,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #heha  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,octob] #ac1 #bjbj,mr4
 ,butt]field 7= himself & ,mr4 ,gu?rie7 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,ways &    
,means1 & ,vet]ans' ,affairs1 = 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 direct
 ! ,gov]nm5t ,acc\ntability ,(fice to   
evaluate appropriate cov]age ( assi/ive 
te*nologies provid$ to pati5ts :o       
exp]i5ce amputation or live ) limb      
diff]5ce4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,access to ,assi/ive       
,te*nology & ,devices = ,am]icans ,/udy 
,act or ! ,triple ,a ,/udy ,act4  #b4   
,appropriate cov]age ( assi/ive         
te*nologies  7a7 ,9 g5]al ,n lat] ?an   
#ah mon?s aft] ! date ( enactm5t ( ?is  
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates %all evaluate1 & submit to       

,congress a report on su* evaluation1 ! 
appropriate cov]age1 ?r\gh insurance or 
o!rwise1 ( assi/ive te*nologies provid$ 
to pati5ts :o exp]i5ce amputation or    
live ) limb diff]5ce1 p>ticul>ly        
pro/hetic devices & cu/om or?oses1      
includ+-- 7#a7 timely access to c>e1    
includ+ educat+ pati5ts reg>d+ options =
 assi/ive te*nologies2  7#b7 assessm5ts 
& guidel9es = assi/ive device           
det]m9ations2  7#c7 mat*+ specific      
assi/ive devices ) ! ne$s ( ! individual
 b5efici>y1 su* z wom52  7#d7 !         
af=dability ( assi/ive devices2  7#e7 ! 
provision ( rehabilitation s]vices to   
support acclimation to assi/ive devices2
 &  7#f7 appropriate timel9es =         
assessm5ts = surg]y & assessm5ts (      
assi/ive devices4  7b7 ,comp>ison (     
c]ta9 data ,z "p ( ! evaluation conduct$
 "u subsection 7a71 ! ,comptroll] ,g5]al
 %all comp>e data on practices &        
outcomes d]iv$ f ! ,m$ic>e program "u   
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie et seq471 !       

,dep>tm5t ( ,vet]ans ,affairs1 & !      
comm]cial heal? insurance m>ket relat+  
to ! cov]age ( assi/ive te*nologies1    
includ+-- 7#a7 ! p]c5tage ( pati5ts :o  
get access to assi/ive devices2  7#b7   
p]=mance measures t monitor ! timel9ess 
( process+ pro/hetic prescriptions2     
7#c7 cov]age d5ials & ov]turn rates2    
7#d7 cod+ = physician or physical !rapy 
assessm5ts1 includ+ :e!r a pro/heti/ 0  
engag$ 9 ! assessm5t2  7#e7 ! rate (    
pati5ts return+ to "w 9 g5]al1 & aft]   
receiv+ a pro/hetic device comp>able to 
o!r assi/ive te*nologies2  7#f7         
r$uctions 9 long-t]m assi/ive te*nology 
s]vices & supports2  7#g7 ) respect to  
^? us+ assi/ive te*nologies1 policies to
 r$uce falls & second>y complications1  
su* z diabetes1 he>t disease1 vascul>   
disease1 & o!rs2 &  7#h7 ! am\nt exp5d$ 
by individual entities on pro/hetics    
relative to total am\nt exp5d$ by su*   
entities4