1 | 1 | | I |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION H. R. 1667 |
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5 | 5 | | To amend title XVIII of the Social Security Act to provide coverage for |
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6 | 6 | | acupuncturist services under the Medicare program. |
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7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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8 | 8 | | FEBRUARY27, 2025 |
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9 | 9 | | Ms. C |
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10 | 10 | | HU(for herself and Mr. FITZPATRICK) introduced the following bill; |
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11 | 11 | | which was referred to the Committee on Energy and Commerce, and in |
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12 | 12 | | addition to the Committee on Ways and Means, for a period to be subse- |
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13 | 13 | | quently determined by the Speaker, in each case for consideration of such |
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14 | 14 | | provisions as fall within the jurisdiction of the committee concerned |
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15 | 15 | | A BILL |
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16 | 16 | | To amend title XVIII of the Social Security Act to provide |
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17 | 17 | | coverage for acupuncturist services under the Medicare |
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18 | 18 | | program. |
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19 | 19 | | Be it enacted by the Senate and House of Representa-1 |
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20 | 20 | | tives of the United States of America in Congress assembled, 2 |
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21 | 21 | | SECTION 1. SHORT TITLE. 3 |
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22 | 22 | | This Act may be cited as the ‘‘Acupuncture for Our 4 |
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23 | 23 | | Seniors Act of 2025’’. 5 |
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24 | 24 | | VerDate Sep 11 2014 00:14 Mar 15, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1667.IH H1667 |
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25 | 25 | | ssavage on LAPJG3WLY3PROD with BILLS 2 |
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26 | 26 | | •HR 1667 IH |
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27 | 27 | | SEC. 2. COVERAGE FOR ACUPUNCTURIST SERVICES UNDER 1 |
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28 | 28 | | THE MEDICARE PROGRAM. 2 |
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29 | 29 | | (a) I |
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30 | 30 | | NGENERAL.—Section 1861 of the Social Secu-3 |
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31 | 31 | | rity Act (42 U.S.C. 1395x) is amended— 4 |
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32 | 32 | | (1) in subsection (s)(2)— 5 |
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33 | 33 | | (A) by adding ‘‘and’’ at the end of sub-6 |
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34 | 34 | | paragraph (JJ); and 7 |
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35 | 35 | | (B) by adding at the end the following new 8 |
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36 | 36 | | subparagraph: 9 |
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37 | 37 | | ‘‘(KK) qualified acupuncturist services (as de-10 |
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38 | 38 | | fined in subsection (nnn)(1));’’; and 11 |
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39 | 39 | | (2) by adding at the end the following new sub-12 |
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40 | 40 | | section: 13 |
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41 | 41 | | ‘‘(nnn) Q |
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42 | 42 | | UALIFIEDACUPUNCTURISTSERVICES.— 14 |
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43 | 43 | | ‘‘(1) I |
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44 | 44 | | N GENERAL .—The term ‘qualified 15 |
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45 | 45 | | acupuncturist services’ means such services fur-16 |
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46 | 46 | | nished by a qualified acupuncturist (as defined in 17 |
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47 | 47 | | paragraph (2)), and such services and supplies fur-18 |
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48 | 48 | | nished as an incident to services furnished by the 19 |
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49 | 49 | | qualified acupuncturist, as the qualified 20 |
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50 | 50 | | acupuncturist is legally authorized to perform under 21 |
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51 | 51 | | State law. 22 |
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52 | 52 | | ‘‘(2) Q |
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53 | 53 | | UALIFIED ACUPUNCTURIST DEFINED .— 23 |
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54 | 54 | | For purposes of this subsection, the term ‘qualified 24 |
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55 | 55 | | acupuncturist’ means— 25 |
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56 | 56 | | VerDate Sep 11 2014 00:14 Mar 15, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1667.IH H1667 |
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57 | 57 | | ssavage on LAPJG3WLY3PROD with BILLS 3 |
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58 | 58 | | •HR 1667 IH |
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59 | 59 | | ‘‘(A) an individual who is licensed as an 1 |
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60 | 60 | | acupuncturist by a State or, in the case of an 2 |
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61 | 61 | | individual in a State that does not provide for 3 |
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62 | 62 | | such licensure, meets such criteria (such as cer-4 |
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63 | 63 | | tification through an appropriate nationally rec-5 |
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64 | 64 | | ognized certification authority for 6 |
