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S. Rept. 114-105 1 (2015-07-30)

handle is hein.congrecreports/crptxsaw0001 and id is 1 raw text is: AUT-ENTICATED US. GOVERNMENT INFORMATION GP Calendar No. 184 114TH CONGRESS REPORT 1st Session SENATE 114-105 PATIENT ACCESS TO DISPOSABLE MEDICAL TECHNOLOGY ACT OF 2015 JULY 30, 2015.-Ordered to be printed Mr. HATCH, from the Committee on Finance, submitted the following REPORT [To accompany S. 1253] The Committee on Finance, to which was referred the bill (S. 1253) to amend title XVIII of the Social Security Act to provide cov- erage of certain disposable medical technologies under the Medi- care program, and for other purposes, having considered the same, reports favorably thereon with an amendment and an amendment to the title and recommends that the bill, as amended, do pass. I. LEGISLATIVE BACKGROUND Background and need for legislative action The Medicare Supplementary Medical Insurance Program (Part B) currently covers a wide variety of durable medical equipment (DME) if they are medically necessary and are ordered by a physi- cian or qualified non-physician practitioner. Durable medical equipment (DME) is equipment that (1) can withstand repeated use, (2) has an expected life of at least three years (effective for items classified as DME after January 1, 2012), (3) is used to serve a medical purpose, (4) generally is not useful in the absence of an illness or injury, and (5) is appropriate for use in the home. DME also includes the drugs necessary for the proper function of certain DME, and supplies, such as surgical dressings, used in conjunction with the DME. In the past, Medicare has struggled to cover disposable medical technologies because they did not fit neatly into the criteria for DME. Beneficiaries were often denied coverage of these products and therefore could not take advantage of the benefits of poten- tially more efficient and effective products. 49-010

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