Sec. 3. Revision of Medicare ventricular assist device national coverage policy
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Notwithstanding section 1862(a)(1)(A) of the Social Security Act ( 42 U.S.C. 1395y(a)(1)(A) ) or any other provision of law, the Secretary of Health and Human Services (in this section referred to as the Secretary ) shall revise the Medicare national coverage determination (as defined in section 1869(f)(1)(B) of the Social Security Act ( 42 U.S.C. 1395ff(f)(1)(B) )) relating to coverage of ventricular assist devices to extend the coverage of such devices under title XVIII of the Social Security Act applied as of the date of the enactment of this Act with respect to individuals approved for heart transplantation to also apply to— individuals who are undergoing an evaluation to determine candidacy for heart transplantation; and individuals who would be potential heart transplant candidates, but are not so eligible because of a contraindication that may be favorably modified by the use of a ventricular assist device.
Nothing in this section shall be construed— to limit coverage of ventricular assist devices for Medicare beneficiaries who meet the Medicare criteria for coverage of ventricular assist devices as of the date of enactment of this Act; or as preventing the Secretary from expanding its coverage decision beyond the coverage required under this section. The Secretary shall use the processes described in section 1862(l) of the Social Security Act ( 42 U.S.C. 1395y(l) ) to revise its national coverage determination relating to ventricular assist devices to incorporate the requirements of this section.
The revised coverage decision described in paragraph
(1)shall apply to ventricular assist devices furnished on or after the date that is 30 days after the date of the enactment of this Act, regardless of the date on which the Secretary completes the process required under such paragraph.
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Sec. 3
Revision of Medicare ventricular assist device national coverage policy
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