House Introduces Medicare O&P Patient Centered Care Act

Published in Orthotics & Prosthetics on March 29, 2021

Representatives Mike Thompson (D-CA), GT Thompson (R-PA), GK Butterfield (D-NC), and Brett Guthrie (R-KY) re-introduced the bipartisan Medicare Orthotics and Prosthetics Patient-Centered Care Act (H.R 1990). The bill is identical to the House version of the bill (H.R. 5262) that was introduced last year, which means we can build on the awareness and support for the bill from the previous Congress. The bill would accomplish four key priorities for the orthotic and prosthetic profession. It would:

  • Distinguish durable medical equipment (DME) from clinical, service-oriented O&P care in the Medicare statute and regulations, leading to recognition of the clinical care O&P practitioners provide.
  • Limit the definition of “off-the-shelf” (or “OTS”) orthotics to devices that truly require only “minimal self-adjustment” by the beneficiary him- or herself. This would help ensure that patients continue to have access to the clinical orthotic services they need.
  • Ban drop-shipping to patients’ homes of custom fit and custom fabricated orthoses and prostheses to prevent fraud and abuse and ensure patient access to clinical O&P care
  • Exempt licensed and certified O&P practitioners from OTS competitive bidding, treating them similarly to physicians and therapists by allowing them to provide OTS orthoses to their patients—without a contract—at the competitive bidding rate (not the higher fee schedule amount).

Watch the announcement from Peter W. Thomas, General Counsel of NAAOP below.

Request that your members of Congress become co-sponsors today!


TAGS

  1. advocacy
  2. orthotics and prosthetics
  3. vgm government

comments powered by Disqus

From Our Experts

O&P Advocacy thumbnail O&P Advocacy At OPGA, we take pride in keeping our members updated on regulatory issues affecting the O&P profession. Read more about our relationship with NAAOP and what we're doing to help advocate for the O&P profession. O&P Woman of the Year Nominations Now Open thumbnail O&P Woman of the Year Nominations Now Open OPGA is excited to announce that the nomination period for the 2021 O&P Woman of the Year Award is open now through July 9. The Q2 Buyer's Guide is Available Now thumbnail The Q2 Buyer's Guide is Available Now VGM & Associates is excited to announce that the second quarter Digital Buyer's Guide has been released. The latest edition can be downloaded now. Healthcare at Home: Telehealth for Orthotics and Prosthetics thumbnail Healthcare at Home: Telehealth for Orthotics and Prosthetics Originally featured in “VGM Playbook: Forecasting 2021” by VGM & Associates, president of OPGA, Todd Eagen, discusses how telehealth will most likely continue to be used in a majority of O&P practices post-pandemic. Letter from the President: February 2021 thumbnail Letter from the President: February 2021 Greetings to the OPGA community! I hope this edition of our newsletter finds you and your team well into the routine of a new year. As we head into the spring, I would like to point out two important initiatives that OPGA is directly involved with and could have a profound impact on the profession. The First Quarterly Buyer's Guide Is Available Now thumbnail The First Quarterly Buyer's Guide Is Available Now VGM & Associates and OPGA has released a new resource for our members, our Quarterly Buyer's Guide. Register for the OPGA Members-Only Portal! thumbnail Register for the OPGA Members-Only Portal! As a member, you have exclusive access to the OPGA members-only portal. With one single login, you get access to all resources and materials available to members. OPGA Announces Website Redesign thumbnail OPGA Announces Website Redesign Refreshed and enhanced for a more user-friendly experience, this updated site makes it easier for members to find the information they're looking for.