This bill amends title XVIII of the Social Security Act to enhance protections for Medicare beneficiaries with limb loss and other orthopedic conditions. Its primary goals are to ensure access to appropriate, safe, effective, and patient-centered orthotic and prosthetic care while simultaneously reducing fraud, waste, and abuse. A key provision prohibits Medicare payment for certain orthotics and prosthetics delivered via drop shipment directly to a beneficiary who has not received training from a qualified practitioner on their fitting, adjustment, care, and use. This measure specifically targets items identified by certain HCPCS codes, excluding supplies. To improve beneficiary access and care, the bill expands the list of practitioners whose services are exempt from competitive acquisition requirements under Medicare. This expansion includes physical therapists, occupational therapists, orthotists, and prosthetists , alongside physicians. Furthermore, it ensures that Medicare beneficiaries have continued access to the replacement of custom-fitted orthotics and custom-fabricated orthotic devices , aligning these with existing provisions for prosthetic device replacement.