I 115th CONGRESS 2d Session H. R. 4772 IN THE HOUSE OF REPRESENTATIVES January 11, 2018 Mr. Bishop of Michigan (for himself, Mr. Thompson of California , and Mr. Thompson of Pennsylvania ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend title XVIII of the Social Security Act to provide for clarification under the Medicare program about minimal self-adjustment for off-the-shelf orthotics.

1. Clarification about minimal self-adjustment for off-the-shelf orthotics (a) In general Section 1847(a)(2)(C) of the Social Security Act ( 42 U.S.C. 1395w–3(a)(2)(C) ) is amended— (1) by inserting furnished to a patient after section 1861(s)(9) ; (2) by inserting by that patient (and not by any other person) after minimal self-adjustment ; and (3) by striking to fit to the individual and inserting to fit to that patient . (b) Inclusion in medical and other health services Section 1861(s)(9) of the Social Security Act ( 42 U.S.C. 1395x(s)(9) ) is amended— (1) by striking leg, arm and inserting (A) leg, arm ; (2) in subparagraph (A), as added by paragraph (1), by striking the semicolon at the end and inserting ; and ; and (3) by adding the following new subparagraph: (B) off-the-shelf orthotics (as defined in section 1847(a)(2)(C)). . (c) Effective date The amendments made by this section shall take effect on April 1, 2007, and apply to items and services furnished on or after such date.