The Medicare O&P Patient-Centered Care Act Introduced in the Senate

Published in Government Relations on August 02, 2021

Senate bill S. 2556, the Medicare O&P Patient-Centered Care Act, was introduced on Friday, July 30. This bill is being led by Sens. Mark Warner (D-VA) and Steve Daines (R-MT). Additional original co-sponsors include Sens. Tammy Duckworth (D-IL), Charles Grassley (R-IA), Bill Cassidy (R-LA), and John Cornyn (R-TX). This is a companion bill to H.R. 1990.

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).

Todd Eagen, President of OPGA, said, “On behalf of the OPGA community, we are very glad to see the bipartisan Medicare O&P Patient Centered Care Act introduced in the Senate and would also like to thank Iowa’s own Senator Grassley (R) for being an original co-sponsor. OPGA and the VGM Government Relations team has been advocating for this legislation for many years, and we look forward to continuing our efforts to garner more support and get this Bill passed. At its core, this Bill ensures beneficiaries access to quality O&P clinical care while providing appropriate regulation and reducing fraud and abuse within the system.”

Reaching your legislator to ask that they support this legislation is easy! Simply click here to send a pre-written, editable request to your congressional offices. It only takes a minute.


TAGS

  1. orthotics & prosthetics
  2. vgm government

From Our Experts

The PHE Will End May 11 thumbnail The PHE Will End May 11 President Biden has announced that the COVID-19 Public Health Emergency (PHE) will officially end on May 11, 2023. Tom Powers Visit Washington D.C. thumbnail Tom Powers Visit Washington D.C. With the start of the 118th Congress and all members of Congress returning to D.C., VGM Government Relations' Tom Powers headed to Capitol Hill. OIG Recommends 'High/Low Reward' Strategy on Intermittent Catheters thumbnail OIG Recommends 'High/Low Reward' Strategy on Intermittent Catheters In this episode of Industry Matters, Alan Morris, Director of Research and Strategy for VGM Government Relations, and John Gallagher, VP of VGM Government Relations, talk with Brian Leitten from Leitten Consulting, about a new study, "OIG Recommends 'High Risk/Low Reward' Strategy on Intermittent Catheters." The study looks at concerns and costs associated with reducing access to urinary catheters. Additional HCPCS Codes Added to F2F/WOPD Required List thumbnail Additional HCPCS Codes Added to F2F/WOPD Required List On Jan. 14, 2023, CMS released a public notice CMS-6088-N, adding 10 more HCPCS codes to the F2F/WOPD Required List. Ronda Vlog: Recent Updates to the New Oxygen Policy thumbnail Ronda Vlog: Recent Updates to the New Oxygen Policy Listen below as Ronda Buhrmester, Sr. Director of Payer Relations and Reimbursement gives the latest update on the new oxygen policy. Republicans Announce New Members on Key Committees thumbnail Republicans Announce New Members on Key Committees On Wednesday, Jan. 11, 2023, the United States House Republican Select Committee met to announce the new Republican members appointed to various committees in the House. For the DME industry, there are three key committees of justification to work with. PHE Renewed for Another 90 Days Pushing it to April 2023 thumbnail PHE Renewed for Another 90 Days Pushing it to April 2023 On Wednesday, Jan. 11, 2023, HHS Secretary Xavier Becerra announced an extension of the COVID-19 Public Health Emergency (PHE). This extension will take us to April 2023. Be sure to read how this will effect the industry. President Biden Signs Omnibus Bill Two Days Before The New Year thumbnail President Biden Signs Omnibus Bill Two Days Before The New Year Yesterday, Dec. 29, 2023, President Biden signed the end-of-year omnibus bill. Within this bill, there is a language for the DMEPOS industry.