1. Short title This Act may be cited as the Medicare Vision Act of 2019 . 2. Providing coverage for vision care under the Medicare program (a) Coverage Section 1861(s)(2) of the Social Security Act ( 42 U.S.C. 1395x(s)(2) ) is amended— (1) in subparagraph (GG), by striking and after the semicolon at the end; (2) in subparagraph (HH), by striking the period at the end and adding ; and ; and (3) by adding at the end the following new subparagraph: (II) vision services (as defined in subsection (kkk)); . (b) Vision services defined Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ) is amended by adding at the end the following new subsection: (kkk) Vision services The term vision services means— (1) routine eye examinations, including procedures performed during the course of such examination to determine the refractive state of the eyes; and (2) contact lens fitting services, furnished on or after January 1, 2022, by or under the direct supervision of an optometrist or ophthalmologist who is legally authorized to furnish such examinations, procedures, or fitting services (as applicable) under State law (or the State regulatory mechanism provided by State law) of the State in which the examinations, procedures, or fitting services are furnished. . (c) Payment; coinsurance; and limitations (1) In general Section 1833(a)(1) of the Social Security Act ( 42 U.S.C. 1395l(a)(1) ) is amended— (A) by striking and before (CC)