,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #ejde  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #be1 #bjaf     
,mrs4 ,ellm]s ( ,nor? ,c>ol9a 7= h]self 
& ,ms4 ,s*ak[sky7 introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means1 & 9 addition to !       
,committee on ,en]gy & ,comm]ce1 = 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      
impose a moratorium on ! implem5tation (
 a propos$ ,m$ic>e local cov]age        
det]m9ation on l[] limb pro/heses4  #a4 
,%ort title2 f9d+s  7a7 ,%ort title ,?is
 ,act may be cit$ z ! ,pres]v+ ,access  
to ,mod]n ,pro/hetic ,limbs ,act (      
#bjaf4  7b7 ,f9d+s ,congress f9ds !     
foll[+3  7#a7 ,! ,m$ic>e program        
includes cov]age = pro/hetic limbs "u   
section #ahfa7s77#i7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#aciew7s77#i774  7#b7 ,z a result (     
significant ,f$]al & private inve/m5t 9 

rese>* & developm5t ov] ! pa/ decades1  
b5efici>ies ) l[] limb pro/heses are    
able to ma9ta9 optimal function & lead  
productive & indep5d5t lives4  7#c7     
,f$]al sp5d+ = pro/hetic devices 9 !    
,m$ic>e program has decreas$ by #ae     
p]c5t betwe5 #bjaj & #bjad4  7#d7 ,!    
,secret>y ( ,heal? & ,human ,s]vices1   
?r\gh ,m$ic>e contractors kn[n z        
,durable ,m$ical ,equipm5t ,m$ic>e      
,adm9i/rative ,contractors1 releas$ on  
,july #af1 #bjae1 a docum5t entitl$     
,local ,cov]age ,det]m9ation 7,,lcd73   
,l[] ,limb ,pro/heses 7,,dl#ccghg71 :i* 
applies to all ,m$ic>e b5efici>ies      
across ! ,unit$ ,/ates4  7#e7 ,!        
policies propos$ 9 ?is docum5t w\ld     
compreh5sively *ange ! requirem5ts "u   
:i* a ,m$ic>e b5efici>y w\ld qualify = a
 l[] limb pro/hetic device & w\ld       
s]i\sly re/rict access to mod]n         
pro/hetic c>e4  7#f7 ,if f9aliz$1 !     
*anges propos$ 9 ?is docum5t w\ld create
 cov]age requirem5ts t are inconsi/5t ) 
curr5t cl9ical practice & w\ld          

arbitr>ily & unreasonably d5y ,m$ic>e   
b5efici>ies access to pro/hetic limb    
te*nologies consid]$ ! curr5t /&>d (    
c>e4  7#g7 ,"u ^! propos$ policies1     
b5efici>ies in/ead w\ld be eligible =   
pro/hetic devices t are functionally    
outdat$1 less durable1 & less safe4     
7#h7 ,! adv]se impact ( ! ,m$ic>e       
contractors' propos$ policies ext5d well
 beyond ! ,m$ic>e program & has         
implications = o!r ,f$]al heal?         
programs1 su* z heal? programs ( !      
,vet]ans ,adm9i/ration1 & comm]cial     
insur]s4  7#i7 ,giv5 ! f> rea*+ effect (
 ^! policies1 & ! fact t little or no   
cl9ical or sci5tific evid5ce support$ ! 
issuance ( ^! proposals1 any *anges to  
pro/hetic limb cov]age %\ld be made only
 aft] a transp>5t process 9 :i* evid5ce 
is (f]$ to ju/ify cov]age modifications1
 mean+ful /akehold] fe$back is solicit$1
 & ! ,secret>y & ,m$ic>e contractors    
receive & respond to ?is /akehold]      
fe$back 9 a public mann]4  7#aj7 ,a     
moratorium on ! implem5tation & en=cem5t

 ( ^! propos$ policies w\ld enable !    
,secret>y & ! ,m$ic>e contractors to    
engage 9 su* a transp>5t process4  #b4  
,moratorium on implem5tation ( propos$  
,m$ic>e local cov]age det]m9ation on l[]
 limb pro/heses  7a7 ,moratorium  7#a7  
,9 g5]al ,! ,secret>y ( ,heal? & ,human 
,s]vices & any ,m$ic>e ,adm9i/rative    
,contractor may n implem5t & en=ce !    
policies 9 ! ,,lcd on l[] limb pro/heses
 7z def9$ 9 subsection 7d77#a771 9 :ole 
or 9 "p1 dur+ ! p]iod beg9n+ on ! date (
 ! enactm5t ( ?is ,act1 & end+ on ,june 
#cj1 #bjag4  7#b7 ,removal ( policy f   
websites ,! ,secret>y ( ,heal? & ,human 
,s]vices & its m$ic>e adm9i/rative      
contractors %all remove ! ,,lcd on l[]  
limb pro/heses f ! websites ( ! ,c5t]s =
 ,m$ic>e  ,m$icaid ,s]vices & its m$ic>e
 adm9i/rative contractors dur+ ! p]iod (
 ! moratorium "u p>agraph 7#a74  7b7    
,provid+ ! secret>y ) au?ority ,to      
ov]see ! developm5t ( local cov]age     
det]m9ations ,section #ahfb7l77#e7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   

#ciey7l77#e77 is am5d$-- 7#a7 by        
r$esignat+ subp>agraph 7,c7 z           
subp>agraph 7,d72 &  7#b7 by ins]t+ aft]
 subp>agraph 7,b7 ! foll[+ new          
subp>agraph3  7,c7 ,secret>y ov]sight & 
guidance 9 develop+ local cov]age       
det]m9ations ,! ,secret>y %all provide  
guidance & ov]sight ( any local cov]age 
det]m9ation develop$ by a m$ic>e        
adm9i/rative contractor to ensure t !   
local cov]age det]m9ation is consi/5t ) 
?is title4  4  7c7 ,con/ruction ,no?+ 9 
?is section %all be con/ru$ to prev5t ! 
,secret>y f en=c+ exi/+ /atutes1        
regulations1 & local cov]age            
det]m9ations o!r ?an ) respect to       
policies 9 ! ,,lcd on l[] limb          
pro/heses4  7d7 ,def9itions ,9 ?is      
section3 7#a7 ,,lcd on l[] limb         
pro/heses ,! t]m ,,lcd on l[] limb      
pro/heses means ! local cov]age         
det]m9ation on l[] limb pro/heses z     
propos$ by a m$ic>e adm9i/rative        
contractor 9 ! docum5t 7,,dl#ccghg7     
releas$ on ,july #af1 #bjae1 & any      

successor to su* det]m9ation4  7#b7     
,m$ic>e adm9i/rative contractor ,! t]m  
m$ic>e adm9i/rative contractor has !    
mean+ giv5 su* t]m 9 section            
#ahgd;,a7a77#c77;,a7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#aciekk-#a7;a77#c77;,a774