Earned Benefits Equality and Family Reunification Act
Impact
This program is anticipated to enhance access to quality care for American citizens residing abroad while also potentially reducing overall costs to the government for medical services provided under Medicare. The bill aims to alleviate pressure on the U.S. medical infrastructure by promoting international access, allowing flexibility for beneficiaries to receive care that may be more cost-effective in foreign systems, without compromising their current benefits in the United States. An outcome of this could be a reevaluation of how Medicare intertwines with global health care standards and practices.
Summary
House Bill 5299, known as the 'Earned Benefits Equality and Family Reunification Act', proposes to amend Title XVIII of the Social Security Act to establish a ten-year demonstration program that allows applicable beneficiaries to apply Medicare benefits towards coverage of health care items and services under the health care systems of selected foreign countries. The bill specifically targets individuals who are eligible for Medicare benefits and addresses their ability to receive care in a broader international context, thus modernizing the approach to Medicare coverage in the era of global communication and mobility.
Contention
One point of contention surrounding HB 5299 may involve concerns over the quality of care available in selected countries compared to U.S. standards. While the bill provisions ensure beneficiaries maintain access to U.S. Medicare services, there may be skepticism about the adequacy of health services provided in foreign systems. Additionally, the implementation of the program might lead to challenges in ensuring equitable access, particularly for low-income participants, and the potential bureaucratic complexities arising from coordinating care across different health care systems.
Advanced Safe Testing at Residence Telehealth Act of 2023 This bill temporarily establishes several programs to provide telehealth services for at-home testing, evaluations, and other health care. Specifically, the bill establishes a demonstration program to provide assistive telehealth consultations and home- and community-based care for certain Medicare beneficiaries through Medicare Advantage (MA) plans. Covered services include certain at-home diagnostic tests, telehealth consultations, transportation services, and meal benefits. Beneficiaries must be (1) age 65 or older and eligible to enroll in a qualifying MA plan and to receive certain low-income subsidies under the Medicare prescription drug benefit, or (2) dually eligible for Medicare and Medicaid benefits. The bill also establishes a grant program for state Medicaid programs to cover similar at-home tests and related telehealth consultations. Additionally, the Department of Veterans Affairs must establish a pilot program to provide tests and related telehealth consultations free of charge to veterans.
Advanced Safe Testing at Residence Telehealth Act of 2023 This bill temporarily establishes several programs to provide telehealth services for at-home testing, evaluations, and other health care. Specifically, the bill establishes a demonstration program to provide assistive telehealth consultations and home- and community-based care for certain Medicare beneficiaries through Medicare Advantage (MA) plans. Covered services include certain at-home diagnostic tests, telehealth consultations, transportation services, and meal benefits. Beneficiaries must be (1) age 65 or older and eligible to enroll in a qualifying MA plan and to receive certain low-income subsidies under the Medicare prescription drug benefit, or (2) dually eligible for Medicare and Medicaid benefits. The bill also establishes a grant program for state Medicaid programs to cover similar at-home tests and related telehealth consultations. Additionally, the Department of Veterans Affairs must establish a pilot program to provide tests and related telehealth consultations free of charge to veterans.