,,ib ,union ,calendar ,no4 #ccf #aagth ,,congress #b;d ,session ,h4 ,r4 #cfcj ,report ,no4 #aag-dcj1 ,part ,i ,,in ,,the ,,house ,,of ,,representatives ,may #bh1 #bjba,ms4 ,schakowsky 7for herself1 ,mr4 ,carter of ,georgia1 ,mr4 ,blumenauer1 ,mr4 ,kelly of ,pennsylvania1 ,mr4 ,fitzpatrick1 ,ms4 ,sewell1 ,ms4 ,de,gette1 ,mr4 ,levin of ,michigan1 ,mr4 ,aderholt1 ,mrs4 ,axne1 ,mr4 ,ferguson1 ,mr4 ,wilson of ,south ,carolina1 ,mr4 ,joyce of ,pennsylvania1 ,mr4 ,brown of ,maryland1 ,ms4 ,newman1 ,mr4 ,smith of ,washington1 ,mr4 ,mullin1 ,ms4 ,wild1 ,ms4 ,ross1 ,ms4 ,wasserman ,schultz1 ,mr4 ,brendan ,f4 ,boyle of ,pennsylvania1 ,mr4 ,grijalva1 ,ms4 ,titus1 ,mrs4 ,lawrence1 ,ms4 ,velzquez1 ,ms4 ,mc,collum1 ,mr4 ,o',halleran1 ,mr4 ,suozzi1 ,mr4 ,michael ,f4 ,doyle of ,pennsylvania1 ,mr4 ,price of ,north ,carolina1 ,mr4 ,meeks1 ,mr4 ,butterfield1 ,ms4 ,barragn1 ,ms4 ,herrera ,beutler1 ,mr4 ,doggett1 ,mr4 ,castro of ,texas1 ,mr4 ,larson of ,connecticut1 ,ms4 ,garcia of ,texas1 ,ms4 ,scanlon1 ,mr4 ,johnson of ,ohio1 ,mr4 ,mc,nerney1 ,mr4 ,wittman1 ,mr4 ,austin ,scott of ,georgia1 ,mr4 ,tonko1 ,mr4 ,cicilline1 ,ms4 ,matsui1 ,mr4 ,connolly1 ,miss ,gonzlez-,coln1 ,mr4 ,vela1 ,ms4 ,pressley1 ,ms4 ,lee of ,california1 ,mr4 ,burchett1 ,mr4 ,carbajal1 ,mr4 ,deutch1 ,ms4 ,del,bene1 ,mr4 ,pascrell1 ,ms4 ,pingree1 ,mr4 ,carson1 ,mr4 ,mc,henry1 ,ms4 ,bonamici1 ,mr4 ,kilmer1 ,mrs4 ,miller-,meeks1 ,mr4 ,vicente ,gonzalez of ,texas1 ,mr4 ,de,fazio1 ,mrs4 ,napolitano1 ,mr4 ,thompson of ,california1 ,mr4 ,rodney ,davis of ,illinois1 ,ms4 ,jacobs of ,california1 ,mr4 ,dunn1 ,ms4 ,williams of ,georgia1 ,ms4 ,clark of ,massachusetts1 ,mr4 ,crow1 ,mr4 ,budd1 ,ms4 ,blunt ,rochester1 ,mr4 ,trone1 ,mr4 ,kildee1 ,mr4 ,van ,drew1 ,mr4 ,cohen1 ,mr4 ,bacon1 ,mr4 ,hollingsworth1 ,mr4 ,amodei1 ,mr4 ,phillips1 ,mr4 ,wenstrup1 ,mr4 ,mc,kinley1 ,ms4 ,sherrill1 ,mr4 ,westerman1 ,mr4 ,delgado1 ,ms4 ,underwood1 ,mr4 ,posey1 ,ms4 ,schrier1 ,mr4 ,massie1 ,mr4 ,cole1 ,mr4 ,hice of ,georgia1 ,mr4 ,rutherford1 ,mr4 ,yarmuth1 ,mr4 ,payne1 ,ms4 ,houlahan1 ,ms4 ,davids of ,kansas1 ,mr4 ,kind1 ,mr4 ,guest1 ,mr4 ,foster1 ,ms4 ,cheney1 ,mr4 ,ruppersberger1 ,ms4 ,brownley1 ,mr4 ,la,hood1 ,mr4 ,allen1 ,mr4 ,johnson of ,georgia1 ,mr4 ,bishop of ,georgia1 ,mr4 ,cooper1 ,mr4 ,mann1 ,mr4 ,rice of ,south ,carolina1 ,mr4 ,pocan1 ,ms4 ,meng1 ,ms4 ,dean1 ,mr4 ,armstrong1 ,mr4 ,thompson of ,mississippi1 ,mrs4 ,mc,bath1 ,mr4 ,grothman1 ,mr4 ,evans1 ,mr4 ,reschenthaler1 ,mr4 ,sires1 ,mr4 ,timmons1 ,ms4 ,tenney1 ,ms4 ,bourdeaux1 ,mr4 ,nadler1 ,mr4 ,higgins of ,new ,york1 ,mr4 ,lamb1 ,mrs4 ,carolyn ,b4 ,maloney of ,new ,york1 ,mr4 ,morelle1 ,mr4 ,bera1 ,mr4 ,lucas1 ,mrs4 ,kirkpatrick1 ,mr4 ,fleischmann1 ,mr4 ,gallego1 ,mr4 ,meuser1 ,mr4 ,mc,caul1 ,mr4 ,correa1 ,ms4 ,strickland1 ,mr4 ,rouzer1 ,ms4 ,van ,duyne1 ,mr4 ,david ,scott of ,georgia1 ,mr4 ,allred1 ,mr4 ,young1 ,mr4 ,gottheimer1 ,ms4 ,adams1 ,mr4 ,levin of ,california1 ,mr4 ,moulton1 and ,mr4 ,taylor7 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 ,july #bb1 #bjbb;,additional sponsors3 ,ms4 ,omar1 ,mr4 ,jones1 ,mr4 ,malinowski1 ,ms4 ,chu1 ,ms4 ,jackson ,lee1 ,mr4 ,fortenberry1 ,mrs4 ,bice of ,oklahoma1 ,mrs4 ,dingell1 ,mrs4 ,harshbarger1 ,mr4 ,aguilar1 ,mr4 ,emmer1 ,mr4 ,ruiz1 ,mr4 ,turner1 ,mr4 ,cleaver1 ,ms4 ,manning1 ,mr4 ,murphy of ,north ,carolina1 ,mr4 ,cartwright1 ,mr4 ,waltz1 ,ms4 ,porter1 ,mr4 ,krishnamoorthi1 ,mr4 ,schrader1 ,mr4 ,casten1 ,ms4 ,craig1 ,ms4 ,mace1 ,mr4 ,bilirakis1 ,mrs4 ,luria1 ,mr4 ,lawson of ,florida1 ,mr4 ,luetkemeyer1 ,mr4 ,loudermilk1 ,mr4 ,crist1 ,mr4 ,welch1 ,mr4 ,langevin1 ,mr4 ,gallagher1 ,ms4 ,spanberger1 ,mr4 ,palazzo1 ,mr4 ,kahele1 ,mr4 ,rush1 ,mr4 ,thompson of ,pennsylvania1 ,mr4 ,lynch1 ,mr4 ,griffith1 ,mr4 ,diaz-,balart1 ,mr4 ,neguse1 ,mr4 ,estes1 ,mr4 ,smith of ,missouri1 ,mr4 ,smucker1 ,mr4 ,bergman1 ,mr4 ,de,saulnier1 ,ms4 ,jayapal1 ,mr4 ,peters1 ,mr4 ,kim of ,new ,jersey1 ,mr4 ,huizenga1 ,mr4 ,hudson1 ,mr4 ,smith of ,nebraska1 ,ms4 ,leger ,fernandez1 ,mr4 ,case1 ,mr4 ,schiff1 ,mr4 ,lieu1 ,mr4 ,larsen of ,washington1 ,mr4 ,steil1 ,mr4 ,sarbanes1 ,mr4 ,banks1 ,mrs4 ,watson ,coleman1 ,ms4 ,slotkin1 ,mr4 ,crawford1 ,mr4 ,sablan1 ,mr4 ,lowenthal1 ,mr4 ,panetta1 ,mr4 ,kelly of ,mississippi1 ,mr4 ,jeffries1 ,mr4 ,balderson1 ,mr4 ,graves of ,missouri1 ,ms4 ,moore of ,wisconsin1 ,ms4 ,roybal-,allard1 ,mr4 ,crdenas1 ,mr4 ,gibbs1 ,mrs4 ,trahan1 ,mr4 ,lamborn1 ,mr4 ,auchincloss1 ,mr4 ,himes1 ,mrs4 ,hartzler1 ,mrs4 ,hayes1 ,ms4 ,lois ,frankel of ,florida1 ,mr4 ,hill1 ,mr4 ,duncan1 ,mr4 ,brooks1 ,ms4 ,snchez1 ,mrs4 ,demings1 ,mr4 ,meijer1 ,ms4 ,salazar1 ,mr4 ,valadao1 ,mrs4 ,torres of ,california1 ,mr4 ,katko1 ,mrs4 ,hinson1 ,ms4 ,kelly of ,illinois1 ,ms4 ,castor of ,florida1 ,mr4 ,simpson1 ,miss ,rice of ,new ,york1 ,mr4 ,c4 ,scott ,franklin of ,florida1 ,ms4 ,clarke of ,new ,york1 ,mr4 ,soto1 ,ms4 ,stefanik1 ,mr4 ,garca of ,illinois1 ,mr4 ,espaillat1 ,mr4 ,bost1 ,mrs4 ,steel1 ,mr4 ,mc,govern1 ,mrs4 ,walorski1 ,mr4 ,horsford1 ,ms4 ,kaptur1 ,mr4 ,ryan1 ,mr4 ,calvert1 ,mr4 ,raskin1 ,mr4 ,pappas1 ,mr4 ,tiffany1 ,mr4 ,norcross1 ,mr4 ,walberg1 ,mr4 ,swalwell1 ,mr4 ,huffman1 ,mr4 ,gooden of ,texas1 ,mr4 ,stauber1 ,mr4 ,johnson of ,louisiana1 ,ms4 ,norton1 ,mr4 ,costa1 ,mr4 ,joyce of ,ohio1 ,mr4 ,stanton1 ,mr4 ,quigley1 ,mr4 ,mrvan1 ,mr4 ,steube1 ,mr4 ,newhouse1 ,mr4 ,takano1 ,mr4 ,perlmutter1 ,mr4 ,harder of ,california1 ,mr4 ,gonzalez of ,ohio1 ,ms4 ,johnson of ,texas1 ,mr4 ,womack1 ,mr4 ,cuellar1 ,mr4 ,schneider1 ,ms4 ,kuster1 ,mr4 ,danny ,k4 ,davis of ,illinois1 ,mr4 ,khanna1 ,mr4 ,vargas1 ,mr4 ,jackson1 ,mr4 ,keller1 ,mr4 ,gohmert1 ,ms4 ,de,lauro1 ,mr4 ,schweikert1 ,ms4 ,tlaib1 ,mr4 ,garbarino1 ,mr4 ,gimenez1 ,ms4 ,brown of ,ohio1 ,mrs4 ,radewagen1 ,mr4 ,courtney1 ,mr4 ,ellzey1 ,ms4 ,granger1 ,mr4 ,la,turner1 ,mr4 ,veasey1 ,mrs4 ,fletcher1 ,mr4 ,des,jarlais1 ,mrs4 ,beatty1 ,mrs4 ,murphy of ,florida1 ,mr4 ,hern1 ,mr4 ,graves of ,louisiana1 ,ms4 ,bass1 ,mr4 ,la,malfa1 ,ms4 ,wexton1 ,mr4 ,keating1 ,ms4 ,letlow1 ,mrs4 ,kim of ,california1 ,mr4 ,fitzgerald1 ,mr4 ,green of ,tennessee1 ,mr4 ,smith of ,new ,jersey1 ,mr4 ,bishop of ,north ,carolina1 ,ms4 ,stevens1 ,ms4 ,malliotakis1 ,mr4 ,garamendi1 ,mr4 ,gomez1 ,mr4 ,mc,eachin1 ,mr4 ,long1 ,mr4 ,feenstra1 ,mr4 ,burgess1 ,ms4 ,speier1 ,mr4 ,sean ,patrick ,maloney of ,new ,york1 ,mr4 ,norman1 ,mr4 ,moore of ,alabama1 ,mrs4 ,cammack1 ,mr4 ,owens1 ,mr4 ,torres of ,new ,york1 ,mr4 ,williams of ,texas1 ,mr4 ,mast1 ,ms4 ,wilson of ,florida1 ,mrs4 ,cherfilus-,mc,cormick1 ,mr4 ,perry1 ,mr4 ,cawthorn1 ,mr4 ,beyer1 ,mr4 ,davidson1 ,mr4 ,golden1 ,ms4 ,stansbury1 ,ms4 ,lofgren1 ,mr4 ,carter of ,louisiana1 ,mrs4 ,wagner1 ,mr4 ,gaetz1 ,mr4 ,scott of ,virginia1 ,mr4 ,webster of ,florida1 ,mr4 ,san ,nicolas1 ,mr4 ,sherman1 ,mr4 ,green of ,texas1 ,ms4 ,herrell1 ,mr4 ,zeldin1 ,mr4 ,arrington1 and ,mr4 ,donalds ,july #bb1 #bjbb;,deleted sponsor3 ,mr4 ,perry 7added ,march #ah1 #bjbb2 deleted ,march #cj1 #bjbb7 ,july #bb1 #bjbb,reported from the ,committee on ,energy and ,commerce with an amendment,strike out all after the enacting clause and insert the part printed in italic ,july #bb1 #bjbb;,committee on ,ways and ,means discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed,for text of introduced bill1 see copy of bill as introduced on ,may #bh1 #bjba ,a ,,bill ,to amend title ,,xviii of the ,social ,security ,act to provide for coverage of certain lymphedema compression treatment items under the ,medicare program4 #a4 ,short title ,this ,act may be cited as the ,lymphedema ,treatment ,act4 #b4 ,medicare coverage of certain lymphedema compression treatment items 7a7 ,coverage 7#a7 ,in general ,section #ahfa of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is amended-- 7,a7 in subsection 7s77#b7-- 7i7 in subparagraph 7,,gg71 by striking and after the semicolon at the end2 7ii7 in subparagraph 7,,hh71 by striking the period at the end and inserting 2 and2 and 7iii7 by adding at the end the following new subparagraph3 7,,ii7 lymphedema compression treatment items 7as defined in subsection 7lll772 2 and 7,b7 by adding at the end the following new subsection3 7lll7 ,lymphedema compression treatment items ,the term lymphedema compression treatment items means standard and custom fitted gradient compression garments and other items determined by the ,secretary that are-- 7#a7 furnished on or after ,january #a1 #bjbd1 to an individual with a diagnosis of lymphedema for the treatment of such condition2 7#b7 primarily and customarily used to serve a medical purpose and for the treatment of lymphedema1 as determined by the ,secretary2 and 7#c7 prescribed by a physician 7or a physician assistant1 nurse practitioner1 or a clinical nurse specialist 7as those terms are defined in section #ahfa7;aa77#e77 to the extent authorized under ,state law74 4 7#b7 ,payment 7,a7 ,in general ,section #ahcc7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is amended-- 7i7 by striking and before 7,,dd72 and 7ii7 by inserting before the semicolon