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Medicare Home Health Flexibility Act of 2019
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Medicare Home Health Flexibility Act of 2019 This bill establishes circumstances under which an occupational therapist may conduct an initial or comprehensive assessment for an individual who is eligible for home health services under Medicare. Specifically, an occupational therapist may conduct the assessment if the physician's referral order does not include skilled nursing care but does include (1) occupational therapy, and (2) physical therapy or speech language pathology.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (4)
2020 · second_quarter · Medicare/Medicaid
Support for reform of OT opening cases in home health. H.R. 3127/S. 1725, the Medicare Home Health Flexibility Act. Implementation of Physician Fee Schedule in 84 FR 62568. Implementation of the Public Health and Social Services Emergency Fund provision in H.R. 748. Medicare telehealth expansion in CMS-1744-IFC and CMS-5531-IFC
Read twice and referred to the Committee on Finance.
Introduced in Senate
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2020 · fourth_quarter · Medicare/Medicaid
No bill: Support inclusion of occupational therapy services via telehealth under Medicare Part B, Medicare Advantage and any demonstration programs such as telehealth within accountable care organizations. HR 3127/S 1725 - The Home Health Flexibility Act: Support the ability of occupational therapists to conduct the initial and comprehensive assessments for Medicare Home Health cases. No bill: Support for Congressional attention to the issue of falls related injuries and falls prevention. HR 4932/S 2741 - CONNECT for Health Act of 2019: Support expanded coverage for services provided to Medicare patients via telehealth, including occupational therapy and other therapy services. HR 1329 - Medicaid Reentry Act (mental health and Medicaid policy): Support passage S 1754/HR 3215 - The Disaster Relief Medicaid Act (DRMA): Support passage No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, that support caregivers for people with dementia. No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, to support aging in place. S 1202 - Independence At Home Act: support passage HR 7154 - Outpatient Therapy Modernization and Stabilization Act: Support passage. HR 6634 - Emergency COVID Telehealth Response Act: Support introduction and passage. S. 4375/HR 8727 - Telehealth Modernization Act: Advocate for provisions that would allow the Secretary of Health and Human Services to permanently add occupational therapy practitioners to the Medicare telehealth benefit. Support passage. Support various House and Senate proposals to extend and make permanent the Public Health Emergency provisions that enable occupational therapists to provide services to Medicare patients via telehealth. HR 8755-Expanded Telehealth Access Act: Support passage of bill that would allow occupational therapists and other therapists to provide services to Medicare Part B Patients via telehealth after public health emergency ends. S 4343/HR 8581-Triple A Study Bill: advocate to add occupational therapists to list of providers included in legislation mandating study of amputee healthcare. H.R. 133 - Consolidated Appropriations Act of 2021, Division CC Section 115: Advocate to permit occupational therapists to conduct the initial assessment visit and complete the comprehensive assessment with respect to certain rehabilitation services for home health agencies under the Medicare Part B program. HR 8702/S. 5007 - Holding Providers Harmless from Medicare Cuts During COVID-19 Act of 2020; Division CC Section 113 of HR 133-Consolidated Appropriations Act, 2021; and HR 8505-a bill to provide a one year waiver of budget neutrality under the Medicare physician fee schedule: Advocate for changes to evaluation and management coding redistribution in Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2021 (CMS-1734-F). No bill: Advocated to pause Medicare sequestration for 2021.
