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H.R.1921 / 119th Congress

Hearing Device Coverage Clarification Act

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Official summary

Version 00 · Introduced in House · Mar 6, 2025

Hearing Device Coverage Clarification Act

This bill requires the Centers for Medicare & Medicaid Services to specify that fully implanted active middle ear hearing devices are prosthetics (not hearing aids) and are covered under Medicare.

Read the summary on Congress.gov

Who introduced it

Rep. Fischbach, Michelle [R-MN-7] · R–MN

Committees

  • Ways and Means Committee
  • Energy and Commerce Committee
7 cosponsorship records, including any withdrawals

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

  1. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  2. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  3. Introduced in House

  4. Introduced in House

Bill text & related measures

Text links open the official source. We also preserved the text version used in the PlainBill explanation below.

Related bills identified by Congress.gov

Source last updated: Oct 2, 2026. Consult Congress.gov for the current record.

Explore the bill from different angles

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Neutral evidence review

Objective

Analyze H.R.1921 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

Examine H.R.1921 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Institutions and government scope

Conservative lens

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Individual rights and government power

Liberty lens

Examine H.R.1921 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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Read the proposal in plain language

AI-generated · Source-checked by AI · Nov 5, 2026

Based on the full Introduced in House · 2025-03-06 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.

What it would do

The proposed Hearing Device Coverage Clarification Act would require the agency that administers Medicare and Medicaid to clarify that fully implanted active middle ear hearing devices are outside a specified hearing-aid coverage exclusion. This concerns coverage for people using those implants. The agency would have to issue the clarification within 60 days after enactment.

Check the sources
This Act may be cited as the Hearing Device Coverage Clarification Act.
Official bill text · Introduced in House · 2025-03-06
Not later than 60 days after the date of the enactment of this Act, the Administrator of the Centers for Medicare & Medicaid Services shall clarify that fully implanted active middle ear hearing devices are prosthetics that are not subject to the hearing aid coverage exclusion under section 1862(a)(7) of the Social Security Act (42 U.S.C. 1395y(a)(7)).
Official bill text · Introduced in House · 2025-03-06

How it would work

The proposal would direct the Administrator of the Centers for Medicare & Medicaid Services to treat fully implanted active middle ear hearing devices as prosthetics for purposes of the cited exclusion. Its wording specifically covers fully implanted devices, rather than hearing devices generally.

Check the source
the Administrator of the Centers for Medicare & Medicaid Services shall clarify that fully implanted active middle ear hearing devices are prosthetics that are not subject to the hearing aid coverage exclusion under section 1862(a)(7) of the Social Security Act (42 U.S.C. 1395y(a)(7)).
Official bill text · Introduced in House · 2025-03-06

The bill would use the definition of “prosthetic” in an existing federal regulation. It does not reproduce that definition.

Check the source
The term prosthetic has the meaning given such term in section 414.202 of title 42, Code of Federal Regulations.
Official bill text · Introduced in House · 2025-03-06

What the record shows

The supplied actions snapshot, updated October 2, 2026, records introduction in the House on March 6, 2025, and referral that day to the Energy and Commerce and Ways and Means committees for consideration of provisions within their respective jurisdictions.

Check the sources
Source snapshot updated 2026-10-02T08:06:12Z.
Official legislative record · 2026-10-02T08:06:12Z
2025-03-06: Introduced in House
Official legislative record · 2026-10-02T08:06:12Z
2025-03-06: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Official legislative record · 2026-10-02T08:06:12Z

Riders & Targeted Benefits

Reviewed version: Introduced in House · 2025-03-06. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.

This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.

Riders

Provisions outside the bill’s main subject, or policy changes attached to appropriations.

None identified in the reviewed text

No unrelated provision or policy change attached to appropriations was identified in the complete supplied introduced text. This conclusion is limited to that version.

Earmarks

Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.

None identified in the reviewed text

No congressionally directed spending for particular recipients or places was identified in the complete supplied introduced text. This conclusion does not establish absence in other versions or accompanying materials.

Other targeted benefits

Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.

Findings to examine

The supplied introduced text contains a narrow, device-specific coverage exception central to the proposal. This classification does not assess its merits.

The proposed exception targets coverage for people using fully implanted active middle ear hearing devices: those devices would be classified as prosthetics outside the specified hearing-aid coverage exclusion. The text does not extend this treatment to hearing devices generally.

Check the source
shall clarify that fully implanted active middle ear hearing devices are prosthetics that are not subject to the hearing aid coverage exclusion under section 1862(a)(7) of the Social Security Act (42 U.S.C. 1395y(a)(7)).
Official bill text · Introduced in House · 2025-03-06

What this analysis cannot establish

  • The supplied full text is the introduced version dated March 6, 2025. The actions snapshot supplies no later legislative steps; this does not establish that the bill never advanced or was never enacted.
  • The cited Social Security Act exclusion and regulatory definition of prosthetic are not reproduced. Their full scope, other coverage requirements, and whether particular devices or patients would qualify for payment cannot be determined from this bundle.
  • The text gives a deadline for clarification but specifies no clarification procedure, separate enforcement mechanism, or termination date.
  • No earmark disclosures, committee reports, or conference materials are supplied, limiting assessment of formal earmark status beyond the bill text.

Full text preserved for this analysis. Legislative record snapshot: Oct 2, 2026. How PlainBill uses AI