I 
119TH CONGRESS 
1ST SESSION H. R. 5142 
To amend title XVIII of the Social Security Act to ensure stability in 
payments to home health agencies under the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 4, 2025 
Mr. HERN of Oklahoma (for himself and Ms. SEWELL) introduced the fol-
lowing bill; which was referred to the Committee on Ways and Means, 
and in addition to the Committee on Energy and Commerce, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To amend title XVIII of the Social Security Act to ensure 
stability in payments to home health agencies under the 
Medicare program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Home Health Sta-
bilization Act of 2025’’. 
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SEC. 2. ENSURING BENEFICIARY ACCESS TO MEDICARE 
HOME HEALTH SERVICES. 
(a) 
DELAYING
ADJUSTMENTS.—Section 
1895(b)(3)(D) of the Social Security Act (42 U.S.C. 
1395fff(b)(3)(D)) is amended by adding at the end the 
following new clauses: 
‘‘(iv) SPECIAL
RULE
FOR
2026
AND 
2027.—For 2026 and 2027, the Secretary 
shall provide for a positive adjustment to 
the standard prospective payment amount 
to fully offset the –4.059 percent Perma-
nent Adjustment Factor and the –5.0 per-
cent Temporary Adjustment Factor ap-
plied to the calendar year 2026 national, 
standardized 30-day period payment rate 
in the proposed rule entitled, ‘Medicare 
and Medicaid Programs; Calendar Year 
2026 Home Health Prospective Payment 
System (HH PPS) Rate Update; Require-
ments for the HH Quality Reporting Pro-
gram and the HH Value-Based Purchasing 
Expanded Model; Durable Medical Equip-
ment, Prosthetics, Orthotics, and Supplies 
(DMEPOS) Competitive Bidding Program 
Updates; DMEPOS Accreditation Require-
ments; Provider Enrollment; and Other 
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Medicare and Medicaid Policies’ published 
in the Federal Register on July 2, 2025 
(90 Fed. Reg. 29108). Notwithstanding 
any other provision of law, the Secretary 
may implement this clause by program in-
struction or otherwise. 
‘‘(v) SPECIAL
RULE
FOR
2026
AND 
2027.—For 2026 and 2027, the Secretary 
shall establish the national, standardized 
30-day period payment rate based on the 
2025 rate, taking into account the adjust-
ment under clause (iv) and updated based 
on all other provisions of this section, ex-
cept that such rate for 2026 or 2027 shall 
not be further adjusted based on clause (ii) 
or clause (iii). 
‘‘(vi) 
EXCEPTION.—In 
determining 
actual expenditures under clause (i) for 
2026 and 2027 the Secretary shall exclude 
the additional amounts paid as a result of 
clauses (iv) and (v), and no adjustments 
under clause (ii) or clause (iii) shall be 
made to offset for such amounts.’’. 
(b) CONSTRUCTION.—Nothing in this section shall be 
construed as signifying congressional approval or dis-
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approval of the methodology promulgated by the Secretary 
to implement section 1895(b)(3)(D) of the Social Security 
Act in the final rule entitled, ‘‘Medicare Program; Cal-
endar Year (CY) 2023 Home Health Prospective Payment 
System Rate Update; Home Health Quality Reporting 
Program Requirements; Home Health Value-Based Pur-
chasing Expanded Model Requirements; and Home Infu-
sion Therapy Services Requirements’’ published in the 
Federal Register on November 4, 2022 (87 Fed. Reg. 
66790). 
Æ 
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