,,ii  #aah? ,,congress  #b;d ,session   
,s4 #cigg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ai1 #bjbd,mr4    
,w>n] 7= himself1 ,mr4 ,da9es1 ,ms4     
,klobu*>1 & ,mr4 ,cornyn7 introduc$ !   
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to protect b5efici>ies ) 
limb loss & o!r or?op$ic conditions by  
provid+ access to appropriate1 safe1    
effective1 pati5t-c5t]$ or?otic &       
pro/hetic c>e2 to r$uce fraud1 wa/e1 &  
abuse ) respect to or?otics &           
pro/hetics1 & = o!r purposes4  #a4 ,%ort
 title ,?is ,act may be cit$ z ! ,m$ic>e
 ,or?otics & ,pro/hetics ,pati5t-,c5t]$ 
,c>e ,act4  #b4 ,increas+ protections = 
,m$ic>e b5efici>ies receiv+ or?otic &   
pro/hetic c>e  7a7 ,prohibition on      
paym5t = items deliv]$ by drop %ipm5t   
7#a7 ,9 g5]al ,section #ahcd7;h77#a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciem7h77#a77 is am5d$ by add+ at ! end
 ! foll[+ new subp>agraph3  7,i7        

,prohibition on paym5t = c]ta9 items    
furni%$ us+ a drop %ipm5t  7i7 ,9 g5]al 
,no paym5t %all be made "u ?is          
subsection = an item describ$ 9 clause  
7ii7 furni%$ to an individual via a drop
 %ipm5t4  7ii7 ,items describ$ ,?is     
items describ$ 9 ?is clause are !       
foll[+3 7,i7 ,a pro/hesis 7z def9$ 9    
p>agraph 7#d77;,c771 except t su* t]m   
does n include supplies = su* pro/hesis4
  7,,ii7 ,a cu/om-fabricat$ or?osis 7z  
describ$ 9 subp>agraph 7,f77ii771 or a  
cu/om-fitt$ or?osis1 except t su* t]m   
does n include supplies = su* or?osis4  
7,,iii7 ,(f-!-%elf or?otics 7z def9$ 9  
section #ahdg7;a77#b77;,c77 t are n     
o!rwise subject to competitive bidd+ &  
are deliv]$ by drop %ipm5t4  7iii7 ,drop
 %ipm5t def9$ ,9 ?is subp>agraph1 ! t]m 
drop %ipm5t means ! direct %ipm5t ( a   
pro/hesis or an or?osis to an individual
 t has n receiv$ tra9+ or education )   
respect to fitt+ & adju/m5t or tra9+ 9 !
 c>e & use ( su* pro/hesis or or?osis f 
a qualifi$ practition] 7z describ$ 9    

subp>agraph 7,f77iii774  4  7#b7        
,effective date ,! am5dm5t made by      
p>agraph 7#a7 %all apply to items       
furni%$ on or aft] ! fir/ day ( ! fir/  
full cal5d> ye> foll[+ ! date ( enactm5t
 ( ?is ,act4  7b7 ,additional           
practition]s exempt f competitive       
acquisition ,section                    
#ahdg7;a77#g77;,a77i7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciew-#c7;a77#g77;,a77i77 is am5d$--   
7#a7 by ins]t+ 1 physical !rapi/1       
occupational !rapi/1 or?oti/1 pro/heti/ 
aft] by a physician2 &  7#b7 by ins]t+ 1
 physical !rapi/1 occupational !rapi/1  
or?oti/1 pro/heti/ aft] ! physician's 9 
ea* place su* t]m occurs4  7c7 ,ensur+  
b5efici>y access to replacem5t          
cu/om-,fitt$ or?otic devices &          
cu/om-,fabricat$ or?otic devices        
,section #ahcd7;h77#a77;,g7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciem7h77#a77;,g77 is am5d$-- 7#a7 9 ! 
head+1 by ins]t+ 1 cu/om-fitt$ or?otic  
devices1 cu/om-fabricat$ or?otic        

devices1 aft] ,replacem5t ( pro/hetic   
devices2 &  7#b7 9 clause 7i71 by ins]t+
 1 replacem5t ( cu/om-fitt$ or?otic     
devices1 replacem5t ( cu/om-fabricat$   
or?otic devices1 aft] :i* are artificial
 limbs14  7d7 ,updat+ def9itions (      
or?otics & pro/hetics ,section          
#ahcd7;h77#d77;,c7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciem7h77#d77;,c77
 is am5d$ by /rik+ ! t]m or?otics &     
pro/hetics has ! mean+ giv5 su* t]m1 &  
ins]t+ ! t]ms or?otics & pro/hetics &   
or?oses & pro/heses h ! mean+ giv5 su*  
t]ms4  7e7 ,regulations ,n lat] ?an #a  
ye> aft] ! date ( ! enactm5t ( ?is ,act1
 ! ,secret>y ( ,heal? & ,human ,s]vices 
%all promulgate f9al regulations to     
implem5t ! am5dm5ts made by ?is ,act4