This bill, known as the Medicare Orthotics and Prosthetics Patient-Centered Care Act, seeks to enhance protections and access to care for Medicare beneficiaries with limb loss and other orthopedic conditions. It prohibits Medicare payment for certain orthotics and prosthetics that are directly shipped to beneficiaries without prior training or education from a qualified practitioner on their proper use and fitting, aiming to reduce fraud and ensure patient safety. Furthermore, the legislation expands the list of healthcare professionals, including physical therapists, occupational therapists, orthotists, and prosthetists , whose services are exempt from competitive acquisition requirements for these devices. It also ensures that Medicare covers the replacement of custom-fitted orthotics and custom-fabricated orthotic devices , aligning their coverage with that of artificial limbs to improve beneficiary access to necessary care. The Secretary of Health and Human Services is mandated to issue final regulations to implement these changes within one year of enactment.