Client expense: $160,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Medicare/Medicaid
No bill: Support inclusion of occupational therapy services via telehealth under Medicare Part B, Medicare Advantage and any demonstration programs such as telehealth within accountable care organizations. HR 3127/S 1725 - The Home Health Flexibility Act: Support the ability of occupational therapists to conduct the initial and comprehensive assessments for Medicare Home Health cases. S 518/HR 1948 - Lymphedema Treatment Act - Support passage. No bill: Advocate for Congressional oversight of new Medicare payment models - PDPM & PDGM. No bill: Support for Congressional attention to the issue of falls related injuries and falls prevention. No bill: Advocated to stop proposed cuts to therapy services in the 2021 Physician Fee Schedule. HR 4932/S 2741 - CONNECT for Health Act of 2019: Support expanded coverage for services provided to Medicare patients via telehealth, including occupational therapy and other therapy services. HR 1329 - Medicaid Reentry Act (mental health and Medicaid policy): Support passage S 1754/HR 3215 - The Disaster Relief Medicaid Act (DRMA): Support passage No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, that support caregivers for people with dementia. No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, to support aging in place. S 1202 - Independence At Home Act: support passage HR2408 - Ensuring Access to Complex Rehabilitation Technology Act of 2019: support passage HR 748, CARES Act: Advocated to include occupational therapy practitioners as eligible Medicare telehealth service providers for both the duration of the COVID-19 public health emergency and on a permanent basis. HR 7154 - Outpatient Therapy Modernization and Stabilization Act: Support passage. HR 6634 - Emergency COVID Telehealth Response Act: Support introduction and passage. No bill #: Support for waiving statutory budget neutrality requirements, or exempting certain provider specialties from the application of budget neutrality, for the implementation of new Evaluation and Management Codes in the 2021 Medicare Physician Fee Schedule, and inclusion of this waiver in any COVID-19 legislation. HR 6365/3559 -Immediate Relief for Rural Facilities and Providers Act of 2020: Support passage. CMS - Met with CMS to discuss Medicare Part B payment reductions to therapy provider payments proposed in the 2021 physician fee schedule: Participants included Demetrios Kouzoukas, Director of Medicare. S. 4375 - Telehealth Modernization Act: Support , particularly for provisions that would allow the Secretary of Health and Human Services to permanently add occupational therapy practitioners to the Medicare telehealth benefit. Support various House and Senate proposals to extend and make permanent the Public Health Emergency provisions that enable occupational therapists to provide services to Medicare patients via telehealth.
Client expense: $130,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Medicare/Medicaid
No bill: Support inclusion of occupational therapy services via telehealth under Medicare Part B, Medicare Advantage and any demonstration programs such as telehealth within accountable care organizations. HR 3127/S 1725 - The Home Health Flexibility Act: Support the ability of occupational therapists to conduct the initial and comprehensive assessments for Medicare Home Health cases. S 518/HR 1948 - Lymphedema Treatment Act - Support passage. No bill: Advocate for Congressional oversight of new Medicare payment models - PDPM & PDGM. No bill: Support for Congressional attention to the issue of falls related injuries and falls prevention. No bill: Advocated to stop proposed cuts to therapy services in the 2021 Physician Fee Schedule. HR 4932/S 2741 - CONNECT for Health Act of 2019: Support expanded coverage for services provided to Medicare patients via telehealth, including occupational therapy and other therapy services. HR 1329 - Medicaid Reentry Act (mental health and Medicaid policy): Support passage S 1754/HR 3215 - The Disaster Relief Medicaid Act (DRMA): Support passage No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, that support caregivers for people with dementia. No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, to support aging in place. S 1202 - Independence At Home Act: support passage HR2408 - Ensuring Access to Complex Rehabilitation Technology Act of 2019: support passage HR 748, CARES Act: Advocated to include occupational therapy practitioners as eligible Medicare telehealth service providers for both the duration of the COVID-19 public health emergency and on a permanent basis. HR 7154 - Outpatient Therapy Modernization and Stabilization Act: Support introduction and passage. HR 6634 - Emergency COVID Telehealth Response Act: Support introduction and passage. No bill #: Support for waiving statutory