,,ii  #aagth ,,congress  #ast ,session  
,s4 #bcfc  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #ae1     
#bjba,mr4 ,burr 7for himself and ,mr4   
,bennet7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,finance  ,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 ,short title ,this ,act may be    
cited as the ,better ,wound ,care at    
,home ,act4  #b4 ,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 ,effective as of ,january #a1 
#bjbb1 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 ,notwithstanding any other      
provision of law1 the ,secretary may    
implement this subsection by program    
instruction or otherwise4  4