,i  #aahth ,,congress  #ast ,session    
,h4 ,r4 #ecig  ,,in ,,the ,,house ,,of  
,,representatives  ,september #ab1 #bjbc
 ,mr4 ,fitzpatrick 7for himself and ,mr4
 ,dunn of ,florida7 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 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to provide   
coverage of external infusion pumps and 
non-self-administrable home infusion    
drugs under the ,medicare program4  #a4 
,short title ,this ,act may be cited as 
the ,joe ,fiandra ,access to ,home      
,infusion ,act of #bjbc4  #b4 ,medicare 
coverage of external infusion pumps and 
non-self-administrable home infusion    
drugs  7a7 ,clarifying appropriate for  
use in the home criteria for ,,dme      

definition ,section #ahfa7n7 of the     
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7n77 is amended by adding at the  
end the following new sentence3  ,an    
external infusion pump and associated   
infusion drug or other associated       
supplies shall be treated as meeting the
 appropriate for use in the home        
requirement applied to the definition of
 durable medical equipment under section
 #dad4bjb of title #db1 ,code of        
,federal ,regulations 7or any successor 
to such regulation7 and shall be covered
 as durable medical equipment under this
 title if each of the following criteria
 7as described in the ,notice of        
,proposed ,rulemaking titled ,expanded  
,classification of ,external ,infusion  
,pumps as ,durable ,medical ,equipment  
published in the ,federal ,register on  
,november #d1 #bjbj 7#he ,fed4 ,reg4    
#gjdjd77 is satisfied3 7#a7 ,the ,food  
and ,drug ,administration-required      
labeling requires the home infusion drug
 associated with the pump to be prepared

 immediately prior to administration or 
administered by a health care           
professional or both4  7#b7 ,a qualified
 home infusion therapy supplier 7as     
defined in subsection 7iii77#c77;,d77   
administers the drug or biological in a 
safe and effective manner in the        
patient's home 7as defined in subsection
 7iii77#c77;,b774  7#c7 ,the labeling   
described in paragraph 7#a7 specifies   
infusion via an external infusion pump  
as a possible route of administration1  
at least once per month1 for the drug4  
4  7b7 ,implementation ,notwithstanding 
any other provision of law1 any home    
infusion drug associated with an        
external infusion pump that satisfies   
the criteria described in each of       
paragraphs 7#a71 7#b71 and 7#c7 of      
section #ahfa7n7 of the ,social         
,security ,act 7#db ,u4,s4,c4           
#aciex7n771 as added by subsection 7a71 
shall be included in the ,local         
,coverage ,determination on ,external   
,infusion ,pumps made under title       

,,xviii of such ,act 7#db ,u4,s4,c4     
#acie1 et seq47 7,,lcd number ,l#ccgid7 
7and any successor ,,lcd71 and payment  
shall be authorized for home infusion   
therapy services provided in association
 with any such drug1 effective as of the
 date of the enactment of this section  
or the ,food and ,drug ,administration's
 approval of the drug1 whichever comes  
later4