,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #chgg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #ae1 #bjad,mr4
 ,rei*]t 7= himself1 ,mr4 ,blum5au]1    
,mr4 ,lance1 & ,mr4 ,braley ( ,i[a7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xviii ( !     
,social ,security ,act to provide =     
,m$ic>e cov]age ( c]ta9 lymph$ema       
compression treatm5t items z items (    
durable m$ical equipm5t4  #a4 ,%ort     
title ,?is ,act may be cit$ z !         
,lymph$ema ,treatm5t ,act4  #b4 ,f9d+s  
,congress makes ! foll[+ f9d+s3 7#a7    
,lymph$ema is a *ronic disease t results
 9 an accumulation ( prote9-ri* lymph   
fluid 9 p>ts ( ! body :]e lymph nodes or
 lymphatic vessels are damag$ or        
inadequate4  7#b7 ,lymph$ema afflicts   

millions ( ,am]icans1 includ+ m51 wom51 
& *ildr5 :o c be born ) a prim>y =m (   
lymph$ema4 ,! majority ( cases1 h[ev]1  
are second>y =ms ( lymph$ema mo/ (t5    
caus$ by canc] treatm5ts t damage !     
body's lymph transport & immune         
functions4  7#c7 ,a #bjaj pe]-review$   
/udy 9 ! ,am]ican ,canc] ,society's     
,canc] j\rnal /at$ lymph$ema is a common
 po/-treatm5t condition & has be5       
describ$ z "o ( ! mo/ significant       
survivor%ip issues4 ,! /udy report$ an  
ov]all canc]-relat$ lymph$ema incid5ce  
rate ( #ae4e p]c5t1 ) specific rates z  
foll[s3 s>coma #cj p]c5t1 brea/ #bj     
p]c5t1 gynecological #bj p]c5t1 melanoma
 #af p]c5t1 g5ital-ur9>y #aj p]c5t1 &   
head & neck #d p]c5t4 ,risk increas$ #bb
 p]c5t aft] pelvic lymph node removal & 
#ca p]c5t aft] radiation !rapy4  7#d7   
,lymph$ema is progressive :5 left       
untreat$ or "u-treat$ & c put pati5ts at
 great] risk = s]i\s infections or o!r  
co/ly complications4  7#e7 ,congress    
ackn[l$g$ ! importance ( compreh5sive   

lymph$ema treatm5t cov]age ) passage ( !
 ,wom5's ,heal? & ,canc] ,rights ,act ( 
#aiih1 :i* requires gr\p heal? plans1   
insurance companies1 & heal? ma9t5ance  
organizations to cov] brea/ canc]-relat$
 lymph$ema treatm5t po/ ma/ectomy &     
recon/ruction4  7#f7 ,m$ic>e b5efici>ies
 ) lymph$ema curr5tly lack cov]age =    
compression !rapy1 an ess5tial compon5t 
( c>e !y mu/ use to manage _! *ronic    
disease4 ,z a result1 _m pati5ts _c     
ma9ta9 _! condition & exp]i5ce an       
unnecess>y loss ( heal? & ( function 9 !
 activities ( daily liv+4  7#g7 ,?is    
,m$ic>e cov]age gap %\ld be clos$ to    
help provide improv$ heal? c>e =        
lymph$ema pati5ts & 9 turn decrease !   
incid5ce ( co/ly complications1         
co-morbidities & relat$ disabilities4   
#c4 ,m$ic>e cov]age ( c]ta9 lymph$ema   
compression treatm5t items z items (    
durable m$ical equipm5t  7a7 ,9 g5]al   
,section #ahfa ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7 is am5d$--  
7#a7 9 subsection 7n71 9 ! fir/ s5t5ce1 

by ins]t+ be=e ! semicolon ! foll[+3 &  
includes lymph$ema compression treatm5t 
items 7z def9$ 9 subsection 7iii772 &   
7#b7 by add+ at ! end ! foll[+ new      
subsection3  7iii7 ,lymph$ema           
compression treatm5t items ,! t]m       
lymph$ema compression treatm5t items--  
7#a7 means1 ) respect to an individual1 
compression g>m5ts1 devices1 b&ag+      
sy/ems1 compon5ts1 & supplies-- 7,a7 t  
are prim>ily & cu/om>ily us$ 9 ! m$ical 
treatm5t ( lymph$ema2  7,b7 z prescrib$ 
by a physician 7or a physician assi/ant1
 nurse practition]1 or a cl9ical nurse  
speciali/ 7z ^? t]ms are def9$ 9 section
 #ahfa7;aa77#e77 to ! ext5t au?oriz$ "u 
,/ate law72 &  7,c7 :i* w\ld n1 o!r ?an 
"u subsection 7s77#f71 be includ$ z     
m$ical & o!r heal? s]vices "u ?is title2
 &  7#b7 includes-- 7,a7 multilay]      
compression b&ag+ sy/ems2  7,b7 cu/om or
 /&>d fit gradi5t compression g>m5ts2   
7,c7 non-ela/ic & l[-ela/ic compression 
g>m5ts & compression wraps & directional
 fl[ pads2 &  7,d7 any o!r compression  

g>m5ts1 b&ag+ sy/ems1 devices1 & aids   
det]m9$ by ! ,secret>y to be effective 9
 ! prev5tion or treatm5t ( lymph$ema4  4
  7b7 ,effective date ,! am5dm5t made by
 subsection 7a7 %all apply to lymph$ema 
compression treatm5t items furni%$ on or
 aft] #ahj days aft] ! date ( ! enactm5t
 ( ?is ,act4