Medicare Home Health Payment Integrity and Protection Act of 2026

This bill changes Medicare rules for home health agencies. It adds screening for new agencies in areas where the number of agencies has grown sharply, requires more frequent inspections of new, newly sold, aberrant, or non-reporting agencies, and sets new standards for the private groups that accredit them. It raises the payment cut for agencies that do not submit quality data to 15 percentage points starting in 2029. It sets the 2027 base home health payment at $2,382.87, stops certain payment adjustments tied to a 2020 payment model, and requires suspect claims to be left out of benchmark calculations. It also provides $550 million for fiscal years 2027 through 2031 for oversight, fraud enforcement, and state inspections, and requires a report to Congress.

Full text and official record on Congress.gov

Sponsors

• Susan M. Collins Republican sponsor
• 1 cosponsors