dakota, Nebraska, 
        Kansas, Oklahoma, and Texas.
            ``(2) Check stations.--Under this subsection, the 
        Secretary, in collaboration with the Secretary of 
        Transportation and the States, shall--
                    ``(A) work with States to establish check stations 
                on highways and waterways that cross the 100th 
                meridian, and require that all commercial vessels 
                moving westward across the meridian stop and be checked 
                for zebra mussels and aquatic weeds at such check 
                stations;
                    ``(B) require that contaminated vessels identified 
                at such check stations be cleaned in accordance with 
                protocols developed by the Task Force before being 
                moved across the 100th meridian;
                    ``(C) assess and collect from persons who violate 
                such requirement more than one time a civil penalty of 
                $150 for each violation after the first violation;
                    ``(D) identify and record all vessels that stop at 
                such check stations and the water body most recently 
                visited by each such vessel;
                    ``(E) focus prevention resources on States having 
                the greatest number of contaminated vessels; and
                    ``(F) coordinate implementation of this subsection 
                with appropriate Canadian authorities.
    ``(d) Vector Action Plans.--The Secretary and the Task Force, in 
collaboration with the States and within 18 months after the date of 
the enactment of this subsection, shall--
            ``(1) assess the relative risk of vectors and pathways of 
        westward movement of zebra mussels and other aquatic nuisance 
        species across the 100th meridian and throughout the western 
        States and develop adequate action plans to control each 
        pathway, ranked by priority; and
            ``(2) provide to the Task Force, for distribution to the 
        States, data developed through such assessment.
    ``(e) Lewis and Clark Bicentennial Expedition.--
            ``(1) In general.--The Secretary of the Interior shall 
        ensure that the United States Fish and Wildlife Service and the 
        National Park Service coordinate efforts to implement an action 
        plan to prevent the spread of aquatic nuisance species by 
        vessels and other potential vectors involved in the Lewis and 
        Clark Bicentennial Expedition, including efforts to educate 
        participants in such Expedition by no later than January 1, 
        2003.
            ``(2) Authorization of appropriations.--There are 
        authorized to be appropriated to the Secretary of the Interior 
        to carry out this subsection $100,000 for each of fiscal years 
        2002 through 2005.
    ``(f) Application in Other States.--If the Secretary determines 
that any State (other than those listed in subsection (c)) that is 
located west of the 100th meridian needs to be involved in 
implementation of this section for this section to be effective, the 
Secretary may apply this section in such State.
    ``(g) Evaluation of Effectiveness.--The Secretary shall enter into 
an arrangement with an independent entity under which the entity shall, 
by January 1, 2005, evaluate the effectiveness of the 100th meridian 
and westward program under this section in stopping the westward 
movement of zebra mussels and other aquatic nuisance species across and 
beyond the 100th meridian.
    ``(h) Authorization of Appropriations.--There are authorized to be 
appropriated to the Secretary to carry out this section $5,000,000 for 
each of fiscal years 2003 through 2007.''.

SEC. 4. STATE MANAGEMENT PLANS.

