II 

117TH CONGRESS 

1ST SESSION S. 2175 

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 

JUNE 22, 2021 

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. 

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 2175 IS

1 (A) in subparagraph (GG), by striking 

2 ‘‘and’’ at the end; 

3 (B) in subparagraph (HH), by striking the 

4 period at the end and inserting ‘‘; and’’; and 

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

6 subparagraph: 

7 ‘‘(II) a preventive home visit as defined in sub8 section (lll).’’; and 

9 (2) by adding at the end the following new sub10 section: 

11 ‘‘Preventive Home Visit 

12 ‘‘(lll) The term ‘preventive home visit’ means a visit 

13 to the home of an individual by a qualified professional 

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

15 once every two years, during which the qualified profes16 sional provides an assessment of the home environment 

17 of the individual, identifies health risks, and provides a 

18 referral, as appropriate, for interventions or home modi19 fications to improve physical activity, fall prevention, and 

20 nutrition with respect to the individual.’’. 

21 (b) PAYMENT.— 

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

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

24 amended— 


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•S 2175 IS

1 (A) by striking ‘‘and (DD)’’ and inserting 

2 ‘‘(DD)’’; and 

3 (B) by inserting before the semicolon at 

4 the end the following: ‘‘and (EE) with respect 

5 to a home visit as defined in section 1861(lll), 

6 the amount paid shall be equal to 100 percent 

7 of the lesser of the actual charge for the service 

8 or the amount determined under section 

9 1834(z)’’. 

10 (2) PAYMENT DETERMINATION.—Section 1834 

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

12 amended by adding at the end the following new 

13 subparagraph: 

14 ‘‘(z) PREVENTIVE HOME VISITS.—The Secretary 

15 shall establish a bundled payment amount for a preventive 

16 home visit, including any referrals made in connection 

17 with the visit.’’. 

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

19 the Social Security Act (42 U.S.C. 1395y(a)(1)) is amend20 ed— 

21 (1) in subsection (O), by striking ‘‘and’’ at the 

22 end; 

23 (2) in subsection (P), by striking the semicolon 

24 and inserting ‘‘, and’’; and 


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•S 2175 IS

1 (3) by adding at the end the following new sub2 paragraph: 

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

4 defined in section 1861(lll), which is provided more 

5 frequently than is covered under such section.’’. 

Æ 


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