This bill aims to reduce fraud in Medicare's home health agency program by strengthening enrollment screening, increasing federal oversight, and adjusting payment rates. Home health agencies will face enhanced requirements including fingerprinting of administrators, proof of liability insurance, and more frequent inspections—particularly new agencies, those that have changed ownership, or those with suspicious billing patterns. The bill resets Medicare's standard payment rate for home health services to $2,382.87 starting in 2027 and suspends certain payment adjustments that may have been inflated by fraudulent claims. To implement these measures, the bill appropriates $550 million over fiscal years 2027 through 2031, with $300 million for Centers for Medicare & Medicaid Services program integrity efforts, $150 million for Justice Department and Inspector General fraud investigations, and $100 million for state survey agencies conducting inspections. Most new requirements take effect one year after the bill's enactment.
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