    (a) Grants to States for Development of Management Plans.--Section 
1204(b) (16 U.S.C. 4724(b)) is amended--
            (1) in paragraph (1) by inserting ``make grants to States 
        to develop management plans under this section, including for 
        hiring personnel for such development, and'' after ``at the 
        recommendation of the Task Force,'';
            (2) in paragraph (3)(A) by striking ``each comprehensive 
        management plan implemented with Federal assistance'' and 
        inserting ``implementation of each comprehensive management 
        plan''; and
            (3) in paragraph (3)(B) by striking ``each public facility 
        management plan implemented with Federal assistance'' and 
        inserting ``implementation of each public facility management 
        plan''.
    (b) Authorization of Appropriations.--Section 1301 (16 U.S.C. 4724) 
is amended--
            (1) in subsection (c) by striking ``There are authorized'' 
        and all that follows through ``of which'' and inserting ``For 
        grants to States under section 1204(b) there are authorized to 
        be appropriated to the Director $10,000,000 for each of fiscal 
        years 2003 through 2007, of which up to 20 percent may be 
        available for plan development and of which''; and
            (2) by adding at the end the following:
    ``(f) Funding for Capacity Building by Western Regional Panel.--To 
build capacity and foster the development and implementation of 
comprehensive management plans under section 1204 for States located on 
or west of the 100th meridian there are authorized to be appropriated 
to the Western Regional panel established under section 1203(b) 
$600,000 for each of fiscal years 2003 through 2007.''.
Stop Westward Aquatic Threats Act - Amends the Nonindigenous Aquatic Nuisance Prevention and Control Act of 1990 to direct the Secretary of the Interior to: (1) provide the public with information and education on the threat of zebra mussels and other aquatic nuisance species and how to prevent their westward advance; (2) work with States that contain aquatic nuisance species (including zebra mussels) that threaten western States to develop and implement a prevention action plan that includes inspections of vessels at boat launches and elsewhere (including vessels involved in the Lewis and Clark Bicentennial Expedition); and (3) prevent westward movement of aquatic nuisance species by monitoring and preventing westward movement of zebra mussels and other aquatic nuisance species beyond the 100th meridian, monitoring water bodies, educating boaters leaving waters infected by aquatic nuisance species, and providing rapid response capacity in North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, and Texas.Authorizes the Director of the of the Aquatic Nuisance Species Task Force to make grants to States to develop management plans which identify those areas or activities within the State for which assistance is needed to eliminate or reduce the environmental, public health, and safety risks associated with aquatic nuisance species, particularly the zebra mussel.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Weather Modification Research and 
Technology Transfer Authorization Act of 2005''.

SEC. 2. PURPOSE.

    It is the purpose of this Act to develop and implement a 
comprehensive and coordinated national weather modification policy and 
a national cooperative Federal and State program of weather 
modification research and development.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) Board.--The term ``Board'' means the Weather 
        Modification Advisory and Research Board.
            (2) Executive director.--The term ``Executive Director'' 
        means the Executive Director of the Weather Modification 
        Advisory and Research Board.
            (3) Research and development.--The term ``research and 
        development'' means theoretical analysis, exploration, 
        experimentation, and the extension of investigative findings 
        and theories of scientific or technical nature into practical 
        application for experimental and demonstration purposes, 
        including the experimental production and testing of models, 
        devices, equipment, materials, and processes.
            (4) Weather modification.--The term ``weather 
        modification'' means changing or controlling, or attempting to 
        change or control, by artificial methods the natural 
        development of atmospheric cloud forms or precipitation forms 
        which occur in the troposphere.

SEC. 4. WEATHER MODIFICATION ADVISORY AND RESEARCH BOARD ESTABLISHED.

    (a) In General.--There is established in the Department of Commerce 
the Weather Modification Advisory and Research Board.
    (b) Membership.--
            (1) In general.--The Board shall consist of 11 members 
        appointed by the Secretary of Commerce, of whom--
                    (A) at least 1 shall be a representative of the 
                American Meteorological Society;
                    (B) at least 1 shall be a representative of the 
                American Society of Civil Engineers;
                    (C) at least 1 shall be a representative of the 
                National Academy of Sciences;
                    (D) at least 1 shall be a representative of the 
                National Center for Atmospheric Research of the 
                National Science Foundation;
                    (E) at least 2 shall be representatives of the 
                National Oceanic and Atmospheric Administration of the 
                Department of Commerce;
                    (F) at least 1 shall be a representative of 
                institutions of higher education or research 
                institutes; and
                    (G) at least 1 shall be a representative of a State 
                that is currently supporting operational weather 
                modification projects.
            (2) Tenure.--A member of the Board serves at the pleasure 
        of the Secretary of Commerce.
            (3) Vacancies.--Any vacancy on the Board shall be filled in 
        the same manner as the original appointment.
    (b) Advisory Committees.--The Board may establish advisory 
committees to advise the Board and to make recommendations to the Board 
concerning legislation, policies, administration, research, and other 
matters.
    (c) Initial Meeting.--Not later than 30 days after the date on 
which all members of the Board have been appointed, the Board shall 
hold its first meeting.
    (d) Meetings.--The Board shall meet at the call of the Chair.
    (e) Quorum.--A majority of the members of the Board shall 
constitute a quorum, but a lesser number of members may hold hearings.
    (f) Chair and Vice Chair.--The Board shall select a Chair and Vice 
Chair from among its members.

