A bill to amend title XVIII of the Social Security Act to remove all limits on the number of home health visits for which payment may be made under both part A and part B (eliminating the requirement of prior hospitalization in the case of home health care under part A), to include additional types of services as home health care, to provide coverage for preventive care and various related items and services under part B, to provide coverage for services furnished in outpatient rehabilitation facilities and elderly day care centers, to improve the administration of the medicare program.

Summary

Removes all limits on the number of home health visits for which payments may be made under title XVIII (Medicare) of the Social Security Act. Authorizes appropriate health professionals, as well as physicians, to establish home health services plans under the Medicare program. States that when such services are planned by a health professional other than a physician, such services shall include nutritional counseling, and "periodic chore services," and "hospital outreach services" as are defined in this Act. Includes within the term "medical and other health services" as defined in title XVIII: (1) annual, comprehensive physical examinations; (2) examinations for eyeglasses; (3) examinations for hearing aids; (4) dental services; (5) foot care services; and (6) the provision of eyeglasses, hearing aids, and dentures. Includes "outpatient rehabilitation services" within the medical and other health services for which payment will be made under the Medicare program. Defines the term "outpatient rehabilitation services. Includes, within the class of medical and other health services for which payment will be made under the Medicare program, health and supportive services furnished by, or under the direction of, health professionals in elderly day care centers. Directs the Secretary of Health, Education, and Welfare to publish regulations governing the provision of such services. Extends the scope of the review functions of professional standards review organizations under title XI (General Provisions) of the Social Security Act to include the review of health care services at skilled nursing homes, intermediate care facilities, and other long-term care providers, and the performance of nurses, social workers, guidance counselors, and other health care professional, as well as physicians. Declares it to be the policy of the United States that all Federal and federally supported health programs include comprehensive home health care to the same extent as it is provided for under the Medicare program.

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1 official file

• Introduced in House

  summary · EN · 1 June 1976

  Open at official source

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