,,ii  #aad? ,,congress  #b;d ,session   
,s4 #ccje  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #h1 #bjaf,mr4
 ,grassley introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,f9ance  ,a ,,bill  ,to am5d title     
,,xviii ( ! ,social ,security ,act to   
require ! use ( electronic visit        
v]ification sy/ems = home heal? s]vices 
"u ! ,m$ic>e program4  #a4 ,%ort title  
,?is ,act may be cit$ 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 #bjai1 ! 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%$2  
7v7 ! individual furni%+ ! s]vice2 &    
7vi7 ! "t ! s]vice beg9s & ends4  7,c7  
,by n lat] ?an ,july #a1 #bjah1 !       
,secret>y %all e/abli% /&>ds =          
electronic visit v]ification sy/ems4 ,9 
e/abli%+ su* /&>ds1 ! ,secret>y %all    
consult ) home heal? ag5cies to ensure t
 su* /&>ds--  7i7 are m9imally          
burd5some2  7ii7 take into acc\nt exi/+ 
be/ practices & electronic visit        
v]ification sy/ems 9 use2 &  7iii7      
require t ! sy/ems are conduct$ 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