,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bacg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bb1 #bjbc,ms4   
,/ab5[ 7= h]self & ,ms4 ,coll9s7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
ensure /ability 9 paym5ts to home heal? 
ag5cies "u ! ,m$ic>e program4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,pres]v+ ,access to ,home ,heal? ,act ( 
#bjbc4  #b4 ,ensur+ /ability 9 paym5ts  
to home heal? ag5cies  7a7 ,repeal (    
p]man5t & tempor>y adju/m5ts ,section   
#ahie7;b77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;fff7b77#c77 is    
am5d$ by /rik+ subp>agraph 7,d74  7b7   
,effective date2 implem5tation  7#a7    
,effective date ,! am5dm5t made by      
subsection 7a7 %all take effect z if    
includ$ 9 ! enactm5t ( ! ,bip>tisan     
,budget ,act ( #bjah 7,public ,law      
#aae-abc74  7#b7 ,implem5tation ,!      
,secret>y ( ,heal? & ,human ,s]vices 79 

?is section ref]r$ to z ! ,secret>y7    
%all implem5t su* section #ahie7;b77#c7 
= #bjbd & subsequ5t ye>s z if ! am5dm5t 
made by section #eajja7;a77#b77;,b7 (   
division ,e ( ! ,bip>tisan ,budget ,act 
( #bjah 7,public ,law #aae-abc7 7add+   
su* subp>agraph 7,d77 _h n be5 made4    
7c7 ,con/ruction ,no?+ 9 ?is section    
%all be con/ru$ z signify+ congressional
 approval or disapproval ( ! me?odology 
promulgat$ by ! ,secret>y to implem5t   
section #ahie7;b77#c77;,d7 ( ! ,social  
,security ,act 9 ! f9al rule entitl$1   
,m$ic>e ,program2 ,cal5d> ,ye> 7,,cy7   
#bjbc ,home ,heal? ,prospective ,paym5t 
,sy/em ,rate ,update2 ,home ,heal?      
,quality ,report+ ,program ,requirem5ts2
 ,home ,heal? ,value-,bas$ ,pur*as+     
,exp&$ ,model ,requirem5ts2 & ,home     
,infusion ,!rapy ,s]vices ,requirem5ts  
publi%$ 9 ! ,f$]al ,regi/] on ,novemb]  
#d1 #bjbb 7#hg ,f$4 ,reg4 #ffgij74  #c4 
,int]action ( m$ic>e paym5t policies )  
heal? c>e deliv]y g5]ally ,section      
#ahje7;b77#b77;,c7 ( ! ,social ,security

 ,act 7#db ,u4,s4,c4                    
#acie;b-#f7;b77#b77;,c77 is am5d$-- 7#a7
 by /rik+ g5]ally4--,specifically1 &    
ins]t+ 8g5]ally4--  7i7 ,9 g5]al        
,specifically1  2 &  7#b7 by add+ at !  
end ! foll[+ new clause3  7ii7 ,special 
rule = home heal? ag5cies  7,i7 ,9 g5]al
 ,:5 conduct+ ! review ( home heal?     
ag5cy f9ancial p]=mance & its impact on 
access to c>e "u ! orig9al fee-=-s]vice 
sy/em1 ! ,commission %all-- 7aa7 review 
& report on aggregate tr5ds 9 sp5d+1    
utilization1 & f9ancial p]=mance "u !   
,m$ic>e ,advantage program1 ! ,m$icaid  
program "u title ,,xix 7bo? fee-=-s]vice
 & manag$ c>e paym5t models71 & o!r     
pay]s = home heal? ag5cy s]vices2  7bb7 
evaluate & consid] ! impact ( all pay]s 
on access to c>e = ,m$ic>e b5efici>ies2 
&  7cc7 compreh5sively disclose !       
me?odologies us$ to evaluate & calculate
 home heal? ag5cy m>g9s "u ?is title &  
all o!r pay]s1 includ+ ! process =      
develop+ ! data us$4  ,:]e appropriate1 
! ,commission %all conduct su* reviews 9

 consultation ) ! ,m$icaid & ,,*ip      
,paym5t & ,access ,commission e/abli%$  
"u section #aijj4  7,,ii7 ,m$ic>e home  
heal? co/ report am5dm5ts ,= co/ report+
 p]iods beg9n+ 9 #bjbe & subsequ5t ye>s1
 ! ,secret>y %all h 9 effect an am5d$   
,m$ic>e home heal? co/ report t collects
 data on visit utilization & total      
paym5ts by pay] s\rce1 includ+ orig9al  
fee-=-s]vice paym5ts1 ,m$ic>e           
,advantage1 ! ,m$icaid program "u title 
,,xix 7bo? fee-=-s]vice & manag$ c>e    
paym5t models71 & o!r pay]s4 ,!         
,secret>y %all make su* am5d$ co/       
reports available to ! ,commission 9 !  
=m & mann] necess>y to conduct !        
analysis describ$ 9 subclause 7,i74     
7,,iii7 ,f9ancial data ,prior to !      
availability ( co/ report data z        
describ$ 9 subclause 7,,ii71 !          
,commission %all utilize data on co/ &  
rev5ues f s\rces x deems z reliable &   
valid = purposes ( conduct+ ! analysis  
describ$ 9 subclause 7,i74  4