Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015

HB 1516 Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015

US Congress 114th Congress

Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015
HB-1516


About HB-1516

Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015 Amends title XVIII (Medicare) of the Social Security Act to cover, as medical and other health services, complex rehabilitation technology (CRT) items designed or individually configured for a specific qualified individual to meet that individual's unique:

  • (1) medical, physical, or functional needs related to a medical condition; and
  • (2) capacities for basic activities of daily living (ADLs) or instrumental ADLs

Directs the Secretary of Health and Human Services to:

  • (1) designate CRT items (excluding adaptive equipment to operate motor vehicles or certain prosthetic devices and orthotics); and
  • (2) establish eligibility criteria for them

Prescribes requirements for payments for CRT items. Directs the Secretary to establish standards for clinical conditions for CRT item payment as well as quality standards for suppliers of such items. Directs the Secretary to establish a formal process to allow submission of CRT code set modification requests by stakeholder groups for comprehensive coding changes related to entire policy groups. Requires payment for replacement of a CRT item (or any part of one), without regard to certain continuous use or useful lifetime restrictions established for items of durable medical equipment, if a qualified ordering practitioner determines that a replacement item (or part) is necessary.

  

Bill Texts

Introduced 03/31/2015

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