Key Legislation Affecting Home Care and Hospice

Home Care

Home Health Care Planning Improvement Act (allows NPs/PAs to sign home health plans of care.) H.R.1825, S.445

Preserve Access to Medicare Rural Home Health Services Act (extends the payment increase (add-on) for Medicare home health services in rural areas through 2021.) S.353

Medicare Home Health Flexibility Act (allows home health agencies the flexibility to open cases and conduct initial assessments when skilled nursing care is not provided.)

Home Health Documentation and Program Improvement Act (requires CMS to develop a standardized form for beneficiary eligibility; allows a home health agency to complete the form to be reviewed and signed by the referring physician.)


Rural Access to Hospice Act (would provide for rural health clinics and federally qualified health centers to receive payment for  hospice attending physicians services).  S. 1828

Palliative Care and Hospice Education and Training Act (would amend the Public Health Service Act to increase the number of permanent faculty in palliative care education programs.) S. 693, H.R.1676

Care Planning Act (would provide assistance to individuals with serious health conditions by giving them access to more information about potential treatment options and ensuring that the course of treatment they arrive at is consistent with their personal goals, values and preferences.)

Medicare Patient Access to Hospice Act (would grant Medicare beneficiaries, upon election of hospice care, the right to select their PAs to serve as their attending physicians for purposes of hospice care.) H.R.1284

Hospice CARE (Commitment to Accurate and Relevant Encounters) Act (allows hospices to utilize PAs and other appropriate clinicians to perform the required face-to-face encounter, and also provide additional time for hospices to complete the face-to-face encounter when exceptional circumstances occur.)


Ensuring Access to Affordable and Quality Home Care for Seniors and People with Disabilities Act (would restore the companionship services exemption) H.R. 3860 S. 2221

Protecting Seniors’ Access to Medicare Act (eliminates the Independent Payment Advisory Board.)

American Job Protection Act (repeals the employer mandate provision of the Patient Protection and Affordable Care Act.) H.R.849, S.260

Medicare DMEPOS Market Pricing Program Act (establishes a market pricing program for durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) as a replacement for the Medicare competitive bidding program.)

Medicare Skilled Nursing and Home Health Services Continuity of Care Act (revises Medicare coverage and payment for advanced surgical dressings in home health settings, allowing separate payment to be made as a durable medical equipment prosthetics, orthotics, and supplies benefit.)

Medicare Access to Rehabilitation Services Act (repeals the Medicare outpatient rehabilitation therapy caps.) H.R.253, S.807

Medicare Post-Acute Care Value-Based Purchasing Act (proposes a Home Health Value-Based Purchsing program that would impose an incentive/penalty range of as much as 5 to 8 percent over a 5-year period—NAHC opposes this bill)

Protecting Affordable Coverage for Employees (PACE) Act (addresses concerns that the scheduled expansion of the small group market to include employers with 51-100 employees will result in premium increases for mid-sized employers.) S. 838, H.R. 1958

Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (implements the Commission on Long-Term Care’s bipartisan recommendation that Congress create an advisory body to develop a national strategy which supports family caregivers.)