; and (B) by inserting and excluding dental, except for a full or partial set of dentures furnished on or after January 1, 2022 after colostomy care . (2) Special payment rules (A) Limitations Section 1834(h) of the Social Security Act ( 42 U.S.C. 1395m(h) ) is amended by adding at the end the following new paragraph: (6) Special payment rule for dentures Payment may be made under this part with respect to an individual for dentures— (A) not more than once during any 5-year period (except in the case that a doctor or professional described in section 1861(kkk)(1)(A) determines such dentures do not fit the individual); and (B) only to the extent that such dentures are furnished pursuant to a written order of such a doctor or professional. . (B) Application of competitive acquisition (i) In general Section 1834(h)(1)(H) of the Social Security Act ( 42 U.S.C. 1395m(h)(1)(H) ) is amended— (I) in the subparagraph heading, by inserting , dentures after orthotics ; (II) by inserting and of dentures described in paragraph (2)(D) of such section, after 2009, ; and (III) in clause (i), by inserting or such dentures after orthotics . (ii) Conforming amendment Section 1847(a)(2) of the Social Security Act ( 42 U.S.C. 1395w–3(a)(2) ) is amended by adding at the end the following new subparagraph: (D) Dentures Dentures for which payment would otherwise be made under section 1834(h). . (iii) Exemption of certain items from competitive acquisition Section 1847(a)(7) of the Social Security Act ( 42 U.S.C. 1395w–3(a)(7) ) is amended by adding at the end the following new subparagraph: (C) Certain dentures Those items and services described in paragraph (2)(D) if furnished by a physician or other practitioner (as defined by the Secretary) to the physician’s or practitioner’s own patients as part of the physician’s or practitioner’s professional service. . (f) Exclusion modifications Section 1862(a) of the Social Security Act ( 42 U.S.C. 1395y(a) ) is amended— (1) in paragraph (1)— (A) in subparagraph (O), by striking and at the end