Loading…
Medicare Orthotics and Prosthetics Improvement Act of 2015
Legislative Progress
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
53pct
15d open
vs 6,526 other HR bills in the 114th — cohort avg 56d
Medicare Orthotics and Prosthetics Improvement Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to prohibit payment under Medicare part B (Supplementary Medical Insurance) for an item or service furnished: (1) in a state that requires licensure unless the provider or supplier possesses all applicable state licensure, or (2) in a state that does not require licensure unless the provider or supplier meets all qualifications established by the Secretary of Health and Human Services. The Secretary shall designate and approve independent accreditation organizations that apply quality standards for suppliers only if they are Boards for Orthotist/Prosthetist Certification or essentially equivalent programs. Special payment rules for certain prosthetics and custom-fabricated orthotics are extended to custom-fitted orthotics. Such rules do not apply, however, to off-the-shelf orthotics furnished on or after January 1, 2016, which are included in a competitive acquisition program. Decisions about Medicare coverage of orthotics and prosthetics on or after January 1, 2016, must take into account the complexity of the item as well as supplier qualifications (which do not apply, however, to physicians, occupational therapists, or physical therapists state-licensed to provide such items). Documentation created by an orthotist or prosthetist is considered part of the patient's medical record. Requirements for suppliers of orthotics and prosthetics are separated from those for suppliers of durable medical equipment. Orthotists and prosthetists must have a supplier number for Medicare payment to be made. Patients are not liable for payment of furnished orthotics or prosthetics where payment may not be made or where payment is denied. Only the orthotists or prosthetists are liable in such circumstances. The Secretary must publish on the Internet website of the Centers for Medicare and Medicaid Services specified performance information about each recovery audit contractor (RAC). The Secretary is prohibited from recouping more than 50% of any overpayments for qualified providers and hospitals in response to a RAC audit until an administrative law judge has rendered a decision. The Secretary may recoup any overpayments, though, related to or resulting from fraudulent activity on the part of a Medicare provider or supplier. Only the patient may make the minimal self-adjustment required to qualify off-the-shelf orthotics for Medicare coverage in a competitive acquisition program.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (2)
2016 · fourth_quarter · Health Issues
Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referra/Stark Law American Cures Act H.R. 1608/S. 2373 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act Physician owned distributerships H.R. 921/S. 689 Sports Medicine Licensure Clarity Act S. 2364 Medicare Home Health Flexibility Act MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Insurance Benefit parameters H.R. 4641 To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. S. 524/H.R. 953 Comprehensive Addiction & Recovery Act of 2015 H.R. 5088 PIMA H.R. 5045 Preserving Access to Modern Prosthetic Limbs Act of 2016 H.R. 4266 Nurse & Health Care Worker Protection Act H.R. 1516 Ensuring Access to Quality CRT H.R. 1530 Medicare O&P Improvement Act H.R. 1420 National TBI Research & Treatment Improvement Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 800/H.R. 1631 Enhancing the Stature and Visibility of Medicare Research at NIH Act
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Congress.gov source codes: H11100, H11100-A
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Client expense: $258,406 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office
2016 · fourth_quarter · Health Issues
IPAB Repeal (HR 1190 / S 141); Medical Liability Reform (HR 4771); Medicare physician payment / SGR (HR 2); Medicare Therapeutic Shoes program for persons with diabetes (HR 1221 / S 626 / HR 4756); Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Medicaid program integrity (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270; S 2425; S 2511); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526, S 2368); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018; HR 2029); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661); budget reform (HR 3660)
Client expense: $140,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2016 · third_quarter · Health Issues
IPAB Repeal (HR 1190 / S 141); Medical Liability Reform (HR 4771); Medicare physician payment / SGR (HR 2); Medicare Therapeutic Shoes program for persons with diabetes (HR 1221 / S 626 / HR 4756); Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Medicaid program integrity (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270; S 2425; S 2511); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526, S 2368); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018; HR 2029); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661); budget reform (HR 3660)
