S. 2829
119th CONGRESS 1st Session
To amend title XVIII of the Social Security Act to provide coverage of preventive home visits under Medicare, and for other purposes.
IN THE SENATE OF THE UNITED STATES · September 17 (legislative day, September 16), 2025 · Sponsor: Mr. King · Committee: Committee on Finance
Table of contents
SEC. 1. Short title
- This Act may be cited as the Preventive Home Visit Act.
SEC. 2. Medicare coverage of preventive home visits
- (a) In general
- Section 1861 of the Social Security Act () is amended— 42 U.S.C. 1395x
- in subsection (s)(2)—
- in subparagraph (JJ), by adding after the semicolon;
and- a preventive home visit (as defined in subsection (nnn));
- by adding at the end the following new subparagraph:
- (nnn) Preventive home visit
- The term
preventive home visitmeans a visit to the home of an individual by a qualified professional or team of professionals (as defined by the Secretary), not more frequently than once every 2 years, during which the qualified professional provides an assessment of the home environment of the individual, identifies health risks, and provides referrals, as appropriate, for interventions or home modifications to improve physical function, balance, strength and mobility, reduce other falls risk factors, or enhance nutrition with respect to the individual. The preventive home visit can be conducted in-person, remotely, or a combination thereof.
- The term
- in subparagraph (JJ), by adding after the semicolon;
- by adding at the end the following new subsection:
- in subsection (s)(2)—
- Section 1861 of the Social Security Act () is amended— 42 U.S.C. 1395x
- (b) Payment
- (1) In general
- Section 1833(a)(1) of the Social Security Act () is amended— 42 U.S.C. 1395l(a)(1)
- by striking
and (HH)and inserting(HH); and - by inserting before the semicolon at the end the following: .
- by striking
- Section 1833(a)(1) of the Social Security Act () is amended— 42 U.S.C. 1395l(a)(1)
- (2) Payment determination
- Section 1834 of the Social Security Act () is amended by adding at the end the following new subsection: 42 U.S.C. 1395m
- (aa) Preventive home visits
- The Secretary shall establish a bundled payment amount for a preventive home visit (as defined in section 1861(nnn)), including any referrals made in connection with the visit.
- (aa) Preventive home visits
- Section 1834 of the Social Security Act () is amended by adding at the end the following new subsection: 42 U.S.C. 1395m
- (1) In general
- (c) Frequency limitation
- Section 1862(a)(1) of the Social Security Act () is amended— 42 U.S.C. 1395y(a)(1)
- in subparagraph (O), by striking
andat the end; - in subparagraph (P), by inserting after the semicolon;
and- in the case of a preventive home visit (as defined in section 1861(nnn)), which is provided more frequently than is covered under such section.
- by adding at the end the following new subparagraph:
- in subparagraph (O), by striking
- Section 1862(a)(1) of the Social Security Act () is amended— 42 U.S.C. 1395y(a)(1)
- (d) Effective date
- The amendments made by this section shall apply with respect to services furnished on or after January 1, 2027.