SEC. 5. DUTIES OF THE BOARD.

    (a) Promotion of Research and Development.--In order to assist in 
expanding the theoretical and practical knowledge of weather 
modification, the Board shall promote and fund research and 
development, studies, and investigations with respect to--
            (1) improved forecast and decisionmaking technologies for 
        weather modification operations, including tailored computer 
        workstations and software and new observation systems with 
        remote sensors; and
            (2) assessments and evaluations of the efficacy of weather 
        modification, both purposeful (including cloud-seeding 
        operations) and inadvertent (including downwind effects and 
        anthropogenic effects).
    (b) Financial Assistance.--Unless the use of the money is 
restricted or subject to any limitations provided by law, the Board 
shall use amounts in the Weather Modification Research and Development 
Fund--
            (1) to pay its expenses in the administration of this Act; 
        and
            (2) to provide for research and development with respect to 
        weather modifications by grants to, or contracts or cooperative 
        arrangements with, public or private agencies.
    (c) Report.--The Board shall submit to the Secretary of Commerce 
biennially a report on its findings and research results.

SEC. 6. POWERS OF THE BOARD.

    (a) Studies, Investigations, and Hearings.--The Board may make any 
studies or investigations, obtain any information, and hold any 
hearings necessary or proper to administer or enforce this Act or any 
rules or orders issued under this Act.
    (b) Personnel.--The Board may employ, as provided for in 
appropriations Acts, an Executive Director and other support staff 
necessary to perform duties and functions under this Act.
    (c) Cooperation With Other Agencies.--The Board may cooperate with 
public or private agencies to promote the purposes of this Act.
    (d) Cooperative Agreements.--The Board may enter into cooperative 
agreements with the head of any department or agency of the United 
States, an appropriate official of any State or political subdivision 
of a State, or an appropriate official of any private or public agency 
or organization for conducting weather modification activities or 
cloud-seeding operations.
    (e) Conduct and Contracts for Research and Development.--The 
Executive Director, with the approval of the Board, may conduct and may 
contract for research and development activities relating to the 
purpose described in section 2.

SEC. 7. COOPERATION WITH THE WEATHER MODIFICATION OPERATIONS AND 
              RESEARCH BOARD.

    The heads of the departments and agencies of the United States and 
the heads of any other public or private agencies and institutions that 
receive research funds from the United States shall, to the extent 
possible, give full support and cooperation to the Board and to 
initiate independent research and development programs that address 
weather modifications.

SEC. 8. FUNDING.

    (a) In General.--There is established within the Treasury of the 
United States the Weather Modification Research and Development Fund, 
which shall consist of amounts appropriated pursuant to subsection (b) 
or received by the Board under subsection (c).
    (b) Authorization of Appropriations.--There are authorized to be 
appropriated to the Board for the purposes of carrying out this Act 
$10,000,000 for each of fiscal years 2006 through 2015. Any sums 
appropriated under this subsection shall remain available, without 
fiscal year limitation, until expended.
    (c) Gifts.--The Board may accept, use, and dispose of gifts or 
donations of services or property.
Weather Modification Research and Technology Transfer Authorization Act of 2005 - Establishes in the Department of Commerce the Weather Modification Advisory and Research Board to promote and fund research and development (R&D), studies, and investigations with respect to: (1) improved forecast and decisionmaking technologies for weather modification operations, including tailored computer workstations and software and new observation systems with remote sensors; and (2) assessments and evaluations of the efficacy of weather modification, both purposeful (including cloud-seeding operations) and inadvertent (including downwind effects and anthropogenic effects).

