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Congressional Update
TAKE ACTION NOW—Email Your Members of Congress Today to Urge Them to Cosponsor H.R. 4475/S. 2329, the Medicare Orthotics and Prosthetics Patient-Centered Care Act
Dear NAAOP Members and Friends:
On July 17, 2025, U.S. Representatives Glenn ‘GT’ Thompson (R-PA), Mike Thompson (D-CA), Gus Bilirakis (R-FL), and Debbie Dingell (D-MI) reintroduced bipartisan legislation that would protect Medicare beneficiaries who use orthotic braces and prosthetic limbs to be as functional and live as independently as possible while limiting waste, fraud, and abuse in the Medicare orthotic and prosthetic (“O&P”) benefit. U.S. Senators Steve Daines (R-MT) and Mark Warner (D-VA) simultaneously reintroduced this critical bill in the Senate making it bicameral in the 119th Congress.
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This bill, H.R. 4475/S. 2329, the Medicare Orthotics and Prosthetics Patient-Centered Care Act, offers several key benefits to O&P patients and the practitioners dedicated to providing their care.
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Specifically, the bill would:
(1) prevent suppliers from drop shipping custom orthoses and prostheses to Medicare beneficiaries without providing necessary clinical care;
(2) exempt appropriately credentialed clinicians from competitive bidding of off-the-shelf orthotics, so that Medicare beneficiaries can access the full range of orthotic care from one O&P practitioner rather than requiring patients to visit multiple providers when the treating orthotist or prosthetist does not have a competitive bidding contract; and
(3) ensure that Medicare beneficiaries can obtain replacement custom-fitted and custom-fabricated orthoses in a timely manner based on medical necessity, just like prosthetic limbs.
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These policies would ensure continued and timely access to appropriate, safe, effective, and patient- centered O&P care by appropriately credentialed practitioners for all Medicare patients. Now that the House and Senate have both officially reintroduced H.R. 4475/S. 2329 in the 119th Congress, the time is now for advocates to weigh in with their House members and encourage them to support this critically important, bipartisan bill.
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Please contact your U.S. House member and U.S. Senators today and urge them to cosponsor H.R. 4475/S. 2329 and to add it to any legislative package moving through the 119th Congress.
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NAAOP has prepared a sample letter to guide you in emailing your Representative and Senators urging them to cosponsor H.R. 4475/S. 2329. We need to generate as many cosponsors as possible for this legislation to show House and Senate leadership that it has significant support. You can access and send this email in under two minutes using the NAAOP Congressional Action Center.
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Please feel free to share this message with your staff, colleagues, non-NAAOP members, family, and friends. Thank you for your advocacy on this important initiative. Should you have any additional questions or concerns, please reach out to NAAOP staff.

Mission
To be a strong, unifying advocate, representing the interests of the O&P patient and practice communities specifically championing causes concerning patient access, funding, and outcomes through leadership in national and state policy formation. We will be the collective voice of our constituents by achieving high quality patient standards through support and empowerment of the clinician-patient partnership.