II
117th CONGRESS
1st Session
S. 1315
IN THE SENATE OF THE UNITED STATES
April 22, 2021
Ms. Cantwell (for herself, Mr. Grassley, Mr. Merkley, Mr. Young, Ms. Baldwin, Mr. Blunt, Ms. Duckworth, Mr. Wicker, Ms. Sinema, Mr. Rubio, Ms. Klobuchar, Ms. Ernst, Ms. Smith, Mrs. Hyde-Smith, Mr. Reed, Mr. Tillis, Mr. Brown, Mr. Sullivan, Mr. Markey, Mr. Daines, Mr. Casey, Mr. Scott of South Carolina, Mrs. Shaheen, Mrs. Capito, Ms. Stabenow, Ms. Murkowski, Mr. Cardin, Mr. Boozman, Mr. Blumenthal, Mr. Rounds, Mr. Schatz, Mr. Inhofe, Mr. Van Hollen, Mr. Hoeven, Mr. Coons, Mr. Scott of Florida, Mr. Menendez, Mr. Lankford, Mr. Bennet, Mrs. Fischer, Ms. Cortez Masto, Mr. Graham, Mrs. Murray, Mr. Carper, Ms. Warren, Mr. Booker, Mr. King, Mr. Durbin, Mr. Whitehouse, Mr. Tester, Mr. Warner, Ms. Rosen, Mr. Padilla, and Mr. Kelly) introduced the following bill; which was read twice and referred to the Committee on Finance
A BILL
To amend title XVIII of the Social Security Act to provide for coverage of certain lymphedema compression treatment items under the Medicare program.
Short title
This Act may be cited as the Lymphedema Treatment Act
.
Medicare coverage of certain lymphedema compression treatment items
In general
Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended—
in subsection (s)(2)—
in subparagraph (GG), by striking and
after the semicolon at the end;
in subparagraph (HH), by striking the period at the end and inserting ; and
; and
by adding at the end the following new subparagraph:
lymphedema compression treatment items (as defined in subsection (lll));
; and
by adding at the end the following new subsection:
Lymphedema compression treatment items
The term lymphedema compression treatment items means—
standard and custom fitted gradient compression garments that are—
furnished on or after January 1, 2023, to an individual with a diagnosis of lymphedema for the treatment of such condition;
primarily and customarily used in the medical treatment of lymphedema, as determined by the Secretary; and
prescribed by a physician (or a physician assistant, nurse practitioner, or a clinical nurse specialist (as those terms are defined in section 1861(aa)(5)) to the extent authorized under State law); and
other devices determined by the Secretary to be effective in the prevention or treatment of lymphedema.
.
Effective date
The amendments made by subsection (a) shall apply to lymphedema compression treatment items furnished on or after January 1, 2023.