Preventive Home Visit Act
Sponsored By: Senator Angus King
Introduced
Summary
Creates Medicare coverage for preventive home visits. This bill would let Medicare pay for a professional visit to a beneficiary's home to assess hazards, identify health risks, and make referrals to improve mobility, balance, strength, or nutrition.
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- Seniors and Medicare enrollees: Would be eligible for a home visit delivered in-person, remotely, or both that assesses the home, identifies risk factors, and provides referrals for interventions or home modifications.
- Providers and care teams: The Secretary would define who counts as a qualified professional or team. Medicare would pay a bundled rate for the visit and any connected referrals, equal to 100% of the lesser of the actual charge or the amount the Secretary sets.
- Program rules and timing: Visits provided more often than allowed would not be covered. The coverage would apply to services furnished on or after January 1, 2027.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
New Medicare preventive home visits
If enacted, Medicare would cover a new “preventive home visit” starting January 1, 2027. You would be able to get one visit no more than once every 2 years. The visit can be in your home, remote, or a mix. It would assess home risks, suggest interventions or home modifications, and include referrals. Medicare payment would equal 100% of the lower of the provider’s charge or a bundled payment amount set by the Secretary. The bundled amount would cover the visit and any referrals. The Secretary would decide which professionals may provide the visit.
Sponsors & CoSponsors
Sponsor
Angus King
ME • I
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
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