To amend title XVIII of the Social Security Act to revise the interim payment system for home health care furnished to Medicare beneficiaries.
Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.
Amends part D (Miscellaneous Provisions) of title XVIII (Medicare) of the Social Security Act, as amended by the Balanced Budget Act of 1997 (BBA '97), to revise reasonable cost requirements for the interim system of limited payments for services provided by home health agencies, especially with regard to per beneficiary cost limits and efficiency standards.
Amends BBA '97 with regard to the establishment of a prospective payment system (PPS) for such services to provide that if the Secretary of Health and Human Services does not establish such PPS for specified applicable cost reporting periods, the Secretary shall, for such periods, apply applicable limits under Medicare's reasonable cost requirements as they would otherwise be in effect. Repeals the current requirement that, during such a period, existing limits be reduced by 15 percent.
Referred to the Subcommittee on Health and Environment.
- Introduced in House Formatted Text PDF
Cite this page
U.S. Congress. (2026). H.R. 4252: To amend title XVIII of the Social Security Act to revise the interim payment system for home health care furnished to Medicare beneficiaries.. 105th Congress. Open America. https://openamerica.io/bill/105-HR-4252/
"H.R. 4252: To amend title XVIII of the Social Security Act to revise the interim payment system for home health care furnished to Medicare beneficiaries.." 105th Congress, 2026, Open America, https://openamerica.io/bill/105-HR-4252/.
H.R. 4252, 105th Cong. (2026), https://openamerica.io/bill/105-HR-4252/.
[H.R. 4252: To amend title XVIII of the Social Security Act to revise the interim payment system for home health care furnished to Medicare beneficiaries.](https://openamerica.io/bill/105-HR-4252/)