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

From Our Experts

A Letter From the President, Adam Miller: May 2024 thumbnail A Letter From the President, Adam Miller: May 2024 OPGA has adopted the moniker, “Savings. Solutions. Something Bigger,” to represent our mission and offerings for our membership. We strive to live that mentality and have it be more of a compass point than just a slogan. OPGA, VGM Education Expand Educational Offering to Members thumbnail OPGA, VGM Education Expand Educational Offering to Members OPGA is excited to announce that members can now access 20 complimentary CE courses through their educational offering with VGM Education. NAAOP Selects Taylor Haines as the 2024 Breece Fellow thumbnail NAAOP Selects Taylor Haines as the 2024 Breece Fellow NAAOP is proud to announce that Taylor Haines has been competitively selected as the 2024 George and Dena Breece Fellow. Savings. Solutions. Something Bigger: Highlighting O&P Leadership thumbnail Savings. Solutions. Something Bigger: Highlighting O&P Leadership The O&P profession is filled with leaders and innovators who strive to advance the profession and raise awareness about the critical role of education, networking, and advocacy in O&P. [Important Announcement] Updated 855S Application Released thumbnail [Important Announcement] Updated 855S Application Released For those businesses that have been patiently waiting for the 855S application to be updated with the Lymphedema Compression Treatment items as a product being offered, it is finally here. Medicare Orthotics and Prosthetics Patient-Centered Care Act Introduced in the Senate thumbnail Medicare Orthotics and Prosthetics Patient-Centered Care Act Introduced in the Senate Today, Senators Mark Warner (D-VA) and Steve Daines (R-MT) introduced the bi-partisan Medicare Orthotics and Prosthetics Patient-Centered Care Act in the Senate. 2024 Audit and Compliance Forecast thumbnail 2024 Audit and Compliance Forecast President of The van Halem Group, Wayne van Halem, provides his insight on what suppliers should expect to see from an audit and compliance perspective in 2024. OPGA, Össur Name Recipients of O&P Grants thumbnail OPGA, Össur Name Recipients of O&P Grants Matthew Jones and Kelley Berk have been selected as the recipients of two O&P grants.