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HR 2013119th CongressIn Committee
Medicare Home Health Accessibility Act
Introduced: Mar 10, 2025
Sponsor: Rep. Smucker, Lloyd [R-PA-11] (R-Pennsylvania)
HealthcareSocial Services
Standard Summary
Comprehensive overview in 1-2 paragraphs
This legislation amends Medicare eligibility criteria to include occupational therapy as a qualifying need for home health services coverage, expanding access beyond current requirements of skilled nursing or physical/speech therapy alone, effective January 1, 2026, for both Part A and Part B benefits.
Key Points
- 1The bill modifies Social Security Act sections 1814 and 1835 to add occupational therapy as a standalone qualifying criterion for Medicare home health services coverage.
- 2Current law requires skilled nursing care or physical/speech therapy needs; this change explicitly includes occupational therapy in the eligibility determination.
- 3Amendments apply uniformly to Medicare Part A hospital insurance and Part B medical insurance for services rendered after January 1, 2026.
Impact Areas
Medicare beneficiaries requiring home-based occupational therapy servicesOccupational therapists and home health care providersMedicare program administration and coverage policies
Generated by legislative-analyst-expert on Nov 9, 2025