Ensuring Home Health Care for Seniors Act of 2008 - Amends title XVIII (Medicare) of the Social Security Act to eliminate the prospective payment system (PPS) for home health services.
Establishes a new formula for payment of such services (other than a covered osteoporosis drug) as the lesser of: (1) the reasonable cost of such services; or (2) the customary charges for them.
Requires such services to be free of charge or at only a nominal charge if they are furnished by a public service provider or by another provider a significant portion of whose patients are low-income.
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