Establishes within the U.S. Treasury the Weather Modification Research and Development Fund. Directs the Board, unless the use of the money is restricted or subject to any limitations provided by law, to use amounts in the Fund to: (1) pay its expenses in the administration of this Act; and (2) provide for R&D with respect to weather modifications by grants to, or contracts or cooperative arrangements with, public or private agencies.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Orthotics and Prosthetics 
Improvement Act of 2008''.

SEC. 2. MODIFICATION OF REQUIREMENTS APPLICABLE UNDER MEDICARE TO 
              DESIGNATION OF ACCREDITATION ORGANIZATIONS FOR SUPPLIERS 
              OF PROSTHETIC DEVICES AND ORTHOTICS AND PROSTHETICS.

    (a) In General.--Section 1834(a)(20)(B) of the Social Security Act 
(42 U.S.C. 1395m(a)(20)(B)) is amended--
            (1) by striking ``Not later than'' and inserting ``(i) in 
        general.--Subject to clause (ii), not later than'' with the 
        same indentation as the clause added by paragraph (2); and
            (2) by adding at the end the following new clause:
                            ``(ii) Special requirements for 
                        accreditation of prosthetic devices and 
                        orthotics and prosthetics.--For purposes of 
                        applying quality standards under subparagraph 
                        (A) for suppliers of items and services 
                        described in subparagraph (D)(ii), the 
                        Secretary shall designate and approve an 
                        independent accreditation organization under 
                        clause (i) only if such organization is a Board 
                        or program described in subsection 
                        (h)(1)(F)(iv). Not later than January 1, 2009, 
                        the Secretary shall ensure that at least one 
                        independent accreditation organization is 
                        designated and approved in accordance with this 
                        clause.''.
    (b) Effective Date.--An organization must satisfy the requirement 
of section 1834(a)(20)(B)(ii), as added by subsection (a)(2), not later 
than January 1, 2009, regardless of whether such organization is 
designated or approved as an independent accreditation organization 
before, on, or after the date of the enactment of this Act.

SEC. 3. APPLICATION OF EXISTING ACCREDITATION AND LICENSURE 
              REQUIREMENTS FOR CERTAIN PROSTHETICS AND CUSTOM-
              FABRICATED ORTHOTICS TO PROSTHETIC DEVICES AND ORTHOTICS 
              AND PROSTHETICS.

    (a) In General.--Section 1834(h)(1)(F) of the Social Security Act 
(42 U.S.C. 1395m(h)(1)(F)) is amended--
            (1) in the heading, by striking ``Special payment rules for 
        certain prosthetics and custom-fabricated orthotics'' and 
        inserting ``Payment rules'';
            (2) in clause (i), by striking ``an item of custom-
        fabricated orthotics described in clause (ii) or for an item of 
        prosthetics unless such item is'' and inserting ``a prosthetic 
        device or an item of orthotics or prosthetics, including an 
        item of custom-fabricated orthotics described in clause (ii), 
        unless such device or item, respectively, is'';
            (3) in clause (ii)(II), by striking ``a list of items to 
        which this subparagraph applies'' and inserting ``a list of 
        items for purposes of clause (i)''; and
            (4) in clause (iii)(III), by striking ``to provide or 
        manage the provision of prosthetics and custom-designed or -
        fabricated orthotics'' and inserting ``to provide or manage the 
        provision of prosthetics and orthotics (and custom-designed or 
        -fabricated orthotics, in the case of an item described in 
        clause (iii))''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to devices and items furnished on or after January 1, 2009.

SEC. 4. REPORTS.

