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HR 1958 112th Congress House

Medicare Orthotics and Prosthetics Improvement Act of 2011

Official title: To amend title XVIII of the Social Security Act to modify the designation of accreditation organizations for orthotics and prosthetics, to apply accreditation … Show full official titleShow less

Official title: To amend title XVIII of the Social Security Act to modify the designation of accreditation organizations for orthotics and prosthetics, to apply accreditation and licensure requirements to suppliers of such devices and items for purposes of payment under the Medicare program, and to modify the payment rules for such devices and items under such program to account for practitioner qualifications and complexity of care.

Introduced: May 24, 2011 See on congress.gov
Health Allied health servicesCongressional oversightFraud offenses and financial crimesHealth care costs and insurance
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Health personnelHealth technology, devices, suppliesLicensing and registrationsMedicare
This bill died when the 112th Congress ended
It never became law before the 112th Congress (2011–2012) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 3, 2011
Referred to the Subcommittee on Health.
May 31, 2011
Referred to the Subcommittee on Health.
May 24, 2011
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
May 24, 2011
Introduced in House
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 Latest action June 3, 2011

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Medicare Orthotics and Prosthetics Improvement Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act, for application of quality standards for certain accredited suppliers of prosthetic devices, orthotics, and certain prosthetics, to require the Secretary of Health and Human Services (HHS) to designate and approve an independent accreditation organization with respect to such suppliers only if that organization is the American Board for Certification in Orthotics and Prosthetics, Inc. or the Board for Orthotist/ Prosthetist Certification (or a program with essentially equivalent accreditation and approval standards). Exempts from such standards any suppliers who: (1) are physicians, occupational therapists, or physical therapists licensed or otherwise regulated by the state in which they practice; and (2) receive Medicare payments.

Applies to custom-fitted orthotics the special payment rules for certain prosthetics and custom–fabricated orthotics.

Modifies the Medicare payment rules for orthotics and prosthetics to account for practitioner qualifications and complexity of care.

Directs the Secretary to report to Congress on: (1) HHS steps taken to ensure that the state licensure and accreditation requirements are enforced, and (2) the effects of requirements of this Act on the occurrence of Medicare fraud and abuse with respect to orthotics and prosthetics.

Requires the Chief Actuary of the Centers for Medicare and Medicaid Services to submit to Congress a projection of the effect on cumulative federal spending under Medicare part B (Supplementary Medical Insurance) for 2012-2016 that will result from implementation of this Act. Requires the Secretary, if the Chief Actuary projects that implementation of this Act will not result in a cumulative spending reduction of at least $250 million for 2012-2016, to issue an interim final regulation to strengthen the licensure, accreditation, and quality standards applicable to orthotics and prosthetics suppliers in order to produce such a cumulative reduction by the end of 2016. Exempts from such regulation any qualified physical therapist or qualified occupational therapist.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
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APA
U.S. Congress. (2026). H.R. 1958: Medicare Orthotics and Prosthetics Improvement Act of 2011. 112th Congress. Open America. https://openamerica.io/bill/112-HR-1958/
MLA
"H.R. 1958: Medicare Orthotics and Prosthetics Improvement Act of 2011." 112th Congress, 2026, Open America, https://openamerica.io/bill/112-HR-1958/.
Bluebook (legal)
H.R. 1958, 112th Cong. (2026), https://openamerica.io/bill/112-HR-1958/.
Markdown link
[H.R. 1958: Medicare Orthotics and Prosthetics Improvement Act of 2011](https://openamerica.io/bill/112-HR-1958/)
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