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H.R.2853 / 118th Congress

Expanding Care in the Home Act

Referred to the Subcommittee on Work and Welfare.

Official summary

Version 00 · Introduced in House · Apr 25, 2023

Expanding Care in the Home Act

This bill establishes programs and requirements to support certain at-home services for Medicare beneficiaries.

For example, the bill requires the Centers for Medicare & Medicaid Services (CMS) to allow Medicare primary care providers to opt to receive a monthly capitated payment for up to five years for certain services instead of on a fee-for-service basis. Covered services include home services and wellness visits.

The CMS must also establish payments under Medicare for (1) home infusion services and equipment, including 24/7 nursing services; (2) staff-assisted home dialysis; and (3) travel and mailing costs associated with collecting specimens from at-home clinical laboratory tests.

The bill also authorizes the Health Resources and Services Administration to award grants to nonprofit health care entities and state and local health agencies to develop the home-based care workforce through training, recruitment, and placement in home-care models.

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Who introduced it

Rep. Smith, Adrian [R-NE-3] · R–NE

Committees

  • Ways and Means Committee
  • Energy and Commerce Committee
3 cosponsorship records, including any withdrawals

Actions

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  1. Referred to the Subcommittee on Work and Welfare.

  2. Referred to the Subcommittee on Health.

  3. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  4. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  5. Introduced in House

  6. Introduced in House

Bill text & related measures

Text links open the official source. We currently store references to these documents.

Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Dec 20, 2024. Consult Congress.gov for the current record.

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Neutral evidence review

Objective

Analyze H.R.2853 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

Examine H.R.2853 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Institutions and government scope

Conservative lens

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Individual rights and government power

Liberty lens

Examine H.R.2853 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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