The main purpose of this legislation is to improve access to orthotic and prosthetic care for Medicare beneficiaries, particularly those with limb loss and other orthopedic conditions. It aims to ensure that these individuals receive safe, effective, and patient-centered care while also reducing fraud and waste associated with these medical devices. Key provisions of the legislation include several important changes. First, it prohibits Medicare from paying for orthotics and prosthetics that are delivered directly to patients without proper training from qualified practitioners.