Us Congress 2025-2026 Regular Session

Us Congress House Bill HB1171 Compare Versions

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11 I
22 119THCONGRESS
33 1
44 STSESSION H. R. 1171
55 To amend title XVIII of the Social Security Act to include physical therapists
66 and occupational therapists as health professionals for purposes of the
77 annual wellness visit under the Medicare program, and for other pur-
88 poses.
99 IN THE HOUSE OF REPRESENTATIVES
1010 FEBRUARY10, 2025
1111 Mrs. M
1212 ILLERof West Virginia (for herself and Ms. STANSBURY) introduced
1313 the following bill; which was referred to the Committee on Energy and
1414 Commerce, and in addition to the Committee on Ways and Means, for
1515 a period to be subsequently determined by the Speaker, in each case for
1616 consideration of such provisions as fall within the jurisdiction of the com-
1717 mittee concerned
1818 A BILL
1919 To amend title XVIII of the Social Security Act to include
2020 physical therapists and occupational therapists as health
2121 professionals for purposes of the annual wellness visit
2222 under the Medicare program, and for other purposes.
2323 Be it enacted by the Senate and House of Representa-1
2424 tives of the United States of America in Congress assembled, 2
2525 SECTION 1. SHORT TITLE. 3
2626 This Act may be cited as the ‘‘Stopping Addiction 4
2727 and Falls for the Elderly Act’’ or the ‘‘SAFE Act’’. 5
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3030 •HR 1171 IH
3131 SEC. 2. PHYSICAL THERAPY AND OCCUPATIONAL THERAPY 1
3232 BENEFIT IN THE MEDICARE ANNUAL 2
3333 WELLNESS VISIT AND INITIAL PREVENTIVE 3
3434 PHYSICAL EXAM. 4
3535 (a) A
3636 NNUALWELLNESSVISIT.— 5
3737 (1) I
3838 N GENERAL.—Section 1861(hhh) of the 6
3939 Social Security Act (42 U.S.C. 1395x(hhh)) is 7
4040 amended— 8
4141 (A) in paragraph (1)— 9
4242 (i) in subparagraph (A), by striking ‘‘; 10
4343 and’’ and inserting a semicolon; 11
4444 (ii) in subparagraph (B)(ii), by strik-12
4545 ing the period at the end and inserting ‘‘; 13
4646 and’’; and 14
4747 (iii) by adding at the end the fol-15
4848 lowing new subparagraph: 16
4949 ‘‘(C) that, in the case of an individual who has 17
5050 been determined by a physician to have fallen in the 18
5151 previous calendar year, includes a falls risk assess-19
5252 ment and fall prevention services.’’; and 20
5353 (B) in paragraph (3)— 21
5454 (i) in subparagraph (B), by striking 22
5555 ‘‘or’’ at the end; 23
5656 (ii) in subparagraph (C), by striking 24
5757 the period at the end and inserting ‘‘; or’’; 25
5858 and 26
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6161 •HR 1171 IH
6262 (iii) by adding at the end the fol-1
6363 lowing new subparagraph: 2
6464 ‘‘(D) in the case of an individual described in 3
6565 paragraph (1)(C), a physical therapist or an occupa-4
6666 tional therapist furnishing a separate falls risk as-5
6767 sessment and fall prevention services.’’. 6
6868 (2) E
6969 FFECTIVE DATE.—The amendment made 7
7070 by paragraph (1) shall apply to annual wellness vis-8
7171 its furnished on or after January 1, 2026. 9
7272 (b) I
7373 NITIALPREVENTIVE PHYSICALEXAMINA-10
7474 TION.— 11
7575 (1) I
7676 N GENERAL.—Section 1861(ww)(2) of the 12
7777 Social Security Act (42 U.S.C. 1395x(ww)(2)) is 13
7878 amended— 14
7979 (A) in subparagraph (N), by moving the 15
8080 margins of such subparagraph 2 ems to the 16
8181 left; 17
8282 (B) by redesignating subparagraph (O) as 18
8383 subparagraph (P); and 19
8484 (C) by inserting after subparagraph (N) 20
8585 the following new subparagraph: 21
8686 ‘‘(O) In the case of an individual that has been 22
8787 determined by a physician to have experienced a fall 23
8888 in the previous calendar year, outpatient occupa-24
8989 tional therapy services (as defined in subsection (g)) 25
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9292 •HR 1171 IH
9393 and outpatient physical therapy services (as defined 1
9494 in subsection (p)).’’. 2
9595 (2) E
9696 FFECTIVE DATE.—The amendment made 3
9797 by paragraph (1) shall apply to initial preventive 4
9898 physical examinations furnished on or after January 5
9999 1, 2026. 6
100100 SEC. 3. REPORTS TO CONGRESS. 7
101101 Beginning January 1, 2027, and annually thereafter, 8
102102 the Secretary of Health and Human Services shall submit 9
103103 to Congress a report on the number of falls (as reported 10
104104 by the Centers for Disease Control and Prevention) experi-11
105105 enced by individuals aged 65 and older that received treat-12
106106 ment for pain or injury related to a fall or falls experi-13
107107 enced in the previous calendar year. With respect to each 14
108108 subsequent report, such Secretary shall include the data 15
109109 reported in previous years and describe any changes from 16
110110 year to year. 17
111111 Æ
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