budget neutrality requirements, or exempting certain provider specialties from the application of budget neutrality, for the implementation of new Evaluation and Management Codes in the 2021 Medicare Physician Fee Schedule, and inclusion of this waiver in any COVID-19 legislation. HR 6365/3559 -Immediate Relief for Rural Facilities and Providers Act of 2020: Support passage. Meeting with CMS officials from Division of Non-Institutional Quality Standards both Mary Rossi-Coajou, Senior Nurse Consultant and Maria Hammel, Director; from Division of Continuing and Acute Care Providers both James Cowher, Branch Manager and Tara Lemons, RDN,RN,MA,MSN; and from Division of Home Health, Hospice and HCPCS Kelly Vontran, Acting Deputy Director: Advocated making permanent the public health emergency provisions that enable occupational therapists to open Medicare home health therapy cases. CMS - Met with Demetrios Kouzoukas, Director of Medicare, Ing-Jyu Cheng, Acting Director of Hospital and Ambulatory Policy Group, and Gift Tee, Director of the Division of Practitioner Services: Discussed Medicare Part B payment reductions to therapy provider payments proposed for the 2021 physician fee schedule in 84 FR 62568. GAO - Met with officials from the Office of Management and Budget and official from the Office of Information and Regulatory Affairs: Discussed Medicare Part B payment reductions to therapy provider payments proposed for the 2021 physician fee schedule in 84 FR 62568
Client expense: $220,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Medicare/Medicaid
Support for reform of OT opening cases in home health. H.R. 3127/S. 1725, the Medicare Home Health Flexibility Act. Implementation of Physician Fee Schedule in 84 FR 62568. Implementation of the Public Health and Social Services Emergency Fund provision in H.R. 748. Medicare telehealth expansion in CMS-1744-IFC and CMS-5531-IFC
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2020 · first_quarter · Medicare/Medicaid
Support for reform of OT opening cases in home health. H.R. 3127/S. 1725, the Medicare Home Health Flexibility Act. Implementation of Physician Fee Schedule in 84 FR 62568. The Public Health and Social Services Emergency Fund provision in H.R. 748, the CARES Act.
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2020 · first_quarter · Medicare/Medicaid
No bill: Support inclusion of occupational therapy services via telehealth under Medicare Part B, Medicare Advantage and any demonstration programs such as telehealth within accountable care organizations. HR 3127/S 1725 - The Home Health Flexibility Act: Support the ability of occupational therapists to conduct the initial and comprehensive assessments for Medicare Home Health cases. S 518/HR 1948 - Lymphedema Treatment Act - Support passage. No bill: Advocate for Congressional oversight of new Medicare payment models - PDPM & PDGM. No bill: Support for Congressional attention to the issue of falls related injuries and falls prevention. No bill: Advocated to stop proposed cuts to therapy services in the 2021 Physician Fee Schedule. HR 4932/S 2741 - CONNECT for Health Act of 2019: Support expanded coverage for services provided to Medicare patients via telehealth, including occupational therapy and other therapy services. HR 1329 - Medicaid Reentry Act (mental health and Medicaid policy): Support passage S 1754/HR 3215 - The Disaster Relief Medicaid Act (DRMA): Support passage No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, that support caregivers for people with dementia. No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, to support aging in place. HR 1109 - Mental Health Services for Students Act: Support passage HR 4564 - Suicide Prevention Lifeline Improvement Act: Support passage HR 1767 - Excellence in Mental Health and Addiction Treatment Expansion Act: Support passage HR 4861 - Effective Suicide Screening and Assessment in the Emergency Department Act: Support passage HR 4309 - Barriers to Suicide Act: Support passage S 995 - Lifespan Respite Care Reauthorization Act: Support passage S 1202 - Independence At Home Act: support passage HR2408 - Ensuring Access to Complex Rehabilitation Technology Act of 2019: support passage HR 748, CARES Act: Asked that occupational therapy practitioners and other therapy providers be made eligible to provide Medicare telehealth services under emergency waivers. CMS - Met with Gift Tee, Director of the Division of Practitioner Services; Kathy Bryant; and Pam West: Discussed Medicare Part B payment reductions to therapy provider payments proposed for the 2021 physician fee schedule. We discussed proposals that would allow the changes to evaluation and management (E&M) codes to proceed without adversely affecting specialties that do not bill E&M codes. HR 6365/3559 -Immediate Relief for Rural Facilities and Providers Act of 2020: Support passage.
