ADJUSTMENTS TO THE MEDICARE DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND SUPPLIES COMPETITIVE ACQUISITION PROGRAM.

SEC. 6410. ADJUSTMENTS TO THE MEDICARE DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND SUPPLIES COMPETITIVE ACQUISITION PROGRAM.(a) Expansion of Round 2 of the DME Competitive Bidding Program.—Section 1847(a)(1) of the Social Security Act (42 U.S.C. 1395w–3(a)(1)) is amended—(1) in subparagraph (B)(i)(II), by striking “70” and inserting “91”; and(2) in subparagraph (D)(ii)—(A) in subclause (I), by striking “and” at the end;(B) by redesignating subclause (II) as subclause (III); and(C) by inserting after subclause (I) the following new subclause:“(II) the Secretary shall include the next 21 largest metropolitan statistical areas by total population (after those selected under subclause (I)) for such round; and”.(b) Requirement to Either Competitively Bid Areas or Use Competitive Bid Prices by 2016.—Section 1834(a)(1)(F) of the Social Security Act (42 U.S.C. 1395m(a)(1)(F)) is amended—(1) in clause (i), by striking “and” at the end;(2) in clause (ii)—(A) by inserting “(and, in the case of covered items furnished on or after January 1, 2016, subject to clause (iii), shall)” after “may”; and(B) by striking the period at the end and inserting “; and”; and(3) by adding at the end the following new clause:“(iii) in the case of covered items furnished on or after January 1, 2016, the Secretary shall continue to make such adjustments described in clause (ii) as, under such competitive acquisition programs, additional covered items are phased in or information is updated as contracts under section 1847 are recompeted in accordance with section 1847(b)(3)(B).”.