    (a) Report on Enforcing New Licensing and Accreditation 
Requirements.--Not later than 18 months after the date of the enactment 
of this Act, the Secretary of Health and Human Services shall submit to 
Congress a report on the steps taken by the Department of Health and 
Human Services to ensure that the State licensure and accreditation 
requirements under section 1834(h)(1)(I) of the Social Security Act, as 
added by section 3, are enforced. Such report shall include a 
determination of the extent to which payments for prosthetic devices 
and orthotics and prosthetics under the Medicare program under title 
XVIII of such Act are made only to those providers of services and 
suppliers that meet the relevant accreditation and licensure 
requirements under such section, as well as a determination of whether 
additional steps are needed.
    (b) Report on Fraud and Abuse.--Not later than 30 months after the 
date of the enactment of this Act, the Secretary of Health and Human 
Services shall submit to Congress a report on the effect of the 
requirements under subsection (a)(20)(B)(ii) of section 1834 of the 
Social Security Act (42 U.S.C. 1395m), as added by section 2, and 
subsection (h)(1)(I) of such section, as added by section 3, on the 
occurrence of fraud and abuse under the Medicare program under title 
XVIII of such Act, with respect to prosthetic devices and orthotics and 
prosthetics for which payment is made under such program.

SEC. 5. MODIFICATION OF MEDICARE PAYMENT METHODOLOGY FOR PROSTHETIC 
              DEVICES AND ORTHOTICS AND PROSTHETICS.

