S. 3238 — Introduced in Senate

II 116th CONGRESS 2d Session S. 3238 IN THE SENATE OF THE UNITED STATES January 28, 2020Mr. 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. 1. Short title This Act may be cited as the Preventive Home Visit Act. 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 (kkk). ; and (2) by adding at the end the following new subsection: (kkk) Preventive home visit 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 (CC) and inserting (CC); and (B) by inserting before the semicolon at the end the following: and (DD) with respect to a home visit as defined in section 1861(kkk), 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(x). (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: (x) 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(kkk), which is provided more frequently than is covered under such section. .