# 119-hr-10020: Medicare at Home Act

119-hr-10020, Medicare at Home Act, is a 119th Congress bill sponsored by Rep. Dingell, Debbie [D-MI-6] (D-MI); status introduced; PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/legislation/119-hr-10020
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10020
- Congress: 119
- Title: Medicare at Home Act
- Status: introduced
- Introduced: 2026-08-03
- Sponsor: Rep. Dingell, Debbie [D-MI-6] (D-MI)
- Cosponsors: 4
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-17

## Summary

**a new Medicare Part B benefit** would cover limited in-home help for activities of daily living and related tasks under a physician-approved plan of care. The benefit would be capped at 20 hours per week and require certification that a person needs help with at least two activities of daily living (ADLs), two instrumental activities of daily living (IADLs), or one of each. - For Medicare beneficiaries and families: Eligible people could get up to 20 hours per week of help with bathing, dressing, meals, medication reminders, and light housekeeping. The bill cites high out-of-pocket costs that can exceed $60,000 a year and aims to help people remain at home and cut those costs. - For home care workers: Payment rules must include a reasonable wage floor and standards for worker qualifications and agency enrollment. The Department of Health and Human Services would write those rules within 1 year. - For Medicare financing: Home Care Services would be added to Part B and the law would adjust the Part B monthly premium to reflect the benefit's actuarial cost. The Chief Actuary would be required to estimate the per-beneficiary premium impact within 180 days.

## Cosponsors (4)

- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2026-10-01T00:00:00.000Z
- Rep. Walkinshaw, James R. [D-VA-11] (D-VA), 2026-10-09T00:00:00.000Z
- Rep. Lofgren, Zoe [D-CA-18] (D-CA), 2026-10-15T00:00:00.000Z
- Rep. Riley, Josh [D-NY-19] (D-NY), 2026-08-31T00:00:00.000Z

## Provisions PRIA read

- New Medicare home care benefit: mixed, high. If enacted, Medicare Part B would cover a new "home care services" benefit provided in your home by a home care worker under a doctor- or practitioner-approved plan. Services would include help with daily tasks like bathing, dressing, toileting, moving, and eating, plus meal prep, medication remind…
- Pay rules, worker pay, and premiums: mixed, medium. If enacted, HHS would set how Medicare pays for the new home care benefit. Payment rules would have to reflect a reasonable wage floor for home care workers. The Medicare Part B monthly premium would be adjusted to reflect the benefit's actuarial cost, following existing premium subsidy rules. The…

## Related bills

- 119-hr-7973: Momnibus Act
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-7853: PrEP Access and Coverage Act of 2026
- 119-hr-51: Washington, D.C. Admission Act
- 119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025

## Sources
- [119-hr-10020 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10020)

## Related
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-7853: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-hr-7853)
- [119-hr-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-hr-51)
- [119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-hr-20)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10020 (as of 2026-10-17).