Preventive Home Visit Coverage

Summary#

The bill would add preventive home visits to services covered by Medicare. A visit could be provided by a qualified professional or team, as defined by the Secretary of Health and Human Services, no more than once every two years. It would include an assessment of the home, identification of health risks, and referrals when appropriate for interventions or home changes related to physical function, falls risk, or nutrition. Visits could take place in person, remotely, or both. The changes would apply to services provided on or after January 1, 2027.

What it means for you#

If you have Medicare, the bill would allow coverage for a qualifying preventive home visit, subject to the once-every-two-years limit. The visit could include suggestions or referrals to address health risks in your home.

Expenses#

Medicare would pay 100 percent of the lesser of the actual charge or a bundled payment amount set by the Secretary. The bundled amount would include referrals connected to the visit. No publicly available information is provided about total spending.

Proponents' View#

No publicly available information.

Opponents' View#

No publicly available information.