Health Care on the Ballot as America Votes

Health care is playing an outsized role as the 2020 election is underway and the Senate is poised to install a 6-3 conservative majority days before the U.S. Supreme Court hears arguments about the Constitutionality of the Affordable Care Act (ACA). President Trump and former Vice President Biden face off on November 3rd but the election is already well underway.  At the time of this writing, early 18 million people have already voted in states that permit early voting.  Turnout … read more

Major Bills Introduced and Policies Advanced as COVID-19 Drags On

Significant developments occurred over the past several weeks impacting the orthotics and prosthetics community including the following: Introduction of Senate Bill 4503: Senators Daines (R-MT), Warner (D-VA), Cassidy (R-LA), Duckworth (D-IL), and Cornyn (R-TX) and introduced S. 4503, a companion bill to H.R. 5262, the Medicare O&P Patient-Centered Care Act of 2020.  This long-awaited legislation is bipartisan, mirrors the House version of the bill, and provides the O&P community with a legislative goal in the Senate. S. 4503 separates DME … read more

Major Medicare and VA Developments Impact O&P Care

As the Trump Administration continues to grapple with the rising number of COVID-19 cases across the nation, the Centers for Medicare and Medicaid Services (“CMS”) and the Veterans Health Administration (“VHA”) recently announced policy developments that impact the provision and reimbursement of orthotic and prosthetic care.   CMS Moves Forward with Prior Authorization for Six Lower Limb Prosthetic Codes   On July 1, 2020, CMS announced that it will require prior authorization for six lower limb prosthetic Healthcare Common Procedure … read more