; or (ii) in the case of a State that does not provide for the licensing of orthotists and prosthetists, is certified by the American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc. or by the Board of Certification/Accreditation, International, or is certified and approved by an entity that the Secretary determines has certification and approval standards that are essentially equivalent to the certification and approval standards of such Boards. . (b) Prohibiting payment for certain orthotics and prosthetics Section 1834(h)(1) of the Social Security Act ( 42 U.S.C. 1395m(h)(1) ) is amended by adding at the end the following new subparagraph: (I) Special payment rules for orthotics or prosthetics (i) In general No payment shall be made under this subsection for— (I) a prosthesis (excluding prosthetic supplies) that is delivered by drop shipment; (II) a custom-fabricated or custom-fitted orthosis (excluding orthotic supplies) described in subparagraph (F)(ii) that is delivered by drop shipment; and (III) an orthotic item that is not otherwise competitively bid that is delivered by drop shipment. (ii) Drop shipment defined In this subparagraph, the term drop shipment means the shipping of an orthosis or prosthesis to a beneficiary without receiving from a trained, educated, and certified or licensed health care practitioner, orthotist, or prosthetist direct patient care with respect to assessing, adjusting, and training in the care and use of the orthosis or prosthesis. . (c) Standardizing the definitions of orthotics and prosthetics Section 1834(h)(4) of the Social Security Act ( 42 U.S.C. 1395m(h)(4) ) is amended— (1) in subparagraph (B), by striking at the end and ; (2) in subparagraph (C)— (A) by striking the term orthotics and prosthetics has the meaning given such term and inserting the terms orthotics and prosthetics and orthoses and prostheses have the meaning given such terms ; and (B) by striking the period at the end and inserting ; and