Lymphedema is a chronic condition involving the abnormal accumulation of fluid in a body part. Lymphedema may be primary or secondary (surgery, cancer or trauma.)

Although this legislation relates specifically to a change in Medicare law,it would set a precedent for Medicaid and private insurers to follow.States have already recognized that coverage for comprehensive treatment is essential and cost saving, and are beginning to require that private and state plans provide this coverage. Lymphedema treatment mandates have been in effect inNorth Carolinasince 2010 and inVirginiasince 2004, and several other states have similar legislation pending.

Medicare’s failure to cover compression treatment supplies stems from the fact that these items cannot be classified under any existing benefit category in Medicare statute (law). The Center for Medicare Services (CMS) does not have the authority to add or redefine benefit categories, only Congress does, hence the need for this legislation.