at the end the following3 and 7,,ee7 with respect to lymphedema compression treatment items 7as defined in section #ahfa7lll771 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 #ahcd7z74 7,b7 ,payment basis and limitations ,section #ahcd of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is amended by adding at the end the following new subsection3 7z7 ,payment for lymphedema compression treatment items 7#a7 ,in general ,the ,secretary shall determine an appropriate payment basis for lymphedema compression treatment items 7as defined in section #ahfa7lll774 ,in making such a determination1 the ,secretary may take into account payment rates for such items under ,state plans 7or waivers of such plans7 under title ,,xix1 the ,veterans ,health ,administration1 and group health plans and health insurance coverage 7as such terms are defined in section #bgia of the ,public ,health ,service ,act71 and such other information as the ,secretary determines appropriate4 7#b7 ,frequency limitation ,no payment may be made under this part for lymphedema compression treatment items furnished other than at such frequency as the ,secretary may establish4 7#c7 ,application of competitive acquisition ,in the case of lymphedema compression treatment items that are included in a competitive acquisition program in a competitive acquisition area under section #ahdg7;a7-- 7,a7 the payment basis under this subsection for such items furnished in such area shall be the payment basis determined under such competitive acquisition program2 and 7,b7 the ,secretary may use information on the payment determined under such competitive acquisition programs to adjust the payment amount otherwise determined under this subsection for an area that is not a competitive acquisition area under section #ahdg1 and in the case of such adjustment1 paragraphs 7#h7 and 7#i7 of section #ahdb7;b7 shall not be applied4 4 7#c7 ,conforming amendment ,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 ,lymphedema compression treatment items ,lymphedema compression treatment items 7as defined in section #ahfa7lll77 for which payment would otherwise be made under section #ahcd7z74 4 7b7 ,inclusion in requirements for suppliers of medical equipment and supplies ,section #ahcd of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is amended-- 7#a7 in subsection 7a77#bj77;,d71 by adding at the end the following new clause3 7iv7 ,lymphedema compression treatment items 7as defined in section #ahfa7lll774 4 7#b7 in subsection 7j77#e7-- 7,a7 by redesignating subparagraphs 7,e7 and 7,f7 as subparagraphs 7,f7 and 7,g71 respectively2 and 7,b7 by inserting after subparagraph 7,d7 the following new subparagraph3 7,e7 lymphedema compression treatment items 7as defined in section #ahfa7lll772 4 ,july #bb1 #bjbb,reported from the ,committee on ,energy and ,commerce with an amendment,july #bb1 #bjbb;,committee on ,ways and ,means discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed