,i #aafth ,,congress #ast ,session ,h4 ,r4 #dffe ,,in ,,the ,,house ,,of ,,representatives ,october #aa1 #bjai,ms4 ,schrier 7for herself1 ,mr4 ,o',halleran1 ,ms4 ,slotkin1 and ,ms4 ,del,bene7 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 coverage for certain vision items and services under part ,b of the ,medicare program4 #a4 ,short title ,this ,act may be cited as the ,medicare ,vision ,act of #bjai4 #b4 ,providing coverage for vision care under the ,medicare program 7a7 ,coverage ,section #ahfa7s77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is amended-- 7#a7 in subparagraph 7,,gg71 by striking and after the semicolon at the end2 7#b7 in subparagraph 7,,hh71 by striking the period at the end and adding 2 and2 and 7#c7 by adding at the end the following new subparagraph3 7,,ii7 vision services 7as defined in subsection 7kkk772 4 7b7 ,vision services defined ,section #ahfa of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is amended by adding at the end the following new subsection3 7kkk7 ,vision services ,the term vision services means-- 7#a7 routine eye examinations1 including procedures performed during the course of such examination to determine the refractive state of the eyes2 and 7#b7 contact lens fitting services1 furnished on or after ,january #a1 #bjbb1 by or under the direct supervision of an optometrist or ophthalmologist who is legally authorized to furnish such examinations1 procedures1 or fitting services 7as applicable7 under ,state law 7or the ,state regulatory mechanism provided by ,state law7 of the ,state in which the examinations1 procedures1 or fitting services are furnished4 4 7c7 ,payment2 coinsurance2 and limitations 7#a7 ,in general ,section #ahcc7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is amended-- 7,a7 by striking and before 7,,cc72 and 7,b7 by inserting before the semicolon at the end the following3 1 and 7,,dd7 with respect to vision services 7as defined in section #ahfa7kkk771 the amount paid shall be equal to #hj percent of the lesser of the actual charge or the amount determined under the payment basis determined under section #ahdh4 7#b7 ,limits specified ,section #ahcd of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is amended by adding at the end the following new subsection3 7x7 ,limitation for vision services ,with respect to vision services 7as defined in section #ahfa7kkk77 and an individual1 payment may be made under this part for only #a routine eye examination described in paragraph 7#a7 of such section and #a contact lens fitting service described in paragraph 7#b7 of such section during a #b-year period4 4 7d7 ,payment under physician fee schedule 7#a7 ,in general ,section #ahdh7;j77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;j77#c77 is amended by inserting 7#b77;,,ii71 before 7#c74 7#b7 ,budget neutrality ,section #ahdh7;c77#b77;,b77iv7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie-w7c77#b77;,b77iv77 is amended-- 7,a7 in subclause 7,,iii71 by striking and at the end2 7,b7 in subclause 7,,iv71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following new subclause3 7,v7 the amendment made by section #b7;d77#a7 of the ,medicare ,vision ,act of #bjai shall not be taken into account in applying clause 7ii77,,ii7 for #bjbb and #bjbc4 4 7e7 ,coverage of conventional eyeglasses and contact lenses ,section #ahfa7s77#h7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#h77 is amended by striking 1 and including one pair of conventional eyeglasses or contact lenses furnished subsequent to each cataract surgery with insertion of an intraocular lens and inserting 1 including one pair of conventional eyeglasses or contact lenses furnished subsequent to each cataract surgery with insertion of an intraocular lens1 if furnished before ,january #a1 #bjbb1 and including conventional eyeglasses or contact lenses1 whether or not furnished subsequent to such a surgery1 if furnished on or after ,january #a1 #bjbb4 7f7 ,special payment rules for eyeglasses and contact lenses 7#a7 ,limitations ,section #ahcd7;h7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7h77 is amended by adding at the end the following new paragraph3 7#f7 ,payment limitations for eyeglasses and contact lenses ,with respect to eyeglasses and contact lenses furnished to an individual on or after ,january #a1 #bjbb1 payment may be made under this part only-- 7,a7 during any #b-year period1 for either #a pair of eyeglasses 7including lenses and frames7 or a #b-year supply that is provided in not more than #ahj-;day increments of contact lenses2 7,b7 with respect to amounts attributable to the frames of such a pair of eyeglasses and amounts attributable to contact lenses furnished during a year1 in an amount not greater than-- 7i7 for #bjbb1 #ajj2 and 7ii7 for a subsequent year1 the amount specified under this subparagraph for the previous year1 increased by the percentage change in the ,consumer ,price ,index for ,all ,urban ,consumers during such previous year2 7,c7 for types of eyeglass lenses1 and for types of contact lenses1 as determined appropriate by the ,secretary2 and 7,d7 if furnished pursuant to a written order of a physician described in section #ahfa7kkk74 4 7#b7 ,application of competitive acquisition 7,a7 ,in general ,section #ahcd7;h77#a77;,h7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7h77#a77;,h77 is amended-- 7i7 in the header by inserting 1 eyeglasses1 and contact lenses after orthotics2 7ii7 by inserting and of eyeglasses and contact lenses described in paragraph 7#b77;,d7 of such section1 after #bjji12 and 7iii7 in clause 7i71 by inserting or such eyeglasses and contact lenses after orthotics4 7,b7 ,conforming amendment 7i7 ,in general ,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 ,eyeglasses and contact lenses ,eyeglasses and contact lenses for which payment would otherwise be made under section #ahcd7;h74 4 7ii7 ,exemption of certain items from competitive acquisition ,section #ahdg7;a77#g7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;a77#g77 is amended by adding at the end the following new subparagraph3 7,c7 ,certain eyeglasses and contact lenses ,those items and services described in paragraph 7#b77;,d7 if furnished by a physician or other practitioner 7as defined by the ,secretary7 to the physician's or practitioner's own patients as part of the physician's or practitioner's professional service4 4 7g7 ,exclusion modifications ,section #ahfb7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciey7a77 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 in subparagraph 7,o71 by striking and at the end2 7,b7 in subparagraph 7,p71 by striking the semicolon at the end and inserting 1 and2 and 7,c7 by adding at the end the following new subparagraph3 7,q7 in the case of vision services 7as defined in section #ahfa7kkk77 that are routine eye examinations and contact lens fitting services 7as described in paragraph 7#a7 or 7#b71 respectively1 of such section71 which are furnished more frequently than once during a #b-year period2 2 and 7#b7 in paragraph 7#g7-- 7,a7 by inserting 7other than such an examination that is a vision service that is covered under section #ahfa7s77#b77;,,ii77 after eye examinations2 and 7,b7 by inserting 7other than such a procedure that is a vision service that is covered under section #ahfa7s77#b77;,,ii77 after refractive state of the eyes4 #c4 ,implementation funding ,the ,secretary of ,health and ,human ,services shall provide for the transfer from the ,federal ,supplementary ,medical ,insurance ,trust ,fund under section #ahda of the ,social ,security ,act 7#db ,u4,s4,c4 #aciet7 to the ,centers for ,medicare ,medicaid ,services ,program ,management ,account for the period of #bjbj through #bjbd of such sums as may be necessary for purposes of implementing the amendments made by section #b4