Plain English summary not yet available
The full original text is available below. Check back soon as we process this bill.
II
116TH CONGRESS
1ST SESSION
S. 518
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.
IN THE SENATE OF THE UNITED STATES
FEBRUARY 14, 2019
Ms. CANTWELL (for herself, Mr. YOUNG, Mr. LANKFORD, Mr. BLUMENTHAL,
Mrs. CAPITO, Mr. BROWN, Mr. WICKER, Ms. HARRIS, Ms. MURKOWSKI,
Mr. LEAHY, Mr. BLUNT, Ms. DUCKWORTH, Mr. TILLIS, Mr. KING, Mr.
SULLIVAN, Mr. COONS, Mr. BOOZMAN, Mr. REED, Mr. COTTON, Ms.
KLOBUCHAR, Mrs. HYDE-SMITH, Mrs. GILLIBRAND, Mr. INHOFE, Mr.
MERKLEY, Mr. RUBIO, Mr. BOOKER, Mr. MENENDEZ, Ms. SINEMA, Mr.
DAINES, Ms. STABENOW, Mr. JONES, Mr. CARDIN, and Mr. HOEVEN) in-
troduced the following bill; which was read twice and referred to the Com-
mittee on Finance
A BILL
To amend title XVIII of the Social Security Act to provide
for Medicare coverage of certain lymphedema compres-
sion treatment items as items of durable medical equip-
ment.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Lymphedema Treat-
4
ment Act’’.
5
VerDate Sep 11 2014
04:02 Feb 23, 2019
Jkt 089200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\S518.IS
S518
kjohnson on DSK79L0C42 with BILLS
2
•S 518 IS
SEC. 2. MEDICARE COVERAGE OF CERTAIN LYMPHEDEMA
1
COMPRESSION TREATMENT ITEMS AS ITEMS
2
OF DURABLE MEDICAL EQUIPMENT.
3
(a) IN GENERAL.—Section 1861 of the Social Secu-
4
rity Act (42 U.S.C. 1395x) is amended—
5
(1) in subsection (n), in the first sentence, by
6
inserting before the semicolon the following: ‘‘and in-
7
cludes lymphedema compression treatment items (as
8
defined in subsection (kkk))’’; and
9
(2) by adding at the end the following new sub-
10
section:
11
‘‘Lymphedema Compression Treatment Items
12
‘‘(kkk) The term ‘lymphedema compression treat-
13
ment items’—
14
‘‘(1) means, with respect to an individual, com-
15
pression garments, devices, bandaging systems, com-
16
ponents, and supplies—
17
‘‘(A) that are primarily and customarily
18
used in the medical treatment of lymphedema;
19
‘‘(B) as prescribed by a physician (or a
20
physician assistant, nurse practitioner, or a
21
clinical nurse specialist (as those terms are de-
22
fined in section 1861(aa)(5)) to the extent au-
23
thorized under State law); and
24
VerDate Sep 11 2014
04:02 Feb 23, 2019
Jkt 089200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\S518.IS
S518
kjohnson on DSK79L0C42 with BILLS
3
•S 518 IS
‘‘(C) which would not, other than under
1
subsection (s)(6), be included as medical and
2
other health services under this title; and
3
‘‘(2) includes—
4
‘‘(A) multilayer compression bandaging
5
systems;
6
‘‘(B) custom or standard fit gradient com-
7
pression garments;
8
‘‘(C) non-elastic and low-elastic compres-
9
sion garments and compression wraps and di-
10
rectional flow pads; and
11
‘‘(D) any other compression garments,
12
bandaging systems, devices, and aids deter-
13
mined by the Secretary to be effective in the
14
prevention or treatment of lymphedema.’’.
15
(b) EFFECTIVE DATE.—The amendments made by
16
subsection (a) shall apply to lymphedema compression
17
treatment items furnished on or after January 1, 2021.
18
Æ
VerDate Sep 11 2014
04:02 Feb 23, 2019
Jkt 089200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6301
E:\BILLS\S518.IS
S518
kjohnson on DSK79L0C42 with BILLS