,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bcbi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ag1 #bjbe,mr4   
,w>n] 7= himself & ,mr4 ,da9es7         
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>e1 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 ,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 may be  
made "u ?is subsection = an item        
describ$ 9 clause 7ii7 furni%$ to an    
individual via a drop %ipm5t on or aft] 
! fir/ day ( ! fir/ ye> beg9n+ aft] !   
date ( ! enactm5t ( ?is subp>agraph4    
7ii7 ,items describ$ ,! items describ$ 9
 ?is clause are or?otics & pro/hetics1 n
 includ+ supplies = su* or?otics &      
pro/hetics1 t are id5tifi$ by ,,hcpcs   
codes = :i* paym5t is n made "u section 
#ahdg4  7iii7 ,drop %ipm5t def9$ ,9 ?is 
subp>agraph1 ! t]m drop %ipm5t means1 ) 
respect to an item describ$ 9 clause    
7ii71 ! direct %ipm5t ( su* item to an  
individual :o has n receiv$ tra9+ or    
education f a qualifi$ practition] 7z   
def9$ 9 subp>agraph 7,f77iii77 on !     
fitt+ & adju/m5t1 c>e1 & use ( su* item4
  4  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/1
 aft] by a physician2 &  7#b7 by /rik+ !
 physician's ea* place x appe>s & ins]t+
 su* physician's 9 ea* su* place4  7c7  
,ensur+ b5efici>y access to replacem5t  
cu/om-,fitt$ or?otics & 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?otics1 cu/om-fabricat$  
or?otics1 aft] ,replacem5t ( pro/hetic  
devices2 &  7#b7 9 clause 7i71 by ins]t+
 replacem5t ( cu/om-fitt$ or?otics1     
replacem5t ( items ( cu/om-fabricat$    
or?otics describ$ 9 subp>agraph         
7,f77ii71 aft] :i* are artificial       
limbs14  7d7 ,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 section4