Sponsor
Angus Stanley King
Senator · I-ME
Senator · I-ME
The bill expands Medicare-covered preventive home visits—improving older adults' safety and offering predictable payments to providers—while increasing Medicare spending and risking access gaps if visit frequency limits or bundled payment rates are insufficient.
Medicare beneficiaries (especially seniors and retirees) will gain access to fully Medicare-covered preventive home visits, improving early detection of fall risks, nutrition problems, and home hazards.
Providers (hospitals, health systems, and clinicians) receive predictable reimbursement—100% of the lesser of charge or a bundled rate—which may encourage provider participation in offering home visits.
Taxpayers and the Medicare program will face higher spending to cover a new benefit beginning in 2027, increasing Medicare outlays and federal costs.
Medicare beneficiaries, including people with disabilities, who need more frequent follow-up may be left without coverage because visits are limited to once every two years.
If the bundled payment is set too low, clinicians and hospitals—particularly those serving more complex patients or in lower-margin areas—may be discouraged from offering the service because reimbursement won't cover the full resource needs of complex visits.
Based on analysis of 2 sections of legislative text.
Adds a Medicare Part B benefit paying for a once-every-two-years preventive home visit (in-person or remote) to assess home risks and recommend referrals/modifications.
Official title: Amend title XVIII of the Social Security Act to provide coverage of preventive home visits under Medicare, and for other purposes.
Introduced September 17, 2025 by Angus Stanley King · Last progress September 17, 2025
Creates a new Medicare Part B benefit that pays for a “preventive home visit” delivered in-person or remotely by qualified professionals up to once every two years. The visit must assess the home environment, identify health risks (falls, mobility, nutrition, etc.), and provide referrals or recommended home modifications to improve safety and function. Medicare would pay 100% up to the lesser of actual charge or a new bundled payment rate, and the benefit applies to services furnished on or after January 1, 2027.