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Medicare Adult Day Services Act of 2012 Introduced

by Published On: Sep 24, 2012
Capitol building

The Medicare Adult Day Services Act of 2012 (H.R. 6476) was introduced in the U.S. House of Representatives on Sept. 20, 2012, by Rep. Linda Sanchez (D-CA).

If passed, the legislation would:

  • Expand Medicare beneficiaries care options by adding skilled nursing, rehabilitation and social services in an Adult Day Services Center.

  • Allow patients who qualify for home health services or nursing homes under Medicare to use adult day care as an option for care. It does not expand eligibility: it simply allows qualified patients to choose adult day services.
  • Save Medicare dollars, cover more services.

  • Pay Certified Adult Day Services Centers 98% of the home health rate, therefore saving Medicare dollars.

  • Not expand the number of people using Medicare services. Eligibility to use the services in a Medicare Certified Adult Day Services Center is the same as the eligibility criteria for Medicare certified home health.

  • Require Medicare Certified Adult Day Services Center to meet the standards of nationally recognized accrediting agencies.

  • Require Medicare Certified Adult Day Services Center to comply with all applicable State and local building and fire codes.

  • Ensure that Medicare and Medicaid integrity is maintained with high standards to prevent fraud and abuse.

  • Require Medicare Certified Adult Day Services Center services to be ordered by a physician who approves the plan of care.

  • Allow a Medicare certified home health agency to operate a Medicare Certified Adult Day Services Center if they become certified and follow the regulations

This legislation builds on the Medicare Adult Day Services Act of 2009, which was supported by 98 members of Congress, as well as over 100 national and state consumer and provider organizations.

The bill was referred to the House Committee on Ways and Means as well as to the House Committee on Energy and Commerce.

 



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