HR 5554119th CongressIn Committee

Stand Strong for Medicare Act of 2025

Introduced: Sep 23, 2025

Healthcare

Standard Summary

Comprehensive overview in 1-2 paragraphs

This bill, the Stand Strong for Medicare Act of 2025, would expand Medicare Part B coverage to include fall prevention items as a new category of durable medical equipment (DME). It defines fall prevention items to include grab bars, non-slip mats, shower chairs, bed rails, and any other items the Secretary of Health and Human Services determines. The bill requires these items to be prescribed or ordered by a physician or practitioner for coverage, and it adds them to the list of items that may be prescribed under Medicare. In addition, fall prevention items would be exempt from budget sequestration reductions. The changes would take effect 60 days after enactment.

Key Points

1Adds fall prevention items to Medicare coverage under Part B, alongside existing covered items like wheelchairs; defines fall prevention items (grab bars, non-slip mats, shower chairs, bed rails, plus other items the Secretary may specify).
2Falls under the same physician or practitioner order requirement that applies to other DME, ensuring coverage is contingent on an order; items not furnished with such an order would be excluded.
3Provides a specific exemption from sequestration reductions for payments for fall prevention items under Medicare, protecting these payments from automatic budget cuts.
4Grants the Secretary authority to add additional fall prevention items beyond the initial list as needed.
5Applies the new rules 60 days after enactment.

Impact Areas

Primary: Medicare beneficiaries at risk of falls (often older adults or people with mobility/balance issues) who may receive home safety equipment; durable medical equipment suppliers and Medicare contractors who would process coverage and reimbursements.Secondary: Healthcare providers (physicians, nurse practitioners, physician assistants) who would issue orders for fall prevention items; caregivers and family members who assist with home safety adaptations.Additional: Potential impact on Medicare costs and budgeting, with a possible reduction in fall-related injuries and associated healthcare costs if more beneficiaries obtain safety equipment. The Secretary’s ability to specify additional items could broaden coverage over time, affecting access and utilization.

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