,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #hgdi  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ab1 #bjbf,mr4  
,frost introduced the following bill2   
which was referred to the ,committee on 
,energy and ,commerce1 and in addition  
to the ,committee on ,ways and ,means1  
for a period to be subsequently         
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to provide coverage of   
medically necessary home resiliency     
services under ,medicare4  #a4 ,short   
title  ,this ,act may be cited as the   
,survival ,aid ,for ,emergencies through
 ,medicare ,act or the ,,safe through   
,medicare ,act4  #b4 ,medicare coverage 
of medically necessary home resiliency  
services  7a7 ,coverage ,section #ahfa  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #aciex7 is amended-- 7#a7 in  
subsection 7s77#b7--  7,a7 in           

subparagraph 7,,jj71 by striking and at 
the end2  7,b7 in subparagraph 7,,kk71  
by inserting and at the end2 and  7,c7  
by adding at the end the following new  
subparagraph3  7,,ll7 in the case of an 
individual who is medically at-risk in  
the event of a climate or manmade       
disaster 7as determined by the          
,secretary in accordance with subsection
 7ooo771 home resiliency services 7as   
defined in such subsection72  2 and     
7#b7 by adding at the end the following 
new subsection3  7ooo7 ,home resiliency 
services2 determination of individuals  
medically at-,risk  7#a7 ,home          
resiliency services ,the term home      
resiliency services means items and     
services--  7,a7 furnished on or after  
,january #a1 #bjbg1 to an individual    
described in subsection 7s77#b77,,ll72  
and  7,b7 that the ,secretary determines
 are medically necessary for such       
individual in the case of a climate or  
manmade disaster1 such as a heat pump   
for an individual vulnerable to extreme 

temperatures1 solar batteries for an    
individual reliant on electrical medical
 equipment 7including home mechanical   
ventilators71 and energy efficient      
cold-storage for heat-sensitive medical 
supplies4  7#b7 ,determination of       
individuals medically at-risk ,for      
purposes of subsection 7s77#b77,,ll7 and
 this subsection1 the ,secretary1 in    
consultation with the ,director of the  
,national ,institutes of ,health1 the   
,director of the ,centers of ,medicare  
,medicaid ,services1 and the            
,administrator of the ,national ,oceanic
 and ,atmospheric ,administration1 shall
 establish a process to determine the   
conditions under which an individual    
would be determined to be medically     
at-risk in the event of a disaster or   
climate hazards1 including extreme heat1
 extreme cold1 flooding1 and loss of    
power4 ,such a process shall consider-- 
7,a7 geography-specific climate risks   
and regional preparedness for different 
climate risks2  7,b7 the regional       

history of disaster or climate hazards  
and infrastructure failure in the       
preceding #bj years or the              
forward-looking predicted risk of       
disaster or climate hazards and         
infrastructure failure in the next #bj  
years2  7,c7 medical reliance on        
equipment1 pharmaceuticals1 mobility    
aids1 and other supplies that are       
sensitive to exposure to extreme        
temperatures1 poor air quality1 flooding
 and water damage1 or dependent on      
electrical power2 and  7,d7 chronic     
medical conditions1 disabilities1 and   
comorbidities that increase patient     
vulnerability during disaster4  4  7b7  
,payment ,section #ahcc7;a77#a7 of the  
,social ,security ,act 7#db ,u4,s4,c4   
#aciel7a77#a77 is amended--  7#a7 by    
striking and before 7,,hh72 and  7#b7 by
 inserting before the semicolon at the  
end the following3 and 7,,ii7 with      
respect to home resiliency services     
described in section #ahfa7s77#b77,,ll71
 the amount paid shall be an amount     

equal to #ajj percent of the lesser of  
the actual charge for the services or   
the amount determined under a fee       
schedule established by the ,secretary4