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65 | 65 | | acupuncturists) as the Secretary may specify; 7 |
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66 | 66 | | or 8 |
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67 | 67 | | ‘‘(B) a physician who is legally authorized 9 |
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68 | 68 | | to perform acupuncture as part of the practice 10 |
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69 | 69 | | of medicine and surgery by the State in which 11 |
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70 | 70 | | the physician performs such function or action. 12 |
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71 | 71 | | In specifying requirements under subparagraph (A), 13 |
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72 | 72 | | the Secretary may use the same requirements as 14 |
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73 | 73 | | those established by a certification authority de-15 |
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74 | 74 | | scribed in such subparagraph.’’. 16 |
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75 | 75 | | (b) P |
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76 | 76 | | AYMENTRULES.— 17 |
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77 | 77 | | (1) P |
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78 | 78 | | AYMENT UNDER PHYSICIAN FEE SCHED -18 |
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79 | 79 | | ULE.—Section 1848(j)(3) of the Social Security Act 19 |
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80 | 80 | | (42 U.S.C. 1395w–4(j)(3)) is amended by inserting 20 |
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81 | 81 | | ‘‘(2)(KK),’’ before ‘‘(3),’’. 21 |
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82 | 82 | | (2) S |
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83 | 83 | | EPARATE PAYMENT FOR SERVICES OF IN -22 |
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84 | 84 | | STITUTIONAL PROVIDERS .—Section 1833(a)(2)(B) 23 |
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85 | 85 | | of the Social Security Act (42 U.S.C. 24 |
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86 | 86 | | 1395l(a)(2)(B)) is amended— 25 |
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87 | 87 | | VerDate Sep 11 2014 00:14 Mar 15, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1667.IH H1667 |
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88 | 88 | | ssavage on LAPJG3WLY3PROD with BILLS 4 |
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89 | 89 | | •HR 1667 IH |
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90 | 90 | | (A) in clause (i), by inserting ‘‘and in the 1 |
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91 | 91 | | case of qualified acupuncturist services,’’ after 2 |
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92 | 92 | | ‘‘1999,’’; 3 |
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93 | 93 | | (B) in clause (ii), by inserting ‘‘or in the 4 |
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94 | 94 | | case of qualified acupuncturist services,’’ after 5 |
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95 | 95 | | ‘‘1999,’’; and 6 |
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96 | 96 | | (C) in clause (iii), by inserting ‘‘(other 7 |
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97 | 97 | | than qualified acupuncturist services)’’ after 8 |
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98 | 98 | | ‘‘such services’’. 9 |
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99 | 99 | | (3) Q |
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100 | 100 | | UALIFIED ACUPUNCTURIST TREATMENT 10 |
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101 | 101 | | AS A PRACTITIONER.—Section 1842(b)(18)(C) of the 11 |
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102 | 102 | | Social Security Act (42 U.S.C. 1395u(b)(18)(C)) is 12 |
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103 | 103 | | amended by adding at the end the following new 13 |
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104 | 104 | | clause: 14 |
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105 | 105 | | ‘‘(ix) A qualified acupuncturist (as defined in 15 |
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106 | 106 | | section 1861(nnn)(2)).’’. 16 |
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107 | 107 | | (4) S |
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108 | 108 | | EPARATE BILLING FOR ACUPUNCTURIST 17 |
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109 | 109 | | SERVICES FURNISHED IN AN INPATIENT HOSPITAL 18 |
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110 | 110 | | SETTING.—Section 1861(b)(4) of the Social Security 19 |
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111 | 111 | | Act (42 U.S.C. 1395x(b)(4)) is amended by insert-20 |
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112 | 112 | | ing ‘‘qualified acupuncturist services,’’ after ‘‘quali-21 |
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113 | 113 | | fied psychologist services,’’. 22 |
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114 | 114 | | (c) E |
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115 | 115 | | FFECTIVEDATE.—The amendments made by 23 |
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116 | 116 | | this section apply with respect to services furnished on or 24 |
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117 | 117 | | VerDate Sep 11 2014 00:14 Mar 15, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1667.IH H1667 |
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118 | 118 | | ssavage on LAPJG3WLY3PROD with BILLS 5 |
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119 | 119 | | •HR 1667 IH |
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120 | 120 | | after the date that is 270 days after the date of enactment 1 |
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121 | 121 | | of this Act. 2 |
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122 | 122 | | Æ |
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123 | 123 | | VerDate Sep 11 2014 00:14 Mar 15, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6301 E:\BILLS\H1667.IH H1667 |
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124 | 124 | | ssavage on LAPJG3WLY3PROD with BILLS |
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