,,ii  #aad? ,,congress  #a/ ,session    
,s4 #bdaf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ag1 #bjae    
,mr4 ,grassley introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d titles ,,xviii & ,,xix ( ! ,social 
,security ,act to require ! use (       
electronic visit v]ification sy/ems =   
home heal? s]vices "u ! ,m$ic>e program 
& p]sonal c>e s]vices & home heal? c>e  
s]vices "u ! ,m$icaid program4  #a4     
,%ort title  ,?is ,act may be cit$ z !  
,v]ify+ ,electronically ! ,receipt (    
,9-,home ,c>e ,= ,individuals ,act or ! 
,,v]ifi ,act4  #b4 ,requirem5t t ,m$ic>e
 home heal? ag5cies h 9 place an        
electronic visit v]ification sy/em  7a7 
,condition ( p>ticipation ,section      
#ahia7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acie;bbb7a77 is am5d$ by
 add+ at ! end ! foll[+ new p>agraph3   
7#g7 7,a7 ,9 ! case ( home heal? s]vices
 furni%$ on or aft] ,janu>y #a1 #bjah1 !
 ag5cy has 9 place an electronic visit  

v]ification sy/em t meets /&>ds e/abli%$
 by ! ,secret>y4  7,b7 ,9 ?is p>agraph1 
! t]m electronic visit v]ification sy/em
 means a sy/em "u :i* visits conduct$ z 
"p ( home heal? s]vices furni%$ by a    
home heal? ag5cy are electronically     
v]ifi$ by ! ag5cy ) respect to--  7i7 ! 
type ( s]vice p]=m$2  7ii7 ! individual 
receiv+ ! s]vice2  7iii7 ! date ( !     
s]vice2  7iv7 ! location ( ! s]vice is  
furni%$2  7v7 ! individual furni%+ !    
s]vice2 &  7vi7 ! "t ! s]vice beg9s &   
ends4  7,c7 ,by n lat] ?an ,july #a1    
#bjag1 ! ,secret>y %all e/abli% /&>ds = 
electronic visit v]ification sy/ems4 ,9 
e/abli%+ su* /&>ds1 ! ,secret>y %all    
consult ) home heal? ag5cies to ensure t
 su* /&>ds--  7i7 are m9imally          
burd5some2  7ii7 take into acc\nt exi/+ 
be/ practices & electronic visit        
v]ification sy/ems 9 use2 &  7iii7      
require t ! sy/ems are conduct$ 9       
accordance ) ! requirem5ts ( ,,hipaa    
privacy & security law 7z def9$ 9       
section #cjji ( ! ,public ,heal? ,s]vice

 ,act74  4  7b7 ,rules ( con/ruction    
7#a7 ,no employ]-employee relation%ip   
e/abli%$ ,no?+ 9 ! am5dm5t made by ?is  
section may be con/ru$ z e/abli%+ an    
employ]-employee relation%ip betwe5 !   
home heal? ag5cy & ! individuals :o1 "u 
a contract ) su* an ag5cy1 furni% su*   
s]vices = purposes ( "p #eeb ( title    
#bi1 ,code ( ,f$]al ,regulations 7or any
 successor regulations74  7#b7 ,no      
p>ticul> or uni=m electronic visit      
v]ification sy/em requir$ ,no?+ 9 !     
am5dm5t made by ?is section %all be     
con/ru$ to require ! use ( a p>ticul> or
 uni=m electronic visit v]ification     
sy/em 7z def9$ 9 p>agraph 7#g77;,b7 (   
section #ahia7;a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acie;bbb7a771 z    
add$ by subsection 7a77 by all ag5cies t
 furni% home heal? s]vices "u title     
,,xviii ( su* ,act4  7#c7 ,no limits on 
provision ( c>e ,no?+ 9 ! am5dm5t made  
by ?is section may be con/ru$ to limit1 
) respect to home heal? s]vices furni%$ 
"u title ,,xviii ( ! ,social ,security  

,act1 provid] selection1 con/ra9        
b5efici>ies' selection ( a c>egiv]1 or  
imp$e ! mann] 9 :i* c>e is furni%$4  #c4
 ,electronic visit v]ification sy/em    
requir$ = p]sonal c>e s]vices & home    
heal? c>e s]vices "u ,m$icaid  7a7 ,9   
g5]al ,section #aijc ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #acif;b7  
is am5d$ by ins]t+ aft] subsection 7k7 !
 foll[+ new subsection3  7l7 7#a7       
,subject to p>agraph 7#c71 ) respect to 
any am\nt exp5d$ = m$ical assi/ance =   
p]sonal c>e s]vices or home heal? c>e   
s]vices provid$ "u a ,/ate plan "u ?is  
title 7or "u a waiv] ( ! plan7 furni%$ 9
 a cal5d> qu>t] beg9n+ on or aft]       
,janu>y #a1 #bjai1 unless a ,/ate       
requires ! use ( an electronic visit    
v]ification sy/em = bo? p]sonal c>e     
s]vices & home heal? c>e s]vices furni%$
 9 su* qu>t] "u ! plan or su* waiv]1 !  
,f$]al m$ical assi/ance p]c5tage %all be
 r$uc$--  7,a7 = cal5d> qu>t]s 9 #bjai &
 #bjbj1 by 4#be p]c5tage po9ts2  7,b7 = 
cal5d> qu>t]s 9 #bjba1 by 4#e p]c5tage  

