text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Patient Access to Disposable Medical 
  Technology Act of 2015''.
  
  SEC. 2. COVERAGE OF CERTAIN DISPOSABLE MEDICAL TECHNOLOGIES UNDER THE 
                MEDICARE PROGRAM.
  
      (a) Coverage.--Section 1861 of the Social Security Act (42 U.S.C. 
  1395x) is amended by adding at the end the following new subsection:
  
                 ``Substitute Disposable Medical Technology
  
      ``(iii) The term `substitute disposable medical technology' means 
  medical equipment that--
              ``(1) is primarily and customarily used to serve a medical 
          purpose;
              ``(2) would otherwise be covered as durable medical 
          equipment under this title but for the fact that such equipment 
          is not durable (as defined by the Secretary for purposes of 
          coverage of durable medical equipment under this title); and
              ``(3) the Secretary determines substitutes for durable 
          medical equipment.''.
      (b) Payment Provisions.--Section 1834(a) of the Social Security Act 
  (42 U.S.C. 1395m(a)) is amended by adding at the end the following new 
  paragraph:
              ``(23) Special payment rule for substitute disposable 
          medical technologies.--Notwithstanding the preceding provisions 
          of this subsection, the Secretary shall determine the payment 
          amount under this subsection for a substitute disposable 
          medical technology (as defined in section 1861(iii)), and for 
          any services and supplies used in conjunction with such 
          technology, in accordance with the following:
                      ``(A) Single payment amount.--The Secretary shall 
                  determine a single payment amount that shall be paid 
                  for a substitute disposable medical technology and for 
                  any services and supplies used in conjunction with such 
                  technology. A payment for such a technology and for any 
                  such services and supplies that is made in the amount 
                  of such single payment amount shall constitute full 
                  payment under this title for such technology and such 
                  services and supplies.
                      ``(B) Calculation of payment amount.--The single 
                  payment amount described in subparagraph (A) for a 
                  substitute disposable medical technology and for any 
                  services and supplies used in conjunction with such 
                  technology shall be calculated by--
                              ``(i) calculating the sum of the amounts of 
                          payment that otherwise would be made under this 
                          section for--
                                      ``(I) the item of durable medical 
                                  equipment for which the Secretary 
                                  determines, pursuant to section 
                                  1861(iii)(3), that such substitute 
                                  disposable medical technology 
                                  substitutes; and
                                      ``(II) all services and supplies 
                                  used in conjunction with such item of 
                                  durable medical equipment;
                              ``(ii) calculating the amount that is 95 
                          percent of the sum calculated under clause (i); 
                          and
                              ``(iii) calculating the single payment 
                          amount for the substitute disposable medical 
                          technology and for any services and supplies 
                          used in conjunction with such technology such 
                          that the sum of the payments under this 
                          subsection for--
                                      ``(I) all substitute disposable 
                                  medical technologies that the Secretary 
                                  determines, pursuant to section 
                                  1861(iii)(3), will be necessary to 
                                  provide a substitute for the item of 
                                  durable medical equipment described in 
                                  clause (i)(I); and
                                      ``(II) any services and supplies 
                                  used in conjunction with such 
                                  technologies;
                          is equal to the amount calculated under clause 
                          (ii).
                      ``(C) Lump-sum payment.--The single payment amount 
                  described in subparagraph (A) for a substitute 
                  disposable medical technology and for any services and 
                  supplies used in conjunction with such technology shall 
                  be made in a lump-sum amount.''.
      (c) Nonapplication of Competitive Acquisition.--Section 
  1847(a)(7)(B) of the Social Security Act (42 U.S.C. 1395w-3(a)(7)(B)) 
  is amended--
              (1) in clause (i), by striking ``and'' at the end;
              (2) in clause (ii), by striking the period at the end and 
          inserting ``; and''; and
              (3) by adding at the end the following new clause:
                              ``(iii) that are substitute disposable 
                          medical technologies (as defined in section 
                          1861(n)(2)(B)).''.
      (d) Effective Date.--The amendments made by this section shall 
  apply with respect to items and services furnished on or after the date 
  that is one year after the date of the enactment of this section.
target: Patient Access to Disposable Medical Technology Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to cover substitute disposable medical technology, subject it to a special payment rule, and exempt it from competitive acquisition.
feat_title: Patient Access to Disposable Medical Technology Act of 2015