# 119-hr-1921: Hearing Device Coverage Clarification Act

119-hr-1921, Hearing Device Coverage Clarification Act, is a 119th Congress bill sponsored by Rep. Fischbach, Michelle [R-MN-7] (R-MN); status introduced; PRIA reads it as touching household money (as of 2026-10-03).

- Canonical: https://policyrisk.com/legislation/119-hr-1921
- As of: 2026-10-03
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1921
- Congress: 119
- Title: Hearing Device Coverage Clarification Act
- Status: introduced
- Introduced: 2025-03-06
- Sponsor: Rep. Fischbach, Michelle [R-MN-7] (R-MN)
- Cosponsors: 7
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-03

## Summary

**Clarifies that fully implanted active middle ear hearing devices should be treated as prosthetics for Medicare coverage.** It would direct the Centers for Medicare & Medicaid Services to issue a policy clarification within 60 days after enactment that these devices are not subject to the Social Security Act hearing aid exclusion and to anchor the prosthetic definition to 42 C.F.R. §414.202. - Medicare beneficiaries: Seniors and people with disabilities could see expanded access and lower out-of-pocket costs if these implanted devices are covered as prosthetics. - CMS and rule writers: Would need to publish a coverage clarification within 60 days that aligns Medicare determinations with the federal prosthetic definition in 42 C.F.R. §414.202. - Coverage classification: Moves fully implanted active middle ear devices out of the hearing-aid exclusion and into the prosthetic category, which could change how Medicare evaluates and pays claims.

## Cosponsors (7)

- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2026-10-01T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-03-06T00:00:00.000Z
- Rep. Finstad, Brad [R-MN-1] (R-MN), 2025-11-18T00:00:00.000Z
- Rep. Stauber, Pete [R-MN-8] (R-MN), 2026-04-16T00:00:00.000Z
- Rep. Moore, Blake D. [R-UT-1] (R-UT), 2026-05-19T00:00:00.000Z
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2026-08-20T00:00:00.000Z
- Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA), 2026-09-24T00:00:00.000Z

## Provisions PRIA read

- Medicare could cover implanted ear devices: benefit, medium. If enacted, CMS would have 60 days to issue guidance. It would say fully implanted active middle ear devices are prosthetics, not hearing aids. That means they would not fall under Medicare’s hearing aid exclusion. Medicare could then consider covering these implanted devices. The rule would use th…

## Related bills

- 119-hr-4669: FEMA Act of 2025
- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-9250: Great American Outdoors Act 250
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-3164: Ensuring Community Access to Pharmacist Services Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025

## Sources
- [119-hr-1921 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1921)

## Related
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-9250: Great American Outdoors Act 250](https://policyrisk.com/legislation/119-hr-9250)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-3164: Ensuring Community Access to Pharmacist Services Act](https://policyrisk.com/legislation/119-hr-3164)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1921 (as of 2026-10-03).