Fw: USA POLITICS/ Harkin Bill/ It's the Law !
Anthony T. Barr
Description
Collection
Title:
Fw: USA POLITICS/ Harkin Bill/ It's the Law !
Creator:
Anthony T. Barr
Date:
4/25/2002
Text:
To set the record straight and for those of you that have an interest, this is the federal legislation that was the result of AOPA and congressional negotiations, AOPA recieved the delegated authority from the Academy, to negotiate on their behalf.
I have condensed the forward to comply to the limit of 200 words for OANDP.Those of you that want the complete text, contact me by private e-mail.
Tony
> H.R.5612
>
> Medicare, Medicaid, and SCHIP Benefits Improvement and Beneficiary Protection
> Act of 2000 (Introduced in the
House)
> `(ii) DESCRIPTION OF CUSTOM FABRICATED ITEM-
>
> `(I) IN GENERAL- An item described in this clause is
> an item of custom fabricated orthotics
> that requires education, training, and experience to
> custom fabricate and that is included in a
> list established by the Secretary in subclause (II).
> Such an item does not include shoes and
> shoe inserts.
>
> `(II) LIST OF ITEMS- The Secretary, in consultation
> with appropriate experts in orthotics
> (including national organizations representing
> manufacturers of orthotics ), shall establish and
> update as appropriate a list of items to which this
> subparagraph applies. No item may be
> included in such list unless the item is individually
> fabricated for the patient over a positive
> model of the patient.
>
> `(iii) QUALIFIED PRACTITIONER DEFINED- In this
> subparagraph, the term `qualified
> practitioner' means a physician or other individual who--
>
> `(I) is a qualified physical therapist or a qualified
> occupational therapist;
>
> `(II) in the case of a State that provides for the
> licensing of orthotics and prosthetics, is
> licensed in orthotics or prosthetics by the State in
> which the item is supplied; or
>
> `(III) in the case of a State that does not provide
> for the licensing of orthotics and prosthetics,
> is specifically trained and educated to provide or
> manage the provision of prosthetics and
> custom-designed or fabricated orthotics , and is
> certified by the American Board for
> Certification in Orthotics and Prosthetics, Inc. or
> by the Board for Orthotist/Prosthetist
> Certification, or is credentialed and approved by a
> program that the Secretary determines, in
> consultation with appropriate experts in orthotics
> and prosthetics, has training and education
> standards that are necessary to provide such
> prosthetics and orthotics .
>
> `(iv) QUALIFIED SUPPLIER DEFINED- In this subparagraph,
> the term `qualified supplier' means
> any entity that is accredited by the American Board for
> Certification in Orthotics and Prosthetics,
> Inc. or by the Board for Orthotist/Prosthetist
> Certification, or accredited and approved by a
> program that the Secretary determines has accreditation
> and approval standards that are essentially
> equivalent to those of such Board.'.
>
>
> > SEC. 428. REPLACEMENT OF PROSTHETIC DEVICES AND PARTS.
>
> (a) IN GENERAL- Section 1834(h)(1) (42 U.S.C. 1395m(h)(1)), as amended by
> section 427(a), is further amended
> by adding at the end the following new subparagraph:
>
> `(G) REPLACEMENT OF PROSTHETIC DEVICES AND PARTS-
>
> `(i) IN GENERAL- Payment shall be made for the replacement
> of prosthetic devices which are
> artificial limbs, or for the replacement of any part of
> such devices, without regard to continuous use
> or useful lifetime restrictions if an ordering physician
> determines that the provision of a replacement
> device, or a replacement part of such a device, is
> necessary because of any of the following:
>
> `(I) A change in the physiological condition of the
> patient.
>
> `(II) An irreparable change in the condition of the
> device, or in a part of the device.
>
> `(III) The condition of the device, or the part of
> the device, requires repairs and the cost of
> such repairs would be more than 60 percent of the
> cost of a replacement device, or, as the
> case may be, of the part being replaced.
>
> (c) EFFECTIVE DATE- The amendment made by subsection (a) shall apply to
> items replaced on or after April 1,
> 2001.
I have condensed the forward to comply to the limit of 200 words for OANDP.Those of you that want the complete text, contact me by private e-mail.
Tony
> H.R.5612
>
> Medicare, Medicaid, and SCHIP Benefits Improvement and Beneficiary Protection
> Act of 2000 (Introduced in the
House)
> `(ii) DESCRIPTION OF CUSTOM FABRICATED ITEM-
>
> `(I) IN GENERAL- An item described in this clause is
> an item of custom fabricated orthotics
> that requires education, training, and experience to
> custom fabricate and that is included in a
> list established by the Secretary in subclause (II).
> Such an item does not include shoes and
> shoe inserts.
>
> `(II) LIST OF ITEMS- The Secretary, in consultation
> with appropriate experts in orthotics
> (including national organizations representing
> manufacturers of orthotics ), shall establish and
> update as appropriate a list of items to which this
> subparagraph applies. No item may be
> included in such list unless the item is individually
> fabricated for the patient over a positive
> model of the patient.
>
> `(iii) QUALIFIED PRACTITIONER DEFINED- In this
> subparagraph, the term `qualified
> practitioner' means a physician or other individual who--
>
> `(I) is a qualified physical therapist or a qualified
> occupational therapist;
>
> `(II) in the case of a State that provides for the
> licensing of orthotics and prosthetics, is
> licensed in orthotics or prosthetics by the State in
> which the item is supplied; or
>
> `(III) in the case of a State that does not provide
> for the licensing of orthotics and prosthetics,
> is specifically trained and educated to provide or
> manage the provision of prosthetics and
> custom-designed or fabricated orthotics , and is
> certified by the American Board for
> Certification in Orthotics and Prosthetics, Inc. or
> by the Board for Orthotist/Prosthetist
> Certification, or is credentialed and approved by a
> program that the Secretary determines, in
> consultation with appropriate experts in orthotics
> and prosthetics, has training and education
> standards that are necessary to provide such
> prosthetics and orthotics .
>
> `(iv) QUALIFIED SUPPLIER DEFINED- In this subparagraph,
> the term `qualified supplier' means
> any entity that is accredited by the American Board for
> Certification in Orthotics and Prosthetics,
> Inc. or by the Board for Orthotist/Prosthetist
> Certification, or accredited and approved by a
> program that the Secretary determines has accreditation
> and approval standards that are essentially
> equivalent to those of such Board.'.
>
>
> > SEC. 428. REPLACEMENT OF PROSTHETIC DEVICES AND PARTS.
>
> (a) IN GENERAL- Section 1834(h)(1) (42 U.S.C. 1395m(h)(1)), as amended by
> section 427(a), is further amended
> by adding at the end the following new subparagraph:
>
> `(G) REPLACEMENT OF PROSTHETIC DEVICES AND PARTS-
>
> `(i) IN GENERAL- Payment shall be made for the replacement
> of prosthetic devices which are
> artificial limbs, or for the replacement of any part of
> such devices, without regard to continuous use
> or useful lifetime restrictions if an ordering physician
> determines that the provision of a replacement
> device, or a replacement part of such a device, is
> necessary because of any of the following:
>
> `(I) A change in the physiological condition of the
> patient.
>
> `(II) An irreparable change in the condition of the
> device, or in a part of the device.
>
> `(III) The condition of the device, or the part of
> the device, requires repairs and the cost of
> such repairs would be more than 60 percent of the
> cost of a replacement device, or, as the
> case may be, of the part being replaced.
>
> (c) EFFECTIVE DATE- The amendment made by subsection (a) shall apply to
> items replaced on or after April 1,
> 2001.
Citation
Anthony T. Barr, “Fw: USA POLITICS/ Harkin Bill/ It's the Law !,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 27, 2024, https://library.drfop.org/items/show/218805.
