H.R. 5388 — Introduced in House

I 118th CONGRESS 1st Session H. R. 5388 IN THE HOUSE OF REPRESENTATIVES September 12, 2023Mr. Balderson (for himself and Mr. Buchanan) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, 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 provide coverage of certain technologies and medical devices under the Medicare program. 1. Short title This Act may be cited as the Supporting Innovation for Seniors Act. 2. Coverage of certain technologies and medical devices Section 1852(a)(3) of the Social Security Act (42 U.S.C. 1395w–22(a)(3) is amended— (1) in subparagraph (A), by striking subparagraph (D) and inserting subparagraphs (D) and (E); and (2) by adding at the end the following new subparagraph: (E) Coverage of certain technologies and medical devices (i) In general For plan year 2025 and subsequent plan years, in addition to any supplemental health care benefits otherwise provided under this paragraph, an MA plan, including a specialized MA plan for special needs individuals (as defined in section 1859(b)(6)), may provide the supplemental benefits described in clause (ii). (ii) Supplemental benefits described (I) In general The supplemental benefits described in this clause are as follows: (aa) A medical device or technology that has a national coverage determination or local coverage determination under this title for an indication that is different than the indication for such coverage determination. (bb) A technology that does not fit into another benefit category under this title. (II) Authority to waive uniformity requirements The Secretary may, only with respect to supplemental benefits provided under this subparagraph, waive the uniformity requirements under this part, as determined appropriate by the Secretary. .