Preventive Home Visit Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2829 Introduced in Senate (IS)]

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119th CONGRESS
  1st Session
                                S. 2829

To amend title XVIII of the Social Security Act to provide coverage of 
     preventive home visits under Medicare, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

           September 17 (legislative day, September 16), 2025

   Mr. King introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to provide coverage of 
     preventive home visits under Medicare, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Preventive Home Visit Act''.

SEC. 2. MEDICARE COVERAGE OF PREVENTIVE HOME VISITS.

    (a) In General.--Section 1861 of the Social Security Act (42 U.S.C. 
1395x) is amended--
            (1) in subsection (s)(2)--
                    (A) in subparagraph (JJ), by adding ``and'' after 
                the semicolon; and
                    (B) by adding at the end the following new 
                subparagraph:
            ``(KK) a preventive home visit (as defined in subsection 
        (nnn));''; and
            (2) by adding at the end the following new subsection:
    ``(nnn) Preventive Home Visit.--The term `preventive home visit' 
means a visit to the home of an individual by a qualified professional 
or team of professionals (as defined by the Secretary), not more 
frequently than once every 2 years, during which the qualified 
professional provides an assessment of the home environment of the 
individual, identifies health risks, and provides referrals, as 
appropriate, for interventions or home modifications to improve 
physical function, balance, strength and mobility, reduce other falls 
risk factors, or enhance nutrition with respect to the individual. The 
preventive home visit can be conducted in-person, remotely, or a 
combination thereof.''.
    (b) Payment.--
            (1) In general.--Section 1833(a)(1) of the Social Security 
        Act (42 U.S.C. 1395l(a)(1)) is amended--
                    (A) by striking ``and (HH)'' and inserting 
                ``(HH)''; and
                    (B) by inserting before the semicolon at the end 
                the following: ``and (II) with respect to a preventive 
                home visit (as defined in section 1861(nnn)), the 
                amount paid shall be equal to 100 percent of the lesser 
                of the actual charge for the service or the amount 
                determined under section 1834(aa)''.
            (2) Payment determination.--Section 1834 of the Social 
        Security Act (42 U.S.C. 1395m) is amended by adding at the end 
        the following new subsection:
    ``(aa) Preventive Home Visits.--The Secretary shall establish a 
bundled payment amount for a preventive home visit (as defined in 
section 1861(nnn)), including any referrals made in connection with the 
visit.''.
    (c) Frequency Limitation.--Section 1862(a)(1) of the Social 
Security Act (42 U.S.C. 1395y(a)(1)) is amended--
            (1) in subparagraph (O), by striking ``and'' at the end;
            (2) in subparagraph (P), by inserting ``and'' after the 
        semicolon; and
            (3) by adding at the end the following new subparagraph:
            ``(Q) in the case of a preventive home visit (as defined in 
        section 1861(nnn)), which is provided more frequently than is 
        covered under such section.''.
    (d) Effective Date.--The amendments made by this section shall 
apply with respect to services furnished on or after January 1, 2027.
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