SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Securing Access Via 
Excellence for Medicare Home Health Act of 2014’’ or the 
‘‘SAVE Medicare Home Health Act of 2014’’. 
SEC. 2. REPEAL OF MEDICARE HOME HEALTH REBASING 
REDUCTION PROVIDED UNDER PPACA AND 
DETAILED ANALYSIS OF SUCH REDUCTION. 
(a) REPEAL OF REBASING REDUCTION AND CODI-
FICATION OF CY 2014 PAYMENT ADJUSTMENT.— 
(1) REPEAL.—Section 1895(b)(3)(A) of the So-
cial Security Act (42 U.S.C. 1395fff(b)(3)(A)) is 
amended by striking clause (iii). 
(2) CODIFICATION.—Such section, as amended 
by paragraph (1), is further amended by adding at 
the end the following new clause: 
‘‘(iii) CODIFICATION OF CY 2014 PAY-
MENT
ADJUSTMENT.—The amount (or 
amounts) that would otherwise be applica-
ble under clause (i)(III) for 2015 and sub-
sequent years shall be determined taking 
into account the 3.5 percentage point re-
duction effective for 2014 pursuant to the 
rule for home health prospective payment 
system rate update for calendar year 2014 
(promulgated on December 2, 2013, 78 
Federal Register 72256).’’. 
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(b) DETAILED ANALYSIS
OF REBASING REDUC-
TION.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall conduct a detailed analysis of 
the rebasing reduction in Medicare payments for 
home health services promulgated under the rule for 
home health prospective payment system rate update 
for calendar year 2014 (promulgated on December 
2, 2013, 78 Federal Register 72256), pursuant to 
the Regulatory Flexibility Act, Executive Order 
13563, section 3131(a) of the Patient Protection 
and Affordable Care Act, and other specified factors. 
Such analysis shall include an assessment of at least 
the following factors: 
(A) The age, poverty level, gender, rural 
residence, ethnic or racial minority, and infir-
mity of Medicare beneficiaries receiving home 
health services in comparison to other Medicare 
beneficiaries. 
(B) The number, gender, and geographic 
distribution of professional Medicare home 
health caregivers. 
(C) The number and location of home 
health agencies that have closed, consolidated, 
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or been acquired since the rebasing reduction 
was implemented. 
(D) The number and location of profes-
sional home health caregiver jobs that have 
been lost since the rebasing reduction was im-
plemented. 
(2) REPORT.—Not later than February 1, 
2015, the Secretary shall submit to Congress a re-
port that contains findings regarding the analysis 
conducted under paragraph (1), including the Sec-
retary’s assessment of the factors specified in such 
paragraph. 
SEC. 3. ESTABLISHMENT OF HOME HEALTH VALUE-BASED 
PURCHASING (VBP) PROGRAM. 
(a) READMISSION MEASURES.—Section 1895 of the 
Social Security Act (42 U.S.C. 1395fff) is amended by 
adding at the end the following new subsection: 
‘‘(f) POST-HOSPITAL HOME HEALTH SERVICES RE-
ADMISSION MEASURE.— 
‘‘(1) READMISSION MEASURE.—Not later than 
January 1, 2016, the Secretary shall specify a home 
health all-cause all-condition hospital unplanned re-
admission measure (or any successor to such a 
measure) for readmissions (for any cause) to a hos-
pital for an individual who is entitled to benefits 
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under part A (or enrolled under part B) and who is 
receiving post-hospital home health services. 
‘‘(2) RESOURCE USE MEASURE.—Not later than 
January 1, 2017, the Secretary shall specify a meas-
ure that is the measure specified under paragraph 
(1), risk-adjusted for potentially preventable re-
admissions to a hospital for an individual described 
in such paragraph. 
‘‘(3) DEVELOPMENT.—The measures specified 
under paragraphs (1) and (2) shall be developed 
through a formal process that is based on input 
from a group of multiple stakeholders consisting of 
at least senior advocates, Medicare beneficiaries, 
caregivers, and home health physicians, nurses, 
therapists, and operators of home health agencies. 
‘‘(4) QUARTERLY
FEEDBACK
REPORTS
TO 
HOME HEALTH AGENCIES.—Beginning January 1, 
2017, and every quarter thereafter, the Secretary 
shall provide confidential feedback to home health 
agencies on their performance with respect to such 
measures. 
‘‘(5) PUBLIC REPORTING ON PERFORMANCE.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graphs (B) and (C), the Secretary shall estab-
lish procedures for making public on the Medi-
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care Home Health Compare website (or suc-
cessor to such website) the performance of 
home health agencies with respect to a measure 
specified under paragraph (1) and a measure 
specified under paragraph (2). 
‘‘(B) OPPORTUNITY TO REVIEW.—The pro-
cedures under subparagraph (A) shall ensure 
that a home health agency has the opportunity 
to review and submit corrections to the infor-
mation that is to be made public with respect 
to such agency before such information is made 
public. 
‘‘(C) TIMING.—Such procedures shall pro-
vide that the information described in subpara-
graph (A) is first made publicly available begin-
ning no later than January 1, 2018.’’. 
(b) VALUE-BASED
PURCHASING
PROGRAM
FOR 
HOME HEALTH AGENCIES.—Section 1895 of the Social 
Security Act (42 U.S.C. 1395fff), as amended by sub-
section (a), is further amended by adding at the end the 
following new subsection: 
‘‘(g) APPLICATION OF VALUE-BASED PURCHASING 
PROGRAM.— 
‘‘(1) ESTABLISHMENT.— 
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