1 | 1 | | I |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION H. R. 1171 |
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5 | 5 | | To amend title XVIII of the Social Security Act to include physical therapists |
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6 | 6 | | and occupational therapists as health professionals for purposes of the |
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7 | 7 | | annual wellness visit under the Medicare program, and for other pur- |
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8 | 8 | | poses. |
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9 | 9 | | IN THE HOUSE OF REPRESENTATIVES |
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10 | 10 | | FEBRUARY10, 2025 |
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11 | 11 | | Mrs. M |
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12 | 12 | | ILLERof West Virginia (for herself and Ms. STANSBURY) introduced |
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13 | 13 | | the following bill; which was referred to the Committee on Energy and |
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14 | 14 | | Commerce, and in addition to the Committee on Ways and Means, for |
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15 | 15 | | a period to be subsequently determined by the Speaker, in each case for |
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16 | 16 | | consideration of such provisions as fall within the jurisdiction of the com- |
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17 | 17 | | mittee concerned |
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18 | 18 | | A BILL |
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19 | 19 | | To amend title XVIII of the Social Security Act to include |
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20 | 20 | | physical therapists and occupational therapists as health |
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21 | 21 | | professionals for purposes of the annual wellness visit |
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22 | 22 | | under the Medicare program, and for other purposes. |
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23 | 23 | | Be it enacted by the Senate and House of Representa-1 |
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24 | 24 | | tives of the United States of America in Congress assembled, 2 |
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25 | 25 | | SECTION 1. SHORT TITLE. 3 |
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26 | 26 | | This Act may be cited as the ‘‘Stopping Addiction 4 |
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27 | 27 | | and Falls for the Elderly Act’’ or the ‘‘SAFE Act’’. 5 |
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28 | 28 | | VerDate Sep 11 2014 17:20 Mar 08, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1171.IH H1171 |
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29 | 29 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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30 | 30 | | •HR 1171 IH |
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31 | 31 | | SEC. 2. PHYSICAL THERAPY AND OCCUPATIONAL THERAPY 1 |
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32 | 32 | | BENEFIT IN THE MEDICARE ANNUAL 2 |
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33 | 33 | | WELLNESS VISIT AND INITIAL PREVENTIVE 3 |
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34 | 34 | | PHYSICAL EXAM. 4 |
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35 | 35 | | (a) A |
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36 | 36 | | NNUALWELLNESSVISIT.— 5 |
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37 | 37 | | (1) I |
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38 | 38 | | N GENERAL.—Section 1861(hhh) of the 6 |
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39 | 39 | | Social Security Act (42 U.S.C. 1395x(hhh)) is 7 |
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40 | 40 | | amended— 8 |
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41 | 41 | | (A) in paragraph (1)— 9 |
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42 | 42 | | (i) in subparagraph (A), by striking ‘‘; 10 |
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43 | 43 | | and’’ and inserting a semicolon; 11 |
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44 | 44 | | (ii) in subparagraph (B)(ii), by strik-12 |
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45 | 45 | | ing the period at the end and inserting ‘‘; 13 |
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46 | 46 | | and’’; and 14 |
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47 | 47 | | (iii) by adding at the end the fol-15 |
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48 | 48 | | lowing new subparagraph: 16 |
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49 | 49 | | ‘‘(C) that, in the case of an individual who has 17 |
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50 | 50 | | been determined by a physician to have fallen in the 18 |
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51 | 51 | | previous calendar year, includes a falls risk assess-19 |
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52 | 52 | | ment and fall prevention services.’’; and 20 |
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53 | 53 | | (B) in paragraph (3)— 21 |
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54 | 54 | | (i) in subparagraph (B), by striking 22 |
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55 | 55 | | ‘‘or’’ at the end; 23 |
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56 | 56 | | (ii) in subparagraph (C), by striking 24 |
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57 | 57 | | the period at the end and inserting ‘‘; or’’; 25 |
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58 | 58 | | and 26 |
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59 | 59 | | VerDate Sep 11 2014 17:20 Mar 08, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1171.IH H1171 |
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60 | 60 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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61 | 61 | | •HR 1171 IH |
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62 | 62 | | (iii) by adding at the end the fol-1 |
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63 | 63 | | lowing new subparagraph: 2 |
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64 | 64 | | ‘‘(D) in the case of an individual described in 3 |
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65 | 65 | | paragraph (1)(C), a physical therapist or an occupa-4 |
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66 | 66 | | tional therapist furnishing a separate falls risk as-5 |
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67 | 67 | | sessment and fall prevention services.’’. 6 |
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68 | 68 | | (2) E |
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69 | 69 | | FFECTIVE DATE.—The amendment made 7 |
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70 | 70 | | by paragraph (1) shall apply to annual wellness vis-8 |
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71 | 71 | | its furnished on or after January 1, 2026. 9 |
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72 | 72 | | (b) I |
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73 | 73 | | NITIALPREVENTIVE PHYSICALEXAMINA-10 |
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74 | 74 | | TION.— 11 |
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75 | 75 | | (1) I |
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76 | 76 | | N GENERAL.—Section 1861(ww)(2) of the 12 |
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77 | 77 | | Social Security Act (42 U.S.C. 1395x(ww)(2)) is 13 |
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78 | 78 | | amended— 14 |
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79 | 79 | | (A) in subparagraph (N), by moving the 15 |
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80 | 80 | | margins of such subparagraph 2 ems to the 16 |
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81 | 81 | | left; 17 |
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82 | 82 | | (B) by redesignating subparagraph (O) as 18 |
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83 | 83 | | subparagraph (P); and 19 |
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84 | 84 | | (C) by inserting after subparagraph (N) 20 |
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85 | 85 | | the following new subparagraph: 21 |
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86 | 86 | | ‘‘(O) In the case of an individual that has been 22 |
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87 | 87 | | determined by a physician to have experienced a fall 23 |
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88 | 88 | | in the previous calendar year, outpatient occupa-24 |
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89 | 89 | | tional therapy services (as defined in subsection (g)) 25 |
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90 | 90 | | VerDate Sep 11 2014 17:20 Mar 08, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1171.IH H1171 |
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91 | 91 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 |
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92 | 92 | | •HR 1171 IH |
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93 | 93 | | and outpatient physical therapy services (as defined 1 |
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94 | 94 | | in subsection (p)).’’. 2 |
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95 | 95 | | (2) E |
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96 | 96 | | FFECTIVE DATE.—The amendment made 3 |
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97 | 97 | | by paragraph (1) shall apply to initial preventive 4 |
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98 | 98 | | physical examinations furnished on or after January 5 |
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99 | 99 | | 1, 2026. 6 |
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100 | 100 | | SEC. 3. REPORTS TO CONGRESS. 7 |
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101 | 101 | | Beginning January 1, 2027, and annually thereafter, 8 |
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102 | 102 | | the Secretary of Health and Human Services shall submit 9 |
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103 | 103 | | to Congress a report on the number of falls (as reported 10 |
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104 | 104 | | by the Centers for Disease Control and Prevention) experi-11 |
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105 | 105 | | enced by individuals aged 65 and older that received treat-12 |
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106 | 106 | | ment for pain or injury related to a fall or falls experi-13 |
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107 | 107 | | enced in the previous calendar year. With respect to each 14 |
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108 | 108 | | subsequent report, such Secretary shall include the data 15 |
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109 | 109 | | reported in previous years and describe any changes from 16 |
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110 | 110 | | year to year. 17 |
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111 | 111 | | Æ |
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113 | 113 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB |
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