,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #gabg  ,,in ,,the ,,house ,,of  
,,representatives  ,june #h1 #bjbj ,mr4 
,butterfield 7for himself and ,mr4      
,mullin7 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 make technical        
amendments to the separate payment under
 the ,medicare program for disposable   
negative pressure wound therapy devices4
  #a4 ,technical amendments to ,medicare
 separate payment for disposable        
negative pressure wound therapy devices 
7a7 ,in general ,section #ahcd7s7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciem7s77 is amended-- 7#a7 in         
paragraph 7#a71 by adding at the end the

 following new sentence3 ,such separate 
payment shall be a national payment rate
 established each year for the          
applicable disposable device itself1 and
 not for the related professional       
services or home visit to furnish the   
device1 and shall be made under the     
prospective payment system established  
under section #ahie1 as an add-on       
payment for the device in addition to   
other payments available to a home      
health agency under such section42  7#b7
 in paragraph 7#c71 by adding at the end
 the following new sentences3 ,in       
calculating the separate payment amount 
for applicable disposable devices in a  
given year1 the ,secretary shall assume 
no facility level adjustments are       
applied and the wage adjustment factor  
shall be #a4j1 regardless of the wage   
adjustment factor that would otherwise  
apply under section #ahcc7t74 ,the      
separate payment for the applicable     
disposable device shall be made under   
the prospective payment system          

established under section #ahie1 and    
nothing in this paragraph shall be      
construed to authorize the separate     
payment for the applicable disposable   
device to be under a different payment  
system42 and  7#c7 by adding at the end 
the following new paragraph3  7#d7      
,implementation ,as part of submitting  
claims eligible for or related to the   
separate add-on payment established     
under this subsection1 the ,secretary   
shall accept and process claims         
submitted using the type of bill that is
 most commonly used by home health      
agencies to bill services under a home  
health plan of care1 and the ,secretary 
shall not require home health agencies  
to account for the time spent applying  
the applicable disposable device        
separately from the time spent treating 
other conditions or to submit claims for
 payment under a payment system other   
than the prospective payment system     
established under section #ahie4  4  7b7
 ,regulations ,not later than #ahj days 

after the date of the enactment of this 
,act1 the ,secretary of ,health and     
,human ,services shall promulgate       
interim final regulations implementing  
the provisions of1 including amendments 
made by1 subsection 7a74