1. Short title This Act may be cited as the Medicare Orthotics and Prosthetics Patient-Centered Care Act . 2. Increasing protections for Medicare beneficiaries receiving orthotic and prosthetic care (a) Prohibition on payment for items delivered by drop shipment (1) In general 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) Prohibition on payment for certain items furnished using a drop shipment (i) In general No payment shall be made under this subsection for an item described in clause (ii) furnished to an individual via a drop shipment. (ii) Items described This items described in this clause are the following: (I) A prosthesis (as defined in subparagraph (H)(4)(B)), except that such term does not include supplies for such prosthesis. (II) A custom-fabricated orthosis (as described in subparagraph (F)(ii)), or a custom-fitted orthosis, except that such term does not include supplies for such orthosis. (III) Off-the-shelf orthotics (as defined in section 1847(a)(2)(C)) that are not otherwise subject to competitive bidding and delivered by drop shipment. (iii) Drop shipment defined In this subparagraph, the term drop shipment means the direct shipment of a prosthesis or an orthosis to an individual that has not received training or education with respect to fitting and adjustment or training in the care and use of such prosthesis or orthosis from a qualified practitioner (as described in subparagraph (F)(iii)). . (2) Effective date The amendment made by paragraph (1) shall apply to items furnished on or after the first day of the first full calendar year following the date of enactment of this Act. (b) Additional practitioners exempt from competitive acquisition Section 1847(a)(7)(A)(i) of the Social Security Act ( 42 U.S.C. 1395w–3(a)(7)(A)(i) ) is amended— (1) by inserting , physical therapist, occupational therapist, orthotist, prosthetist after by a physician