po9ts2  7,c7 = cal5d> qu>t]s 9 #bjbb1 by
 4#ge p]c5tage po9ts2 &  7,d7 = cal5d>  
qu>t]s 9 #bjbc & ea* ye> !reaft]1 by #a 
p]c5tage po9t4  7#b7 ,subject to        
p>agraph 7#c71 9 implem5t+ ! requirem5t 
= ! use ( an electronic visit           
v]ification sy/em "u p>agraph 7#a71 a   
,/ate %all consult ) ag5cies & entities 
t provide p]sonal c>e s]vices1 home     
heal? c>e s]vices1 or bo? "u ! ,/ate    
plan 7or "u a waiv] ( ! plan7 to ensure 
t su* sy/em--  7,a7 is m9imally         
burd5some2  7,b7 takes into acc\nt exi/+
 be/ practices & electronic visit       
v]ification sy/ems 9 use 9 ! ,/ate2 &   
7,c7 is conduct$ 9 accordance ) !       
requirem5ts ( ,,hipaa privacy & security
 law 7z def9$ 9 section #cjji ( !       
,public ,heal? ,s]vice ,act74  7#c7     
,p>agraphs 7#a7 & 7#b7 %all n apply 9 ! 
case ( a ,/ate t1 z ( ! date ( !        
enactm5t ( ?is subsection1 requires !   
use ( any sy/em = ! electronic          
v]ification ( visits conduct$ z "p ( bo?
 p]sonal c>e s]vices or home heal? c>e  

s]vices4  7#d7 ,9 ?is subsection3 7,a7  
,! t]m electronic visit v]ification     
sy/em means1 ) respect to p]sonal c>e   
s]vices or home heal? c>e s]vices1 a    
sy/em "u :i* visits conduct$ z "p ( su* 
s]vices are electronically v]ifi$ )     
respect to--  7i7 ! type ( s]vice p]=m$2
  7ii7 ! individual receiv+ ! s]vice2   
7iii7 ! date ( ! s]vice2  7iv7 !        
location ( s]vice deliv]y2  7v7 !       
individual provid+ ! s]vice2 &  7vi7 !  
"t ! s]vice beg9s & ends4  7,b7 ,! t]m  
home heal? c>e s]vices means s]vices    
describ$ 9 section #aije7;a77#g7 provid$
 "u a ,/ate plan "u ?is title 7or "u a  
waiv] ( ! plan74  7,c7 ,! t]m p]sonal   
c>e s]vices means p]sonal c>e s]vices   
provid$ "u a ,/ate plan "u ?is title 7or
 "u a waiv] ( ! plan71 includ+ s]vices  
provid$ "u section #aije7;a77#bd71      
#aiae7;c71 #aiae7;i71 #aiae7;j71 or     
#aiae7k7 or "u a waiv] "u section #aaae4
  4  7b7 ,rules ( con/ruction  7#a7 ,no 
employ]-employee relation%ip e/abli%$   
,no?+ 9 ! am5dm5t made by ?is section   

may be con/ru$ z e/abli%+ an            
employ]-employee relation%ip betwe5 !   
ag5cy or entity t provides = p]sonal c>e
 s]vices or home heal? c>e s]vices & !  
individuals :o1 "u a contract ) su* an  
ag5cy or entity1 furni% su* s]vices =   
purposes ( "p #eeb ( title #bi1 ,code ( 
,f$]al ,regulations 7or any successor   
regulations74  7#b7 ,no p>ticul> or     
uni=m electronic visit v]ification sy/em
 requir$ ,no?+ 9 ! am5dm5t made by ?is  
section %all be con/ru$ to require ! use
 ( a p>ticul> or uni=m electronic visit 
v]ification sy/em 7z def9$ 9 subsection 
7l77#d7 ( section #aijc ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acif;b71 
z ins]t$ by subsection 7a77 by all      
ag5cies or entities t provide p]sonal   
c>e s]vices or home heal? c>e s]vices "u
 a ,/ate plan "u title ,,xix ( ! ,social
 ,security ,act 7or "u a waiv] ( !      
plan74  7#c7 ,no limits on provision (  
c>e ,no?+ 9 ! am5dm5t made by ?is       
section may be con/ru$ to limit1 )      
respect to p]sonal c>e s]vices or home  

heal? c>e s]vices provid$ "u a ,/ate    
plan "u title ,,xix ( ! ,social         
,security ,act 7or "u a waiv] ( ! plan71
 provid] selection1 con/ra9 b5efici>ies'
 selection ( a c>egiv]1 or imp$e ! mann]
 9 :i* c>e is deliv]$4