,,ii  #aacth ,,congress  #b;d ,session  
,s4 #badd  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #ac1    
#bjad ,mrs4 ,mc,caskill introduced the  
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to apply     
,medicare competitive bidding to vacuum 
erection systems and to require the     
,secretary of ,health and ,human        
,services to implement a national mail  
order program for such devices4  #a4    
,short title ,this ,act may be cited as 
the ,preventing ,unnecessary ,medicare  
,payments 7,,pump7 ,act of #bjad4  #b4  
,application of ,medicare competitive   
bidding to vacuum erection systems and  
requiring a national mail order program 
for such devices  7a7 ,inclusion in     
program ,section #ahdg7;a77#b7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#c7;a77#b77 is amended by adding 
at the end the following new            
subparagraph3  7,d7 ,vacuum erection    

systems ,vacuum erection systems covered
 as prosthetic devices described in     
section #ahfa7s77#h7 for which payment  
would otherwise be made under section   
#ahcd7;h74  4  7b7 ,national mail order 
program ,section #ahdg7;a77#a77;,d7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#c7;a77#a77;,d77 is    
amended by adding at the end the        
following new clause3  7iv7 ,national   
mail order program for vacuum erection  
systems ,the ,secretary shall phase in a
 national mail order program under this 
section for vacuum erection systems     
described in paragraph 7#b77;,d74 ,the  
first round of competition for such     
program shall occur in #bjaf1 with      
contracts taking effect after the       
competition is completed4 ,chapter #ce  
of title #dd1 ,united ,states ,code     
7commonly referred to as the ,paperwork 
,reduction ,act of #aiie7 shall not     
apply to the first round competition for
 such program4  4