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Medicare Payment Adjustments for Durable Medical Equipment (DMEPOS) Relief

This Act temporarily changes how Medicare pays for certain durable medical equipment (DMEPOS) that was part of the 2021 competitive bidding program. The changes aim to increase payment rates for suppliers throughout 2024, potentially ensuring better availability of essential medical devices for Medicare beneficiaries. For citizens, this means greater stability in accessing equipment like wheelchairs or respiratory devices, especially in non-competitive bidding areas.
Key points
Higher Payment Rates: For 2024, Medicare rates for specific medical equipment will be calculated using a blend of 90% adjusted payment amount and 10% unadjusted amount, resulting in higher reimbursement for suppliers.
Extension of Relief: Transition rules for payment rates in non-competitive bidding areas will be extended until December 31, 2024, ensuring price stability and equipment availability in those regions.
Focus on 2021 Bidding Items: The adjustments apply specifically to durable medical equipment items that were included in the 2021 DMEPOS Competitive Bidding Program but for which contracts were not executed.
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Additional Information
Print number: 118_HR_5555
Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1]
Process start date: 2023-09-19
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OFFICIAL LEGAL TITLE

DRA of 2023

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_5555.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2023-09-19.

What are the main provisions?

Key points include:

  • Higher Payment Rates: For 2024, Medicare rates for specific medical equipment will be calculated using a blend of 90% adjusted payment amount and 10% unadjusted amount, resulting in higher reimbursement for suppliers.
  • Extension of Relief: Transition rules for payment rates in non-competitive bidding areas will be extended until December 31, 2024, ensuring price stability and equipment availability in those regions.
  • Focus on 2021 Bidding Items: The adjustments apply specifically to durable medical equipment items that were included in the 2021 DMEPOS Competitive Bidding Program but for which contracts were not executed.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Miller-Meeks, Mariannette [R-IA-1].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-30.

CATEGORIES

Health Benefits