{"format":1,"id":"117-hr-3630","congress":117,"number":"H.R. 3630","kind":"bill","group":"bills","title":"Lymphedema Treatment Act","title_source":"Short Title(s) as Passed House","official_title":"To amend title XVIII of the Social Security Act to provide for coverage of certain lymphedema compression treatment items under the Medicare program.","titles":[{"type":"Official Title as Introduced","title":"To amend title XVIII of the Social Security Act to provide for coverage of certain lymphedema compression treatment items under the Medicare program."},{"type":"Short Titles from RFS (Referred to Senate) bill text","title":"Lymphedema Treatment Act"},{"type":"Display Title","title":"Lymphedema Treatment Act"},{"type":"Short Title(s) as Passed House","title":"Lymphedema Treatment Act"},{"type":"Short Title(s) as Reported to House","title":"Lymphedema Treatment Act"},{"type":"Short Title(s) as Introduced","title":"Lymphedema Treatment Act"}],"outcome":"passed_house","law_number":null,"introduced":"2021-05-28","chambers":{"house":{"status":"roll_call","date":"2022-11-17","vote":{"id":"117-2022-h485","question":"On Motion to Suspend the Rules and Pass, as Amended","title":"Lymphedema Treatment Act","result":"Passed","yea":402,"nay":13,"present":0,"not_voting":17,"source":"https://clerk.house.gov/evs/2022/roll485.xml"}},"senate":{"status":"na","date":null,"vote":null}},"president":{"status":"na","date":null},"vice_president_tie_breaker":null,"latest_action":{"text":"Received in the Senate and Read twice and referred to the Committee on Finance.","date":"2022-11-17"},"nominees":null,"amendments":[],"other_votes":[],"crs_summary":{"date":"2022-11-17","stage":"Passed House","blocks":[{"k":"h","t":"Lymphedema Treatment Act"},{"k":"p","t":"This bill provides for Medicare coverage of lymphedema compression treatment items. Specifically, the bill provides for coverage of standard and custom fitted gradient compression garments and other approved items that are prescribed by a physician or other specified health care professional to treat lymphedema."}],"words":47},"summary":{"main_subject":{"text":"Adds lymphedema compression treatment items, such as gradient compression garments, to the items covered under Medicare Part B and sets how they are paid for.","cites":[{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3630/text/eh#HEE57B51287E140BA973CD723739914D3"}]},"core_areas":["Medicare coverage of lymphedema compression treatment items","Medicare payment rules for lymphedema compression treatment items","Medicare Improvement Fund funding level"],"what_it_does":[{"text":"Amends section 1861 of the Social Security Act to define lymphedema compression treatment items as standard and custom fitted gradient compression garments and other items determined by the Secretary, furnished on or after January 1, 2024, to an individual with a diagnosis of lymphedema.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3630/text/eh#HEE57B51287E140BA973CD723739914D3"}},{"text":"Requires that covered items be prescribed by a physician, or by a physician assistant, nurse practitioner or clinical nurse specialist to the extent authorized under State law.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3630/text/eh#HEE57B51287E140BA973CD723739914D3"}},{"text":"Sets Medicare payment for these items at 80 percent of the lesser of the actual charge or the amount under the payment basis the Secretary determines under section 1834(z) of the Social Security Act.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3630/text/eh#HEE57B51287E140BA973CD723739914D3"}},{"text":"Directs the Secretary to determine a payment basis and allows the Secretary to establish a frequency limit, with payment made only for items furnished at the frequency the Secretary establishes.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3630/text/eh#HEE57B51287E140BA973CD723739914D3"}},{"text":"Adds these items to the Medicare competitive acquisition provisions and to the lists of items covered by the supplier requirements for medical equipment and supplies in section 1834 of the Social Security Act.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/117th-congress/house-bill/3630/text/eh#HEE57B51287E140BA973CD723739914D3"}},{"text":"Reduces the amount in section 1898(b)(1) of the Social Security Act for the Medicare Improvement Fund from $7,308,000,000 to $6,738,000,000.","cite":{"label":"Sec. 3","href":"https://www.congress.gov/bill/117th-congress/house-bill/3630/text/eh#H4070CB4534D84D73AC57708A1572CE0B"}}],"unexpected":[],"version":{"type":"Engrossed in House","date":"2022-11-17","rule":"passed","href":"https://www.congress.gov/bill/117th-congress/house-bill/3630/text/eh"},"current":true,"model":"claude-sonnet-5-5","approved":"2026-10-15","approved_by":"checks"},"sources":{"congress_gov":"https://www.congress.gov/bill/117th-congress/house-bill/3630","text":"https://www.congress.gov/bill/117th-congress/house-bill/3630/text"},"card":{"image":"card/item/117-hr-3630.png","v":"5e6d9f06620a","alt":"Votes on Record. H.R. 3630, 117th Congress: Lymphedema Treatment Act. House: 402 Yea, 13 Nay. Outcome: Passed House, 17 Nov 2022."}}