Hearing Device Coverage Clarification Act
Sponsored By: Senator Amy Klobuchar
Introduced
Summary
Treats implanted active middle ear hearing devices as prosthetics for Medicare coverage. The bill would require the Administrator of the Centers for Medicare & Medicaid Services to issue a clarification within 60 days that implanted active middle ear hearing devices meet the federal definition of "prosthetic" in 42 CFR 414.202 and therefore are not subject to the Medicare hearing aid exclusion in section 1862(a)(7) of the Social Security Act.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Medicare coverage for implanted hearing devices
If enacted, the bill would require CMS to issue a clarification within 60 days of enactment. The clarification would say implanted active middle ear hearing devices count as prosthetics. They would not be treated as excluded hearing aids under Medicare. The clarification must follow the prosthetic definition in 42 C.F.R. 414.202 or any successor rule. If that happens, beneficiaries with these implants could become eligible for Medicare coverage and may pay less out of pocket. Providers and manufacturers would use the CMS classification for coverage and billing decisions.
Sponsors & CoSponsors
Sponsor
Amy Klobuchar
MN • D
Cosponsors
James Lankford
OK • R
Sponsored 3/12/2025
Roll Call Votes
No roll call votes available for this bill.
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