S. 433: Home Health Payment Innovation Act of 2019

116th Congress · introduced 2019-02-11 · Health · Latest: Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S1167)

federal

Follow this bill, step by step

Where it came from: introduced 2019-02-11 · official record
Who proposed it: Sen. Collins, Susan M. [R-ME] · what a sponsor is
What happened next: no floor votes in our records yet. Why?
Where it stands now: Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S1167) Not final yet: this can still change. We check for updates every day.
If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.

What does this mean?

Official title

Home Health Payment Innovation Act of 2019

Plain summary

Home Health Payment Innovation Act of 2019 This bill makes a series of changes relating to payment and coverage of home health services under Medicare and Medicare Advantage (MA). Specifically, the bill allows the home-confinement requirement (also known as the homebound requirement) for home health services to be waived under Medicare and MA. Currently, as a condition of eligibility for such services, a physician must certify that an individual has difficulty leaving home without assistance (e.g., a wheelchair, special transportation, or help from another person) due to an illness or injury. The bill also alters the payment methodology under the Medicare prospective payment system for home health services, including by eliminating the requirement that such methodology include certain behavioral assumptions regarding the implementation of specified changes to units of payment and case-mix adjustment factors.

Congressional Research Service summary (Introduced in Senate), quoted unchanged (nonpartisan). Read the source.

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A “Nay” vote

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PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

Home Health Payment Innovation Act of 2019

Source: Congressional Research Service summary (Introduced in Senate)

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How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Sen. Collins, Susan M. [R-ME] · 33 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

John Kennedy (R-LA), Bill Cassidy (R-LA), Rand Paul (R-KY), Jeanne Shaheen (D-NH), Margaret Wood Hassan (D-NH), Jeff Merkley (D-OR), Todd Young (R-IN), Tim Scott (R-SC), Marsha Blackburn (R-TN), John Boozman (R-AR), Angus S. King, Jr. (I-ME), Gary C. Peters (D-MI), Jacky Rosen (D-NV), Kevin Cramer (R-ND), Martin Heinrich (D-NM), Tina Smith (D-MN), Edward J. Markey (D-MA), Shelley Moore Capito (R-WV), Amy Klobuchar (D-MN), James Lankford (R-OK), Michael F. Bennet (D-CO)

Sponsor's campaign money: Sen. Collins, Susan M. [R-ME] reported raising $22.5 million (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Words on this page, explained (1)

Bill: A proposed law. It becomes law only if it passes the legislature and is signed by the president or governor (or a veto is overridden).

Plain meanings written from linked sources. All words.

Sources

Congressional Research Service summary (Introduced in Senate)
Congress.gov
Data: GovInfo BILLSTATUS bulk data (Library of Congress), BILLSTATUS-116s433.xml <https://www.govinfo.gov/bulkdata/BILLSTATUS/116/s>

Record fed-us-cong116-s433 · catalog fed-us-congress-bills-cong116 · updated 2026-11-15 by psicol fed-bills-cong116