HR-5210 : Still Just a Bill

Patient Access to Durable Medical Equipment Act of 2016 or the PADME Act

This bill amends title XVIII (Medicare) of the Social Security Act to establish a bid ceiling for durable medical equipment (such as wheelchairs) under Medicare's competitive acquisition program, through which rates are set according to a bidding process rather than by an established fee schedule. Specifically, the bid ceiling for such an item shall not be less than the fee schedule amount that would otherwise be determined.

Under current law, the Centers for Medicare & Medicaid Services (CMS) must use payment information from competitive acquisition programs to make payment adjustments for areas outside of such programs. The bill requires CMS, in making these adjustments, to account for stakeholder input. In addition, CMS must account for a comparison of competitive acquisition areas and other areas with respect to the following factors:

  • average travel distance and cost associated with furnishing items and services,
  • barriers to access,
  • average delivery time,
  • average volume of items and services furnished by suppliers, and
  • number of suppliers.

In addition, CMS shall delay by 15 months the full implementation of new Medicare payment rates for durable medical equipment.

On a monthly basis, CMS must publish on its website the results of the monitoring of health outcomes and Medicare beneficiaries' access to durable medical equipment.

Action Timeline

Action DateTypeTextSource
2016-07-06IntroReferralReceived in the Senate and Read twice and referred to the Committee on Finance.Senate
2016-07-05FloorMotion to reconsider laid on the table Agreed to without objection.House floor actions
2016-07-05FloorOn motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4230-4232)House floor actions
2016-07-05FloorDEBATE - The House proceeded with forty minutes of debate on H.R. 5210.House floor actions
2016-07-05FloorConsidered under suspension of the rules. (consideration: CR H4230-4235)House floor actions
2016-07-05FloorMr. Pitts moved to suspend the rules and pass the bill, as amended.House floor actions
2016-05-17CommitteeReferred to the Subcommittee on Health.House committee actions
2016-05-13CommitteeReferred to the Subcommittee on Health.House committee actions
2016-05-12IntroReferralReferred 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.House floor actions
2016-05-12IntroReferralReferred 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.House floor actions
2016-05-12IntroReferralIntroduced in HouseLibrary of Congress

Sponsor :

Tom Price [R] (GA-6)
See Cosponsors

Policy Area :

Health
See Subjects
  • Administrative law and regulatory procedures
  • Child health
  • Congressional oversight
  • Disability assistance
  • Family planning and birth control
  • Food assistance and relief
  • Government information and archives
  • Government liability
  • Government studies and investigations
  • Government trust funds
  • Health care costs and insurance
  • Health care coverage and access
  • Health personnel
  • Health programs administration and funding
  • Health technology, devices, supplies
  • Higher education
  • Licensing and registrations
  • Medicaid
  • Medicare
  • Poverty and welfare assistance
  • Public contracts and procurement
  • Public housing
  • State and local government operations
  • Student aid and college costs
  • Unemployment
  • Department of Health and Human Services

Related Bills

See Related Bills