Sponsors
The bill expands Medicare-covered preventive home visits to improve senior safety and create predictable payments for providers, while increasing Medicare spending and risking inadequate frequency of visits or underpayment that could limit access.
Medicare beneficiaries (seniors and retirees) will gain access to fully covered preventive home visits, enabling earlier identification of fall risks, nutrition problems, and home hazards.
Providers (hospitals and healthcare workers) are paid 100% of the lesser of charge or a bundled rate, creating more predictable reimbursement that may encourage provider participation.
Taxpayers and the Medicare program will likely face higher spending to cover the new benefit beginning in 2027, increasing Medicare outlays and fiscal pressure.
Medicare beneficiaries, including people with disabilities, may not get needed follow-up care because visits are limited to once every two years, leaving those who need more frequent checks without coverage.
If the bundled payment rate is set too low, clinicians and hospitals—especially for complex visits or in high-cost areas—could be undercompensated, discouraging them from offering the service and reducing access.
Based on analysis of 2 sections of legislative text.
Creates a new Medicare Part B benefit covering preventive home visits (in-person or remote) up to once every two years, paid in full under a new bundled payment, effective Jan 1, 2027.
Introduced September 17, 2025 by Angus Stanley King · Last progress September 17, 2025
Creates a new Medicare Part B benefit that pays in full for a preventive home visit — in person or remote — provided by qualified professionals or teams, up to once every two years. The visit must assess the home environment, identify health risks (falls, mobility, nutrition), and provide referrals or recommended home modifications. The benefit becomes effective for services furnished on or after January 1, 2027.