Client expense: $140,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2016 · third_quarter · Health Issues
Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referra/Stark Law American Cures Act H.R. 1608/S. 2373 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act Physician owned distributerships H.R. 921/S. 689 Sports Medicine Licensure Clarity Act S. 2364 Medicare Home Health Flexibility Act MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Insurance Benefit parameters H.R. 4641 To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. S. 524/H.R. 953 Comprehensive Addiction & Recovery Act of 2015 H.R. 5088 PIMA H.R. 5045 Preserving Access to Modern Prosthetic Limbs Act of 2016 H.R. 4266 Nurse & Health Care Worker Protection Act H.R. 1516 Ensuring Access to Quality CRT H.R. 1530 Medicare O&P Improvement Act H.R. 1420 National TBI Research & Treatment Improvement Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 800/H.R. 1631 Enhancing the Stature and Visibility of Medicare Research at NIH Act
Client expense: $258,406 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office
2016 · second_quarter · Health Issues
IPAB Repeal (HR 1190 / S 141); Medical Liability Reform (HR 4771); Medicare physician payment / SGR (HR 2); Medicare Therapeutic Shoes program for persons with diabetes (HR 1221 / S 626 / HR 4756); Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Medicaid program integrity (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270; S 2425; S 2511); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526, S 2368); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018; HR 2029); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661); budget reform (HR 3660)
Client expense: $140,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2016 · second_quarter · Health Issues
Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608/S. 2373 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act Physician owned distributerships H.R. 921/S. 689 Sports Medicine Licensure Clarity Act S. 2364 Medicare Home Health Flexibility Act MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Insurance Benefit parameters H.R. 4641 To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. S. 524/H.R. 953 Comprehensive Addiction & Recovery Act of 2015 H.R. 5088 PIMA H.R. 5045 Preserving Access to Modern Prosthetic Limbs Act of 2016 H.R. 4266 Nurse & Health Care Worker Protection Act H.R. 1516 Ensuring Access to Quality CRT H.R. 1530 Medicare O&P Improvement Act H.R. 1420 National TBI Research & Treatment Improvement Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 800/H.R. 1631 Enhancing the Stature and Visibility of Medicare Research at NIH Act
Client expense: $253,752 · Firm income: Not reported
2016 · first_quarter · Health Issues
IPAB Repeal (HR 1190 / S 141); Medical Liability Reform (HR 4771); Medicare physician payment / SGR (HR 2); Medicare Therapeutic Shoes program for persons with diabetes (HR 1221 / S 626); Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Medicaid program integrity (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270; S 2425; S 2511); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526, S 2368); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018; HR 2029); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661)
Client expense: $140,000 · Firm income: Not reported
2015 · fourth_quarter · Health Issues
IPAB Repeal (HR 1190 / S 141); Medical Liability Reform; Medicare physician payment / SGR (HR 2; HR 1470; S 810); Medicare Therapeutic Shoes program for persons with diabetes; Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270; S 2425); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018; HR 2029); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661)
Client expense: $140,000 · Firm income: Not reported
2015 · third_quarter · Health Issues
IPAB Repeal (HR 1190 / S 141); Medical Liability Reform; Medicare physician payment / SGR (HR 2; HR 1470; S 810); Medicare Therapeutic Shoes program for persons with diabetes; Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661)
Client expense: $140,000 · Firm income: Not reported
2015 · second_quarter · Health Issues
IPAB Repeal (HR 1190 / S 141); Medical Liability Reform; Medicare physician payment / SGR (HR 2; HR 1470; S 810); Medicare Therapeutic Shoes program for persons with diabetes; Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Veterans Admin. provider recruitment, retention and reimbursement; Medicaid access to podiatry (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661); student loan assistance (HR 1707)
Client expense: $140,000 · Firm income: Not reported
| Republican |
| MN |
| Joseph J. Heck | Republican | NV |
| Joyce Beatty | Democratic | OH |
| Marsha Blackburn | Republican | TN |
| Mike Thompson | Democratic | CA |
| Peter T. King | Republican | NY |
| Renee L. Ellmers | Republican | NC |
| Steve Israel | Democratic | NY |
| Steve Stivers | Republican | OH |
| Tammy Duckworth | Democratic | IL |
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE