Federal RuleAug 21
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DOL Rewrites Disability Rules for 'Merit-Based Opportunity' Push
RuleLabor DepartmentFederal Contract Compliance Programs OfficeSignificant Wallet
119-hr-8749119th CongressWALLET
SAFE through Medicare Act
Sponsored By: Representative Frost, Maxwell [D-FL-10]
Introduced
Summary
Expands Medicare to cover 'Home Resiliency Services' for people who are medically at-risk in climate or manmade disasters.
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It defines which home devices and services count, sets payment rules, and creates an agency process to decide who qualifies.
- Medicare beneficiaries who are medically at-risk can receive medically necessary home items and services to reduce disaster risk. Examples include heat pumps, solar batteries for power-dependent medical equipment, and energy-efficient cold storage for heat-sensitive medical supplies.
- Providers and suppliers will be paid 100 percent of the lesser of the actual charge or an amount from a fee schedule the Secretary sets specifically for these Home Resiliency Services.
- The Secretary must consult the National Institutes of Health, the Centers for Medicare & Medicaid Services, and the National Oceanic and Atmospheric Administration to define who is medically at-risk. That process must consider geography-specific climate risks, a 20-year lookback and 20-year projection of hazards, reliance on powered medical equipment, and chronic conditions. Coverage applies to services furnished on or after January 1, 2027 and the text includes no sunset.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Medicare home resiliency benefit
If enacted, Medicare would cover a new benefit called Home Resiliency Services starting January 1, 2027. You would be eligible if the Secretary determined you are medically at-risk in a climate or manmade disaster. The Secretary would consult NIH, CMS, and NOAA and consider local climate risks, the past 20 years and next 20 years of hazard risk, reliance on power-dependent medical equipment, and chronic conditions when deciding who is at risk. Examples include heat pumps, solar batteries for home medical devices (including ventilators), and cold storage for temperature-sensitive supplies. Medicare would pay 100 percent of the lesser of the provider's actual charge or a Secretary-set fee schedule amount for each covered item or service.
Sponsors & CoSponsors
Sponsor
Frost, Maxwell [D-FL-10]
FL • D
Cosponsors
Rep. Carter, Troy A. [D-LA-2]
LA • D
Sponsored 8/10/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov