#aag? ,,congress  #b;d ,session  ,h4 ,r4
 #cfcj  ,,an ,,act  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = cov]age ( c]ta9 lymph$ema     
compression treatm5t items "u ! ,m$ic>e 
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,lymph$ema ,treatm5t ,act4  
#b4 ,m$ic>e cov]age ( c]ta9 lymph$ema   
compression treatm5t items  7a7 ,cov]age
  7#a7 ,9 g5]al ,section #ahfa ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7 is am5d$--  7,a7 9 subsection   
7s77#b7-- 7i7 9 subp>agraph 7,,gg71 by  
/rik+ & aft] ! semicolon at ! end2  7ii7
 9 subp>agraph 7,,hh71 by /rik+ ! p]iod 
at ! end & ins]t+ 2 &2 &  7iii7 by add+ 
at ! end ! foll[+ new subp>agraph3      
7,,ii7 lymph$ema compression treatm5t   
items 7z def9$ 9 subsection 7lll772  2 &
  7,b7 by add+ at ! end ! foll[+ new    
subsection3  7lll7 ,lymph$ema           
compression treatm5t items ,! t]m       
lymph$ema compression treatm5t items    
means /&>d & cu/om fitt$ gradi5t        
compression g>m5ts & o!r items det]m9$  

by ! ,secret>y t are-- 7#a7 furni%$ on  
or aft] ,janu>y #a1 #bjbd1 to an        
individual ) a diagnosis ( lymph$ema = !
 treatm5t ( su* condition2  7#b7        
prim>ily & cu/om>ily us$ to s]ve a      
m$ical purpose & = ! treatm5t (         
lymph$ema1 z det]m9$ by ! ,secret>y2 &  
7#c7 prescrib$ by a physician 7or a     
physician assi/ant1 nurse practition]1  
or a cl9ical nurse speciali/ 7z ^? t]ms 
are def9$ 9 section #ahfa7;aa77#e77 to !
 ext5t au?oriz$ "u ,/ate law74  4  7#b7 
,paym5t  7,a7 ,9 g5]al ,section         
#ahcc7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciel7a77#a77 is       
am5d$-- 7i7 by /rik+ 1 & be=e 7,,ee72 & 
7ii7 by ins]t+ be=e ! semicolon at ! end
 ! foll[+3 1 & 7,,ff7 ) respect to      
lymph$ema compression treatm5t items 7z 
def9$ 9 section #ahfa7lll771 ! am\nt    
paid %all be equal to #hj p]c5t ( !     
less] ( ! actual *>ge or ! am\nt det]m9$
 "u ! paym5t basis det]m9$ "u section   
#ahcd7z74  7,b7 ,paym5t basis &         
limitations ,section #ahcd ( ! ,social  

,security ,act 7#db ,u4,s4,c4 #aciem7 is
 am5d$ by add+ at ! end ! foll[+ new    
subsection3  7z7 ,paym5t = lymph$ema    
compression treatm5t items  7#a7 ,9     
g5]al ,! ,secret>y %all det]m9e an      
appropriate paym5t basis = lymph$ema    
compression treatm5t items 7z def9$ 9   
section #ahfa7lll774 ,9 mak+ su* a      
det]m9ation1 ! ,secret>y may take into  
acc\nt paym5t rates = su* items "u ,/ate
 plans 7or waiv]s ( su* plans7 "u title 
,,xix1 ! ,vet]ans ,heal? ,adm9i/ration1 
& gr\p heal? plans & heal? insurance    
cov]age 7z su* t]ms are def9$ 9 section 
#bgia ( ! ,public ,heal? ,s]vice ,act71 
& su* o!r in=mation z ! ,secret>y       
det]m9es appropriate4  7#b7 ,frequ5cy   
limitation ,no paym5t may be made "u ?is
 "p = lymph$ema compression treatm5t    
items furni%$ o!r ?an at su* frequ5cy z 
! ,secret>y may e/abli%4  7#c7          
,application ( competitive acquisition  
,9 ! case ( lymph$ema compression       
treatm5t items t are includ$ 9 a        
competitive acquisition program 9 a     

competitive acquisition area "u section 
#ahdg7;a7-- 7,a7 ! paym5t basis "u ?is  
subsection = su* items furni%$ 9 su*    
area %all be ! paym5t basis det]m9$ "u  
su* competitive acquisition program2 &  
7,b7 ! ,secret>y may use in=mation on ! 
paym5t det]m9$ "u su* competitive       
acquisition programs to adju/ ! paym5t  
am\nt o!rwise det]m9$ "u ?is subsection 
= an area t is n a competitive          
acquisition area "u section #ahdg1 & 9 !
 case ( su* adju/m5t1 p>agraphs 7#h7 &  
7#i7 ( section #ahdb7;b7 %all n be      
appli$4  4  7#c7 ,con=m+ am5dm5t        
,section #ahdg7;a77#b7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciew-#c7;a77#b77 is am5d$ by add+ at !
 end ! foll[+ new subp>agraph3  7,d7    
,lymph$ema compression treatm5t items   
,lymph$ema compression treatm5t items 7z
 def9$ 9 section #ahfa7lll77 = :i*      
paym5t w\ld o!rwise be made "u section  
#ahcd7z74  4  7b7 ,inclusion 9          
requirem5ts = suppli]s ( m$ical equipm5t
 & supplies ,section #ahcd ( ! ,social  

,security ,act 7#db ,u4,s4,c4 #aciem7 is
 am5d$--  7#a7 9 subsection             
7a77#bj77;,d71 by add+ at ! end ! foll[+
 new clause3  7iv7 ,lymph$ema           
compression treatm5t items 7z def9$ 9   
section #ahfa7lll774  4  7#b7 9         
subsection 7j77#e7-- 7,a7 by r$esignat+ 
subp>agraphs 7,e7 & 7,f7 z subp>agraphs 
7,f7 & 7,g71 respectively2 &  7,b7 by   
ins]t+ aft] subp>agraph 7,d7 ! foll[+   
new subp>agraph3  7,e7 lymph$ema        
compression treatm5t items 7z def9$ 9   
section #ahfa7lll772  4  #c4 ,m$ic>e    
,improvem5t ,fund ,section #ahih7;b77#a7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acie;iii7b77#a77 is am5d$ by 
/rik+ #g1cjh1jjj1jjj & ins]t+           
#f1gch1jjj1jjj4  #d4 ,det]m9ation (     
budget>y effects ,! budget>y effects (  
?is ,act1 = ! purpose ( comply+ ) !     
,/atutory ,pay-,z-,y-,g ,act ( #bjaj1   
%all be det]m9$ by ref]5ce to ! late/   
/atem5t titl$ ,budget>y ,effects (      
,,paygo ,legislation = ?is ,act1        
submitt$ = pr9t+ 9 ! ,congressional     

,record by ! ,*airman ( ! ,h\se ,budget 
,committee1 provid$ t su* /atem5t has   
be5 submitt$ prior to ! vote on passage4
  ,pass$ ! ,h\se ( ,repres5tatives      
,novemb] #ag1 #bjbb4;,cl]k4