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To amend title XVIII of the Social Security Act to provide coverage of preventive home visits under Medicare, and for other purposes.
Summary
This bill amends Medicare to cover preventive home visits, during which qualified professionals assess a beneficiary's home environment, identify health risks, and provide referrals for interventions or home modifications to improve physical function, balance, strength, mobility, and nutrition and reduce falls risk. The visits can be conducted in-person, remotely, or a combination, and are limited to no more than once every two years per beneficiary. Medicare will pay 100 percent of the lesser of the actual charge or a bundled payment amount established by the Secretary. The coverage begins January 1, 2027.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
Actions (2)
- Sep 17, 2025 Read twice and referred to the Committee on Finance. · senate
- Sep 17, 2025 Introduced in Senate
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE SENATE OF THE UNITED STATES
September 17 (legislative day, September 16), 2025
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.
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 (JJ), by adding “and” after the semicolon; and
(B) by adding at the end the following new subparagraph: “(KK) a preventive home visit (as defined in subsection (nnn));”; and
(2) by adding at the end the following new subsection: “(nnn) Preventive Home Visit.—The term ‘preventive home visit’ means a visit to the home of an individual by a qualified professional or team of professionals (as defined by the Secretary), not more frequently than once every 2 years, during which the qualified professional provides an assessment of the home environment of the individual, identifies health risks, and provides referrals, as appropriate, for interventions or home modifications to improve physical function, balance, strength and mobility, reduce other falls risk factors, or enhance nutrition with respect to the individual. The preventive home visit can be conducted in-person, remotely, or a combination thereof.”.
(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 (HH)” and inserting “(HH)”; and
(B) by inserting before the semicolon at the end the following: “and (II) with respect to a preventive home visit (as defined in section 1861(nnn)), 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(aa)”.
(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 subsection: “(aa) Preventive Home Visits.—The Secretary shall establish a bundled payment amount for a preventive home visit (as defined in section 1861(nnn)), 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 subparagraph (O), by striking “and” at the end;
(2) in subparagraph (P), by inserting “and” after the semicolon; 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(nnn)), which is provided more frequently than is covered under such section.”.
(d) Effective Date.—The amendments made by this section shall apply with respect to services furnished on or after January 1, 2027. <all>
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