How S 2829 changes current law

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill adds Medicare coverage for preventive home visits and establishes payment rules for these services.

• 42 U.S.C. 1395x

  (KK) a preventive home visit (as defined in subsection (nnn));

  This change adds preventive home visits to the list of covered services under Medicare.

• 42 U.S.C. 1395x

  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.

  This adds a definition for preventive home visits, outlining the requirements and purpose of such visits.

• 42 U.S.C. 1395l(a)(1)

  and (HH) → (HH) 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)

  This amendment establishes the payment rate for preventive home visits at 100 percent of the lesser of the actual charge or a specified payment amount.

• 42 U.S.C. 1395m

  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.

  This requires the Secretary to create a bundled payment amount for preventive home visits, which may include related referrals.

• 42 U.S.C. 1395y(a)(1)

  and

  This amendment ensures that preventive home visits cannot be provided more frequently than allowed by the new rules.

• 42 U.S.C. 1395y(a)(1)

  and 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.

  This specifies that preventive home visits are subject to frequency limitations similar to other covered services.