II 

117TH CONGRESS 

1ST SESSION S. 2174 

To amend title XVIII of the Social Security Act to improve the annual 

wellness visit under the Medicare program. 

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 improve 

the annual wellness visit under the Medicare program. 

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 ‘‘Wellness and Edu5 cation for Longer Lives for Seniors Act of 2021’’ or the 

6 ‘‘WELL Seniors Act of 2021’’. 

7 SEC. 2. IMPROVEMENTS TO THE MEDICARE ANNUAL 

8 WELLNESS VISIT. 

9 (a) ADDITIONAL ELEMENTS.— 


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•S 2174 IS

1 (1) IN GENERAL.—Section 1861(hhh)(2) of the 

2 Social Security Act (42 U.S.C. 1395x(hhh)(2)) is 

3 amended— 

4 (A) in subparagraph (F), by striking ‘‘and 

5 nutrition’’ and inserting ‘‘nutrition, mobility, 

6 food security, housing security, transportation 

7 access, social support, and other social deter8 minants of health as determined by the Sec9 retary’’; 

10 (B) by moving subparagraphs (G) and (H) 

11 two ems to the left; 

12 (C) by redesignating subparagraph (I) as 

13 subparagraph (J); and 

14 (D) by inserting after subparagraph (H) 

15 the following new subparagraph: 

16 ‘‘(I) Screening for balance to identify risk for 

17 falls and referral for treatment as appropriate.’’. 

18 (2) EFFECTIVE DATE.—The amendments made 

19 by paragraph (1) shall apply to items and services 

20 furnished on or after January 1, 2022. 

21 (b) INCENTIVE PAYMENTS.—Section 1833 of the So22 cial Security Act (42 U.S.C. 1395l) is amended by adding 

23 at the end the following new subsection: 


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•S 2174 IS

1 ‘‘(ee) INCENTIVE PAYMENTS FOR ANNUAL

2 WELLNESS VISITS THAT INCLUDE CERTAIN ELE3 MENTS.— 

4 ‘‘(1) IN GENERAL.—In the case of personalized 

5 prevention plan services (as defined in paragraph (1) 

6 of section 1861(hhh)) that are furnished on or after 

7 January 1, 2022, and that include the element de8 scribed in subparagraph (F) of paragraph (2) of 

9 such section 1861(hhh) and at least two additional 

10 elements described in subparagraphs (A) through 

11 (E) and (G) through (J) of such paragraph (2), in 

12 addition to the amount of payment that would other13 wise be made for such personalized prevention plan 

14 services under this part, there also shall be paid an 

15 amount equal to 10 percent of the payment amount 

16 for the service under this part. 

17 ‘‘(2) COORDINATION WITH OTHER PAY18 MENTS.—The amount of the additional payment for 

19 a service under this subsection and subsection (m) 

20 shall be determined without regard to any additional 

21 payment for the service under subsection (m) and 

22 this subsection, respectively. The amount of the ad23 ditional payment for a service under this subsection 

24 and subsection (z) shall be determined without reVerDate Sep 11 2014 22:34 Jun 30, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S2174.IS S2174

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•S 2174 IS

1 gard to any additional payment for the service under 

2 subsection (z) and this subsection, respectively.’’. 

3 (c) EDUCATION AND OUTREACH.—The Secretary of 

4 Health and Human Services shall conduct education and 

5 outreach activities regarding the coverage of annual 

6 wellness visits under the Medicare program, including 

7 changes to such visits under the amendments made by 

8 subsections (a) and (b). 

Æ 


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