[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9975 Introduced in House (IH)]
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118th CONGRESS
2d Session
H. R. 9975
To direct the Comptroller General of the United States to conduct a
study on insurance coverage of dyspraxia/developmental coordination
disorder.
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IN THE HOUSE OF REPRESENTATIVES
October 11, 2024
Mr. Lawler (for himself and Mr. Gottheimer) introduced the following
bill; which was referred to the Committee on Energy and Commerce, and
in addition to the Committees on Ways and Means, and Oversight and
Accountability, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
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A BILL
To direct the Comptroller General of the United States to conduct a
study on insurance coverage of dyspraxia/developmental coordination
disorder.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Gabriel Rosenberg Dyspraxia/DCD
Coverage Act''.
SEC. 2. STUDY ON INSURANCE COVERAGE OF DYSPRAXIA/DCD.
Not later than 1 year after the date of the enactment of this Act,
the Comptroller General of the United States shall conduct a study and
submit to Congress a report on coverage of items and services relating
to the treatment of dyspraxia/developmental coordination disorder
(``DCD'') under group health plans (as defined in section 2791 of the
Public Health Service Act (42 U.S.C. 300gg-91)), group and individual
health insurance coverage (as so defined), Federal health care programs
(as defined in section 1128B of the Social Security Act (42 U.S.C.
1320a-7b)), and the program established under chapter 89 of title 5,
United States Code. Such report shall include the following:
(1) Whether any coverage is provided for such items and
services under the Medicare program.
(2) With respect to each State, whether such State provides
for any coverage of such items and services under the State's
Medicaid program.
(3) With respect to Federal health care programs not
described in paragraph (1) or (2), whether coverage for such
items and services is provided under such programs.
(4) The extent to which coverage for such items and
services is provided under group health plans and group and
individual health insurance coverage.
(5) What types of such items and services are generally
covered when coverage for such items and services is available.
(6) Any age cutoffs that are imposed with respect to
coverage of such items and services when such coverage is
provided.
(7) Barriers to coverage of such items and services (such
as a lack of providers of such items and services).
(8) Whether group health plans and group and individual
health insurance coverage are generally in compliance with the
requirements of section 2726 of the Public Health Service Act
(42 U.S.C. 300gg-26).
(9) Whether children with dyspraxia/DCD fail to meet the
diagnosis criteria for such disorder once becoming adults and
therefore lose coverage for such items and services.
(10) Recommendations as to whether the Centers for Medicare
& Medicaid Services should issue guidance regarding coverage of
such items and services under the Medicare and Medicaid
programs.
(11) Recommendations on how group health plans and group
and individuals health insurance coverage may provide better
coverage for such items and services.
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