S. 5250

Medicare Home Health Payment Integrity and Protection Act of 2026

Sponsor: Susan M. Collins

1 cosponsor

Marsha Blackburn

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Where it stands

Introduced Aug 5
Committee Now
Senate —
House of Representatives —
Law —

Introduced Aug 5
Committee Now
Senate —
House of Representatives —
Law —

Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S4477-4478) (Aug 5)

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Text of the bill

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Sec. 1. Short title; Table of contents

I Home health program integrity, anti-fraud, and enrollment reform

Sec. 101. Enhanced enrollment screening for home health agencies

Sec. 102. Additional oversight provisions for home health agencies

Sec. 103. Additional survey and training requirements for accreditation organizations

II Home health payment reset and data integrity

Sec. 201. Reset of standard prospective payment amount

Sec. 202. Suspension of permanent and temporary adjustments

Sec. 203. Conforming protection for benchmarks and value-based programs

III Reports, rulemaking, program integrity funding, and implementation

Sec. 301. Report to Congress on home health payment data

Sec. 302. Notice and comment rulemaking

Sec. 303. Program integrity funding

Sec. 304. Department of Justice and Office of Inspector General enforcement funding

In addition to any other funds otherwise available, there are appropriated to the Department of Justice and the Office of Inspector General of the Department of Health and Human Services, out of any amounts in the Treasury not otherwise appropriated, $150,000,000 for fiscal years 2027 through 2031 for investigation of organized home health fraud schemes, forensic accounting, interstate fraud investigations, prosecution of Medicare fraud, and coordination with Federal law enforcement agencies.

Sec. 305. State survey agency funding

Sec. 306. Rule of construction regarding existing fraud authorities