2019 · fourth_quarter · Health Issues
H.R. 3637 Allied Health Workforce Diversity Act of 2019, Official Title as Introduced To amend title VII of the Public Health Service Act to authorize assistance for increasing workforce diversity in the professions of physical therapy, occupational therapy, audiology, and speech-language pathology, and for other purposes. HR 2781, Short Titles as Introduced EMPOWER for Health Act of 2019 Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 To amend title VII of the Public Health Service Act to reauthorize certain programs relating to the health professions workforce, and for other purposes. HR 3127, Medicare Home Health Flexibility Act and S.1725-senate companion bill, would allow home health the flexibility to use the most clinically appropriate skilled services to open cases by conducting initial required comprehensive assessments
Client expense: Not reported · Firm income: $10,000
2019 · fourth_quarter · Medicare/Medicaid
Support for reform of OT opening cases in home health. H.R. 3127/S. 1725, the Medicare Home Health Flexibility Act.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2019 · fourth_quarter · Medicare/Medicaid
No bill: Support inclusion of occupational therapy services via telehealth under Medicare Part B, Medicare Advantage and any demonstration programs such as telehealth within accountable care organizations. HR 3127/S 1725 - The Home Health Flexibility Act: Support the ability of occupational therapists to conduct the initial and comprehensive assessments for Medicare Home Health cases. S 518/HR 1948 - Lymphedema Treatment Act - Support passage. No bill: Advocate for Congressional oversight of new Medicare payment models - PDPM & PDGM. No bill: Support for Congressional attention to the issue of falls related injuries and falls prevention. No bill: Advocate to obtain signatures on letter to CMS regarding proposed cuts to therapy services in the Physician Fee Schedule Proposed Rule. HR 4932/S 2741 - CONNECT for Health Act of 2019: Support expanded coverage for services provided to Medicare patients via telehealth, including occupational therapy and other therapy services. HR 1329 - Medicaid Reentry Act (mental health and Medicaid policy): Support passage S 1754/HR 3215 - The Disaster Relief Medicaid Act (DRMA): Support passage No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, that support caregivers for people with dementia. No bill: Support for Medicare payment for evidence-based programs, led by occupational therapists, to support aging in place. HR 1109 - Mental Health Services for Students Act: Support passage HR 4564 - Suicide Prevention Lifeline Improvement Act: Support passage HR 1767 - Excellence in Mental Health and Addiction Treatment Expansion Act: Support passage HR 4861 - Effective Suicide Screening and Assessment in the Emergency Department Act: Support passage HR 4309 - Barriers to Suicide Act: Support passage S 995 - Lifespan Respite Care Reauthorization Act: Support passage
2019 · fourth_quarter · Medicare/Medicaid
Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; issues related to the Bipartisan Budget Act of 2018; H.R. 2573/S. 433 - Home Health Payment Innovation Act of 2019; CMMI Home Health Value Based Purchasing Demonstration; CMMI Value Based Insurance Design Demonstration; S. 296/H.R. 2150 - Home Care Planning & Improvement Act; S. 2080/H.R. 647 - Enhance Palliative and Hospice Education and Training Act; S. 1190/H.R. 2594 - Rural Access to Hospice Act 2019; S. 1725/H.R. 3127 - Home Health Flexibility Act 2019; S. 2807 - Hospice Care Improvement Act of 2019.
