,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #dggb  ,,in ,,the ,,house ,,of  
,,representatives  ,january #aa1        
#bjah,mr4 ,bishop of ,michigan 7for     
himself1 ,mr4 ,thompson of ,california1 
and ,mr4 ,thompson of ,pennsylvania7    
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce1 and in addition to the   
,committee on ,ways and ,means1 for a   
period to be subsequently determined by 
the ,speaker1 in each case for          
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to provide for           
clarification under the ,medicare       
program about minimal self-adjustment   
for off-the-shelf orthotics4  #a4       
,clarification about minimal            
self-adjustment for off-the-shelf       
orthotics  7a7 ,in general ,section     
#ahdg7;a77#b77;,c7 of the ,social       
,security ,act 7#db ,u4,s4,c4           

#aciew-#c7;a77#b77;,c77 is amended--    
7#a7 by inserting furnished to a patient
 after section #ahfa7s77#i72  7#b7 by   
inserting by that patient 7and not by   
any other person7 after minimal         
self-adjustment2 and  7#c7 by striking  
to fit to the individual and inserting  
to fit to that patient4  7b7 ,inclusion 
in medical and other health services    
,section #ahfa7s77#i7 of the ,social    
,security ,act 7#db ,u4,s4,c4           
#aciex7s77#i77 is amended-- 7#a7 by     
striking leg1 arm and inserting 7,a7    
leg1 arm2  7#b7 in subparagraph 7,a71 as
 added by paragraph 7#a71 by striking   
the semicolon at the end and inserting 2
 and2 and  7#c7 by adding the following 
new subparagraph3  7,b7 off-the-shelf   
orthotics 7as defined in section        
#ahdg7;a77#b77;,c774  4  7c7 ,effective 
date ,the amendments made by this       
section shall take effect on ,april #a1 
#bjjg1 and apply to items and services  
furnished on or after such date4