Preventive Home Visit Act
Bill: S.2175 | Sponsor: Sen. King, Angus S., Jr. (I-ME)
Policy area: Health

Summary:
Preventive Home Visit Act
This bill expands Medicare coverage to include biennial preventive home visits, in which a qualified professional conducts a risk assessment of an individual's home and provides appropriate referrals for interventions or modifications to improve physical activity, fall prevention, and nutrition.

To amend title XVIII of the Social Security Act to provide coverage of 
     preventive home visits under Medicare, and for other purposes.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Preventive Home Visit Act''.

SEC. 2. MEDICARE COVERAGE OF PREVENTIVE HOME VISITS.

    (a) In General.--Section 1861 of the Social Security Act (42 U.S.C. 
1395x) is amended--
            (1) in subsection (s)(2)--
                    (A) in subparagraph (GG), by striking ``and'' at 
                the end;
                    (B) in subparagraph (HH), by striking the period at 
                the end and inserting ``; and''; and
                    (C) by adding at the end the following new 
                subparagraph:
            ``(II) a preventive home visit as defined in subsection 
        (lll).''; and
            (2) by adding at the end the following new subsection:

                        ``Preventive Home Visit

    ``(lll) The term `preventive home visit' means a visit to the home 
of an individual by a qualified professional (as defined by the 
Secretary), not more frequently than once every two years, during which 
the qualified professional provides an assessment of the home 
environment of the individual, identifies health risks, and provides a 
referral, as appropriate, for interventions or home modifications to 
improve physical activity, fall prevention, and nutrition with respect 
to the individual.''.
    (b) Payment.--
            (1) In general.--Section 1833(a)(1) of the Social Security 
        Act (42 U.S.C. 1395l(a)(1)) is amended--
                    (A) by striking ``and (DD)'' and inserting 
                ``(DD)''; and
                    (B) by inserting before the semicolon at the end 
                the following: ``and (EE) with respect to a home visit 
                as defined in section 1861(lll), the amount paid shall 
                be equal to 100 percent of the lesser of the actual 
                charge for the service or the amount determined under 
                section 1834(z)''.
            (2) Payment determination.--Section 1834 of the Social 
        Security Act (42 U.S.C. 1395m) is amended by adding at the end 
        the following new subparagraph:
    ``(z) Preventive Home Visits.--The Secretary shall establish a 
bundled payment amount for a preventive home visit, including any 
referrals made in connection with the visit.''.
    (c) Frequency Limitation.--Section 1862(a)(1) of the Social 
Security Act (42 U.S.C. 1395y(a)(1)) is amended--
            (1) in subsection (O), by striking ``and'' at the end;
            (2) in subsection (P), by striking the semicolon and 
        inserting ``, and''; and
            (3) by adding at the end the following new subparagraph:
            ``(Q) in the case of a preventive home visit as defined in 
        section 1861(lll), which is provided more frequently than is 
        covered under such section.''.
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