[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4204 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 4204

   To amend title XVIII of the Social Security Act to allow Medicare 
  beneficiaries to choose their physical and occupational therapists, 
     speech-language pathologists, audiologists, and chiropractors.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 26, 2025

 Mr. Smucker (for himself and Mr. Davis of North Carolina) introduced 
  the following bill; which was referred to the Committee on Ways and 
 Means, and in addition to the Committee on Energy and Commerce, 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

_______________________________________________________________________

                                 A BILL


 
   To amend title XVIII of the Social Security Act to allow Medicare 
  beneficiaries to choose their physical and occupational therapists, 
     speech-language pathologists, audiologists, and chiropractors.

    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 ``Medicare Patient Choice Act''.

SEC. 2. FREE CHOICE OF THERAPISTS FOR MEDICARE BENEFICIARIES.

    Section 1802(b) of the Social Security Act (42 U.S.C. 1395a(b)) is 
amended--
            (1) in paragraph (1)--
                    (A) in the matter preceding subparagraph (A), by 
                striking ``physician or practitioner'' and inserting 
                ``physician, practitioner, therapist, or qualified 
                audiologist''; and
                    (B) in subparagraph (B), in the matter preceding 
                clause (i), by striking ``physician or practitioner'' 
                and inserting ``physician, practitioner, therapist, or 
                qualified audiologist'';
            (2) in paragraph (2)(B)--
                    (A) in clause (i), by striking ``physician or 
                practitioner'' and inserting ``physician, practitioner, 
                therapist, or qualified audiologist'';
                    (B) in clause (v), by striking ``physicians or 
                practitioners'' and inserting ``physicians, 
                practitioners, therapists, or qualified audiologists''; 
                and
                    (C) in the matter following clause (v), by striking 
                ``physician or practitioner'' and inserting 
                ``physician, practitioner, therapist, or qualified 
                audiologist'';
            (3) in paragraph (3)--
                    (A) in the heading, by striking ``physician or 
                practitioner'' and inserting ``physician, practitioner, 
                therapist, or qualified audiologist'';
                    (B) in subparagraph (A), by striking ``physician or 
                practitioner'' and inserting ``physician, practitioner, 
                therapist, or qualified audiologist'';
                    (C) in subparagraph (B)--
                            (i) in clause (i), by striking ``physician 
                        or practitioner'' each place it appears and 
                        inserting ``physician, practitioner, therapist, 
                        or qualified audiologist''; and
                            (ii) in clause (ii), by striking 
                        ``physician or practitioner'' and inserting 
                        ``physician, practitioner, therapist, or 
                        qualified audiologist'';
                    (D) in subparagraph (C)--
                            (i) in the matter preceding clause (i), by 
                        striking ``physician or practitioner'' and 
                        inserting ``physician, practitioner, therapist, 
                        or qualified audiologist'';
                            (ii) in clause (i), by striking ``physician 
                        or practitioner'' and inserting ``physician, 
                        practitioner, therapist, or qualified 
                        audiologist''; and
                            (iii) in clause (ii), by striking 
                        ``physician or practitioner'' and inserting 
                        ``physician, practitioner, therapist, or 
                        qualified audiologist''; and
                    (E) in subparagraph (D), by striking ``physician or 
                practitioner'' each place it appears and inserting 
                ``physician, practitioner, therapist, or qualified 
                audiologist'';
            (4) in paragraph (5)--
                    (A) in the heading, by striking ``physicians and 
                practitioners'' and inserting ``physicians, 
                practitioners, therapists, and qualified 
                audiologists'';
                    (B) in subparagraph (A), by striking ``physicians 
                and practitioners'' and inserting ``physicians, 
                practitioners, therapists, and qualified 
                audiologists''; and
                    (C) in subparagraph (B)--
                            (i) in the manner preceding clause (i), by 
                        striking ``physicians and practitioners'' and 
                        inserting ``physicians, practitioners, 
                        therapists, and qualified audiologists'';
                            (ii) in clause (iv), by striking 
                        ``physicians and practitioners'' and inserting 
                        ``physicians, practitioners, therapists, and 
                        qualified audiologists''; and
                            (iii) in clause (v), by striking 
                        ``physicians and practitioners'' and inserting 
                        ``physicians, practitioners, therapists, and 
                        qualified audiologists''; and
            (5) in paragraph (6)--
                    (A) in subparagraph (B), by striking ``paragraphs 
                (1), (2), (3), and (4) of'';
                    (B) in subparagraph (D)--
                            (i) in the heading, by striking ``physician 
                        or practitioner'' and inserting ``physician, 
                        practitioner, therapist, or qualified 
                        audiologist''; and
                            (ii) by striking ``physician or 
                        practitioner'' each place it appears and 
                        inserting ``physician, practitioner, therapist, 
                        or qualified audiologist''; and
                    (C) by adding at the end the following:
            ``(E) Therapist.--The term `therapist' means a qualified 
        physical therapist (as such term is used in section 1861(p)), a 
        qualified occupational therapist (as such term is used in 
        1861(g)), or a qualified speech-language pathologist (as 
        defined in 1861(ll)(4)(A)).
            ``(F) Qualified audiologist.--The term `qualified 
        audiologist' has the meaning given such term in section 
        1861(ll)(4)(B).''.
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