Client expense: $240,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2019 · third_quarter · Health Issues
H.R. 3637 Allied Health Workforce Diversity Act of 2019, Official Title as Introduced To amend title VII of the Public Health Service Act to authorize assistance for increasing workforce diversity in the professions of physical therapy, occupational therapy, audiology, and speech-language pathology, and for other purposes. HR 2781, Short Titles as Introduced EMPOWER for Health Act of 2019 Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 To amend title VII of the Public Health Service Act to reauthorize certain programs relating to the health professions workforce, and for other purposes. HR 3127, Medicare Home Health Flexibility Act and S.1725-senate companion bill, would allow home health the flexibility to use the most clinically appropriate skilled services to open cases by conducting initial required comprehensive assessments
Client expense: Not reported · Firm income: $10,000
2019 · third_quarter · Medicare/Medicaid
Support for reform of OT opening cases in home health. H.R. 3127/S. 1725, the Medicare Home Health Flexibility Act.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2019 · third_quarter · Medicare/Medicaid
Support for inclusion of occupational therapy in legislation to expand access to non-pharmacological treatments for pain (no bill number). Support inclusion of occupational therapy services via telehealth under Medicare Part B, Medicare Advantage and any demonstration programs such as telehealth within accountable care organizations (no bill number). HR 3127/S 1725 - The Home Health Flexibility Act: Support the ability of occupational therapists to conduct the initial and comprehensive assessments for Medicare Home Health cases. S. 518/HR1948: Support for the Lymphedema Treatment Act - Support passage. Support for Congressional efforts to reduce barriers to care coordination in Medicare primary care settings (no bill number). No bill# - Support for Congressional attention to the issue of falls related injuries and falls prevention. No bill: Advocate to obtain signatures on letter to CMS regarding proposed cuts to therapy services in the Physician Fee Schedule Proposed Rule.
Client expense: $170,000 · Firm income: Not reported
2019 · third_quarter · Medicare/Medicaid
Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; issues related to the Bipartisan Budget Act of 2018; H.R. 2573/S. 433 - Home Health Payment Innovation Act of 2019; CMMI Home Health Value Based Purchasing Demonstration; CMMI Value Based Insurance Design Demonstration; S. 296/H.R. 2150 - Home Care Planning & Improvement Act; S. 2080/H.R. 647 - Enhance Palliative and Hospice Education and Training Act; S. 1190/H.R. 2594 - Rural Access to Hospice Act 2019; S. 1725/H.R. 3127 - Home Health Flexibility Act 2019
Client expense: $260,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2019 · second_quarter · Medicare/Medicaid
Support for inclusion of occupational therapy in legislation to expand access to non-pharmacological treatments for pain (no bill number). Support inclusion of occupational therapy services via telehealth under Medicare Part B, Medicare Advantage and any demonstration programs such as telehealth within accountable care organizations (no bill number). HR 3127/S 1725 - The Home Health Flexibility Act: Support the ability of occupational therapists to conduct the initial and comprehensive assessments for Medicare Home Health cases. S. 518/HR1948: Support for the Lymphedema Treatment Act - Support passage. Support for Congressional efforts to reduce barriers to care coordination in Medicare primary care settings (no bill number). No bill# - Support for Congressional attention to the issue of falls related injuries and falls prevention. Met with Nisha Bhat, Office of the Administrator at the Centers for Medicare and Medicaid Services; Brian Slater, Acting Director and Kely Vontran, Acting Deputy Director from the Division of Home Health, Hospice and HCPCS; and Sheila Blackstock and Maria Hammel from the Center for Clinical Standards and Quality - Discussed removing current regulatory barriers to allowing Occupational Therapists to initiate a home health episode of care and complete the comprehensive assessment.
Client expense: $200,000 · Firm income: Not reported
2019 · second_quarter · Medicare/Medicaid
Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; issues related to the Bipartisan Budget Act of 2018; H.R. 2573/S. 433 - Home Health Payment Innovation Act of 2019; CMMI Home Health Value Based Purchasing Demonstration; CMMI Value Based Insurance Design Demonstration; S. 296/H.R. 2150 - Home Care Planning & Improvement Act; S. 2080/H.R. 647 - Enhance Palliative and Hospice Education and Training Act; S. 1190/H.R. 2594 - Rural Access to Hospice Act 2019; S. 1725/H.R. 3127 - Home Health Flexibility Act 2019
Client expense: $250,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2019 · second_quarter · Medicare/Medicaid
Support for reform of OT opening cases in home health. H.R. 3127/S. 1725, the Medicare Home Health Flexibility Act.
Client expense: Not reported · Firm income: $30,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
| Republican |
| ME |
| Todd Young | Republican | IN |
Client expense: $190,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Client expense: $180,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE