Lymphedema Treatment Act of 2019

I 116TH CONGRESS 1ST SESSION H. R. 1948 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 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. STEW- ART, Mr. GRIFFITH, Miss GONZA´LEZ-COLO´N 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. BARRAGA´N, 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 En- ergy 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 jurisdic- tion of the committee concerned VerDate Sep 11 2014 06:33 Apr 11, 2019 Jkt 089200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6652 E:\BILLS\H1948.IH H1948 kjohnson on DSK79L0C42 with BILLS 2 •HR 1948 IH 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 of 2019’’. 5 SEC. 2. MEDICARE COVERAGE OF CERTAIN LYMPHEDEMA 6 COMPRESSION TREATMENT ITEMS AS ITEMS 7 OF DURABLE MEDICAL EQUIPMENT. 8 (a) IN GENERAL.—Section 1861 of the Social Secu- 9 rity Act (42 U.S.C. 1395x) is amended— 10 (1) in subsection (n), in the first sentence, by 11 inserting before the semicolon the following: ‘‘and in- 12 cludes lymphedema compression treatment items (as 13 defined in subsection (kkk))’’; and 14 (2) by adding at the end the following new sub- 15 section: 16 ‘‘Lymphedema Compression Treatment Items 17 ‘‘(kkk) The term ‘lymphedema compression treat- 18 ment items’— 19 VerDate Sep 11 2014 06:33 Apr 11, 2019 Jkt 089200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1948.IH H1948 kjohnson on DSK79L0C42 with BILLS 3 •HR 1948 IH ‘‘(1) means, with respect to an individual, com- 1 pression garments, devices, bandaging systems, com- 2 ponents, and supplies— 3 ‘‘(A) that are primarily and customarily 4 used in the medical treatment of lymphedema; 5 ‘‘(B) as prescribed by a physician (or a 6 physician assistant, nurse practitioner, or a 7 clinical nurse specialist (as those terms are de- 8 fined in section 1861(aa)(5)) to the extent au- 9 thorized under State law); and 10 ‘‘(C) which would not, other than under 11 subsection (s)(6), be included as medical and 12 other health services under this title; and 13 ‘‘(2) includes— 14 ‘‘(A) multilayer compression bandaging 15 systems; 16 ‘‘(B) custom or standard fit gradient com- 17 pression garments; 18 ‘‘(C) non-elastic and low-elastic compres- 19 sion garments and compression wraps and di- 20 rectional flow pads; and 21 ‘‘(D) any other compression garments, 22 bandaging systems, devices, and aids deter- 23 mined by the Secretary to be effective in the 24 prevention or treatment of lymphedema.’’. 25 VerDate Sep 11 2014 06:33 Apr 11, 2019 Jkt 089200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1948.IH H1948 kjohnson on DSK79L0C42 with BILLS 4 •HR 1948 IH (b) EFFECTIVE DATE.—The amendments made by 1 subsection (a) shall apply to lymphedema compression 2 treatment items furnished on or after January 1, 2021. 3 Æ VerDate Sep 11 2014 06:33 Apr 11, 2019 Jkt 089200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6301 E:\BILLS\H1948.IH H1948 kjohnson on DSK79L0C42 with BILLS