# 119-hr-4475: Medicare Orthotics and Prosthetics Patient-Centered Care Act

119-hr-4475, Medicare Orthotics and Prosthetics Patient-Centered Care Act, is a 119th Congress bill sponsored by Rep. Thompson, Glenn [R-PA-15] (R-PA); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4475
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4475
- Congress: 119
- Title: Medicare Orthotics and Prosthetics Patient-Centered Care Act
- Status: introduced
- Introduced: 2025-07-17
- Sponsor: Rep. Thompson, Glenn [R-PA-15] (R-PA)
- Cosponsors: 31
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Curb improper payments from drop shipments**. This bill would change Medicare rules for orthotics and prosthetics to block certain drop-ship payments and to secure patient access to replacement custom devices. It would also expand which clinicians are exempt from competitive acquisition and require HHS to issue final regulations within one year. - Families and patients: Would ensure beneficiary access to replacement custom-fitted and custom-fabricated orthotics by adding those replacements into Medicare’s statutory coverage rules. - Providers and clinicians: Would broaden the competitive-acquisition exemption to include physical therapists, occupational therapists, orthotists, and prosthetists so they can furnish certain orthotics and prosthetics without that procurement process. - Medicare program and taxpayers: Would prohibit payment for orthotics and prosthetics sent by drop shipment when a patient has not received training from a qualified practitioner, aiming to curb improper payments. It would also require the Secretary of Health and Human Services to finalize implementing regulations within 1 year of enactment.

## Cosponsors (31)

- Rep. Thompson, Mike [D-CA-4] (D-CA), 2025-07-17T00:00:00.000Z
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2025-07-17T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-07-17T00:00:00.000Z
- Rep. Ruiz, Raul [D-CA-25] (D-CA), 2025-07-21T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-07-23T00:00:00.000Z
- Rep. Meuser, Daniel [R-PA-9] (R-PA), 2025-08-05T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2025-08-05T00:00:00.000Z
- Rep. Crow, Jason [D-CO-6] (D-CO), 2025-08-08T00:00:00.000Z
- Rep. Brownley, Julia [D-CA-26] (D-CA), 2025-08-26T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-08-26T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2025-08-26T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-09-02T00:00:00.000Z
- Rep. Perez, Marie Gluesenkamp [D-WA-3] (D-WA), 2025-09-02T00:00:00.000Z
- Rep. Jayapal, Pramila [D-WA-7] (D-WA), 2025-09-02T00:00:00.000Z
- Rep. Bost, Mike [R-IL-12] (R-IL), 2025-09-03T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-09-03T00:00:00.000Z
- Rep. Balderson, Troy [R-OH-12] (R-OH), 2025-09-19T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-09-26T00:00:00.000Z
- Rep. McGovern, James P. [D-MA-2] (D-MA), 2025-09-30T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-10-10T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-11-04T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2025-11-04T00:00:00.000Z
- Rep. Harder, Josh [D-CA-9] (D-CA), 2025-11-04T00:00:00.000Z
- Rep. Kelly, Mike [R-PA-16] (R-PA), 2025-12-09T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2025-12-23T00:00:00.000Z
- Rep. Murphy, Gregory F. [R-NC-3] (R-NC), 2026-02-03T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2026-02-20T00:00:00.000Z
- Rep. Sessions, Pete [R-TX-17] (R-TX), 2026-04-06T00:00:00.000Z
- Rep. Bishop, Sanford D. [D-GA-2] (D-GA), 2026-04-14T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2026-04-21T00:00:00.000Z
- Rep. Moran, Nathaniel [R-TX-1] (R-TX), 2026-05-07T00:00:00.000Z

## Provisions PRIA read

- Medicare coverage for replacement custom orthotics: benefit, medium. The bill would clearly include replacement custom-fitted and custom-fabricated orthotics under Medicare’s replacement rules. If you need a covered replacement custom orthotic, it would be recognized for coverage. This could lower your out-of-pocket costs when a replacement is needed.
- More clinicians exempt from bidding rules: benefit, low. The bill would add physical therapists, occupational therapists, orthotists, and prosthetists to an exemption from Medicare’s competitive bidding rules for some items. These clinicians could furnish certain orthotics and prosthetics without going through the bidding program. Patients could have mor…
- One-year deadline for Medicare rules: benefit, low. HHS would have to issue final rules within one year after enactment to carry out these changes. This could speed clear guidance for patients, clinicians, and suppliers.
- No Medicare pay for drop-shipped orthotics: cost, medium. The bill would stop Medicare from paying for certain orthotics and prosthetics that are drop-shipped to you. A drop shipment means the item is sent to you before you get training from a qualified practitioner on fit, care, and use. It applies to items with HCPCS codes not paid under Medicare’s sect…

## Related bills

- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-2102: Major Richard Star Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-3277: Ensuring Lasting Smiles Act

## Sources
- [119-hr-4475 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4475)

## Related
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-3277: Ensuring Lasting Smiles Act](https://policyrisk.com/legislation/119-hr-3277)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4475 (as of 2026-09-21).