Tuesday, 09 November 2021

House bill adds new Medicare hearing benefits

Posted in ADA News

An Update from AAA, ADA, and ASHA

As we previously highlighted, Congress is considering adding new hearing benefits to Medicare. The current amended version of the Build Back Better Act (H.R. 5376) being considered by the U.S. House of Representatives includes several hearing-related provisions that would impact Medicare patients and providers, if enacted. The bill would add coverage of treatment services provided by audiologists—for the first time in the program’s history—and reclassify audiologists as practitioners adding them to the list of providers eligible to furnish services via telehealth.

The American Academy of Audiology (AAA), the Academy of Doctors of Audiology (ADA), and American Speech-Language-Hearing Association (ASHA) have championed these provisions as part of the Medicare Audiologist Access and Services Act (H.R. 1587/S. 1731). These efforts have focused on ensuring that audiologists are able to provide the full range of services under Medicare that they are educated, trained, and licensed to provide.

While AAA, ADA, and ASHA are pleased these provisions have been included—a major victory for audiologists—we are disappointed that the bill does not remove the physician order requirement for coverage of diagnostic audiology services, which is essential for beneficiary access.

H.R. 5376 also includes provisions to add hearing aid dispensers as ‘qualified hearing aid professionals’ eligible to provide hearing assessment services, as allowed by state licensure, subject to any additional requirements determined by the U.S. Secretary of Health and Human Services, including those relating to educational certification or accreditation.

AAA, ADA, and ASHA are working with congressional staff to make recommendations to differentiate hearing aid dispensers and define hearing aid dispensing services in a manner congruent with state licensure.

The bill also includes the following hearing related provisions:

  • Coverage of hearing aids for individuals with moderately severe to profound hearing loss in one or both ears once every five years if furnished through a written order by a physician, audiologist, or other practitioner for devices that are determined appropriate by the U.S. Secretary of Health and Human Services
  • Exclusion of hearing aids from competitive bidding when furnished by a physician or other practitioner to their own patients as part of a professional service

AAA, ADA, and ASHA are evaluating these provisions and their potential impact on audiologists and audiology practices, and are working to provide technical assistance and offer recommendations to Congress on opportunities to ensure beneficiaries receive improved access to audiology services from qualified providers. We will provide further updates on these advocacy efforts as the legislative process continues to evolve.

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American Academy of Audiology
Academy of Doctors of Audiology
American Speech-Language-Hearing Association