II 

118TH CONGRESS 

1ST SESSION S. 2941 

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 27 (legislative day, SEPTEMBER 22), 2023 

Mr. KING (for himself and Mr. CASEY) 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. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Preventive Home Visit 

5 Act’’. 

6 SEC. 2. MEDICARE COVERAGE OF PREVENTIVE HOME VIS7 ITS. 

8 (a) IN GENERAL.—Section 1861 of the Social Secu9 rity Act (42 U.S.C. 1395x) is amended— 

10 (1) in subsection (s)(2)— 


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•S 2941 IS

1 (A) in subparagraph (II), by striking ‘‘sub2 section (lll)(3))’’ and all that follows and insert3 ing ‘‘subsection (lll)(3));’’; 

4 (B) in subparagraph (JJ), by adding 

5 ‘‘and’’ after the semicolon; and 

6 (C) by adding at the end the following new 

7 subparagraph: 

8 ‘‘(II) a preventive home visit as defined in sub9 section (nnn).’’; and 

10 (2) by adding at the end the following new sub11 section: 

12 ‘‘(nnn) PREVENTIVE HOME VISIT.—The term ‘pre13 ventive home visit’ means a visit to the home of an indi14 vidual by a qualified professional or team of professionals 

15 (as defined by the Secretary), not more frequently than 

16 once every 2 years, during which the qualified professional 

17 provides an assessment of the home environment of the 

18 individual, identifies health risks, and provides referrals, 

19 as appropriate, for interventions or home modifications to 

20 improve physical function, balance, strength and mobility, 

21 reduce other falls risk factors, or enhance nutrition with 

22 respect to the individual. The preventive home visit can 

23 be conducted in-person, remotely, or a combination there24 of.’’. 

25 (b) PAYMENT.— 


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•S 2941 IS

1 (1) IN GENERAL.—Section 1833(a)(1) of the 

2 Social Security Act (42 U.S.C. 1395l(a)(1)) is 

3 amended— 

4 (A) by striking ‘‘and (HH)’’ and inserting 

5 ‘‘(HH)’’; and 

6 (B) by inserting before the semicolon at 

7 the end the following: ‘‘and (II) with respect to 

8 a preventive home visit as defined in section 

9 1861(nnn), the amount paid shall be equal to 

10 100 percent of the lesser of the actual charge 

11 for the service or the amount determined under 

12 section 1834(aa)’’. 

13 (2) PAYMENT DETERMINATION.—Section 1834 

14 of the Social Security Act (42 U.S.C. 1395m) is 

15 amended by adding at the end the following new 

16 subsection: 

17 ‘‘(aa) PREVENTIVE HOME VISITS.—The Secretary 

18 shall establish a bundled payment amount for a preventive 

19 home visit (as defined in section 1861(nnn)), including 

20 any referrals made in connection with the visit.’’. 

21 (c) FREQUENCY LIMITATION.—Section 1862(a)(1) of 

22 the Social Security Act (42 U.S.C. 1395y(a)(1)) is amend23 ed— 

24 (1) in subparagraph (O), by striking ‘‘and’’ at 

25 the end; 


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•S 2941 IS

1 (2) in subparagraph (P), by inserting ‘‘and’’ 

2 after the semicolon; and 

3 (3) by adding at the end the following new sub4 paragraph: 

5 ‘‘(Q) in the case of a preventive home visit as 

6 defined in section 1861(nnn), which is provided 

7 more frequently than is covered under such sec8 tion.’’. 

9 (d) EFFECTIVE DATE.—The amendments made by 

10 this section shall apply with respect to services furnished 

11 on or after January 1, 2025. 

Æ 


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