    Section 1834(h) of the Social Security Act (42 U.S.C. 1395m(h)) is 
amended--
            (1) in paragraph (1)(B), by striking ``and (H)(i)'' and 
        inserting ``(H)(i), and paragraph (5)''; and
            (2) by adding at the end the following new paragraph:
            ``(5) Modification of payment methodology to account for 
        practitioner qualifications and complexity of care.--
                    ``(A) In general.--The Secretary shall modify the 
                payment basis under paragraph (1)(B) for prosthetic 
                devices and orthotics and prosthetics in a manner that 
                links the complexity of the respective item and the 
                qualifications of the individual or entity furnishing 
                and fabricating such respective item in determining the 
                payment basis for such item. Such modifications shall 
                be implemented in a manner that provides for the 
                application of such modifications to items furnished on 
                or after January 1, 2009. Such modifications shall be 
                designed to result in the same aggregate amount of 
                expenditures for prosthetic devices and orthotics and 
                prosthetics under this section for a year as would be 
                made if this subparagraph did not apply, as estimated 
                by the Secretary.
                    ``(B) Assignment of billing codes.--For purposes of 
                subparagraph (A), in modifying the payment basis under 
                paragraph (1)(B), the Secretary shall utilize and 
                incorporate the `2008 Orthotics and Prosthetics 
                Tripartite Document' a multi-organization compilation 
                of HCPCS codes to assign specific billing codes to the 
                category of orthotics and prosthetics care described in 
                each of clauses (i) through (iv) of subparagraph (C) 
                using the provider qualification designation for each 
                HCPCS code as stated in such document.
                    ``(C) Categories of orthotics and prosthetics care 
                described.--
                            ``(i) Custom-fabricated category.--The 
                        category of orthotics and prosthetics care 
                        described in this clause is a category for 
                        custom-fabricated devices that are made from 
                        detailed measurements, images, or models in 
                        accordance with a prescription and that can 
                        only be utilized by a specific intended 
                        patient. The provider qualification designation 
                        for the category shall reflect the following:
                                    ``(I) The category of care involves 
                                the highest level of complexity with 
                                substantial clinical risk.
                                    ``(II) The category of care 
                                requires a practitioner who is 
                                credentialed, certified, or licensed in 
                                orthotics or prosthetics, respectively, 
                                to insure the comprehensive provision 
                                of orthotic care or prosthetic care, 
                                respectively. Such care shall be based 
                                on sound clinical judgment and 
                                technical expertise based on the 
                                practitioner's education and clinical 
                                training, in order to allow the 
                                practitioner to determine the device 
                                parameters and design, fabrication 
                                process, and functional purpose 
                                specific to the needs of the patient to 
                                maximize optimal clinical outcomes.
                            ``(ii) Custom-fitted high.--The category of 
                        orthotics and prosthetics care described in 
                        this clause is a category for prefabricated 
                        devices that are manufactured with no specific 
                        patient in mind, but that are appropriately 
                        sized, adapted, modified, and configured (with 
                        the required tools and equipment) to a specific 
                        patient in accordance with a prescription. The 
                        provider qualification designation for the 
                        category shall reflect the following:
                                    ``(I) The category of care involves 
                                moderate to high complexity with 
                                substantial clinical risk.
                                    ``(II) The category of care 
                                requires a practitioner who is 
                                credentialed, certified, or licensed in 
                                orthotics or prosthetics or a related 
                                field in which orthotics or prosthetics 
                                is the primary focus of the course of 
                                study, to insure the appropriate 
                                provision of orthotic care or 
                                prosthetic care, respectively. Such 
                                care shall be based on sound clinical 
                                judgment and technical expertise based 
                                on the practitioner's education and 
                                clinical training, in order to allow 
                                the practitioner to determine the 
                                appropriate device relative to the 
                                diagnosis and specific to the needs of 
                                the patient to maximize optimal 
                                clinical outcomes.
                            ``(iii) Custom-fitted low.--The category of 
                        orthotics and prosthetics care described in 
                        this clause is a category for prefabricated 
                        devices that are manufactured with no specific 
                        patient in mind, but that are appropriately 
                        sized and adjusted to a specific patient in 
                        accordance with a prescription. The provider 
                        qualification designation for the category 
                        shall reflect the following:
                                    ``(I) The category of care involves 
                                a low level of complexity and low 
                                clinical risk.
                                    ``(II) The category of care 
                                requires a supplier that is 
                                credentialed, certified, or licensed 
                                within a limited scope of practice to 
                                insure appropriate provision of 
                                orthotic care. The supplier's education 
                                and training shall insure that basic 
                                clinical knowledge and technical 
                                expertise is available to confirm 
                                successful fit and device compliance 
                                with the prescription.
                            ``(iv) Off-the-shelf.--The category of 
                        orthotics and prosthetics care described in 
                        this clause is a category for prefabricated 
                        devices that require minimal self adjustment 
                        for appropriate use. The provider qualification 
                        designation for the category shall reflect that 
                        such devices do not require expertise in 
                        trimming, bending, molding, assembling, or 
                        customizing to fit the patient and that no 
                        formal credentialing, clinical education, or 
                        technical training is required to dispense such 
                        devices.
                    ``(D) Consultation.--In modifying the payment 
                basis, the Secretary shall consult with appropriate 
                experts in orthotics and prosthetics, including 
                practitioners that furnish devices and items within the 
                categories of prosthetics and orthotics care described 
                in subparagraph (C).''.

Medicare Orthotics and Prosthetics Improvement Act of 2008 - Amends title XVIII (Medicare) of the Social Security Act with respect to recognized independent accreditation organizations which apply quality standards to which suppliers of items and services relating to prosthetic devices and orthotics and prosthetics.

Directs the Secretary of Health and Human Services (HHS) to designate and approve an independent accreditation organization for such purposes only if it is the American Board for Certification in Orthotics and Prosthetics, Inc., the Board for Orthotist/Prosthetist Certification, or a program that the Secretary determines has accreditation and approval standards essentially equivalent to those of such a Board.

Requires application to prosthetic devices and orthotics and prosthetics generally of existing accreditation and licensure requirements for certain prosthetics and custom-fabricated orthotics.

Directs the Secretary to report to Congress on: (1) the steps taken by the Department of HHS to ensure that such licensure and accreditation requirements are enforced; and (2) the effect of the requirements of this Act on the occurrence of fraud and abuse under the Medicare program with respect to prosthetic devices and orthotics and prosthetics.

Modifies the Medicare payment methodology for prosthetic devices and orthotics and prosthetics to account for practitioner qualifications and complexity of care.