DAVID TOTARO

CY 2026 Home Health Prospective Payment System Rate and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program Updates. H.R.1 - One Big Beautiful Bill Act - Medicare and Medicaid provisions H.R. 5142 Home Health Stabilization Act - To amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program.

CY 2026 Home Health Prospective Payment System Rate and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program Updates. H.R.5142 - Home Health Stabilization Act - To amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program.

CMS Access Rule (CMS-2439) (CMS 2442-P) - Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H. R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. H.J.Res.58 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies H.Con.Res.14 - Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Save ACT S. 2768/ H.R. 2584- To protect hospital personnel from violence, and for other purposes. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Save ACT S. 2768/ H.R. 2584- To protect hospital personnel from violence, and for other purposes. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114- To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act - S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule - (CMS-2439-P) (CMS 2442-P) - Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114- To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act - S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule - (CMS-2439-P) (CMS 2442-P) - Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Save ACT S. 2768/ H.R. 2584- To protect hospital personnel from violence, and for other purposes. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114- To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Save ACT S. 2768/ H.R. 2584- To protect hospital personnel from violence, and for other purposes. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems.

Preserving Access to Home Health Act - S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule - (CMS-2439-P) (CMS 2442-P) - Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act - S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule - (CMS-2439-P) (CMS 2442-P) - Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Save ACT S. 2768/ H.R. 2584- To protect hospital personnel from violence, and for other purposes. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114- To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114- To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Save ACT S. 2768/ H.R. 2584- To protect hospital personnel from violence, and for other purposes. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114- To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114- To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act - S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule - (CMS-2439-P) (CMS 2442-P) - Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Save ACT S. 2768/ H.R. 2584- To protect hospital personnel from violence, and for other purposes. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems.

Preserving Access to Home Health Act - S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule - (CMS-2439-P) (CMS 2442-P) - Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Save ACT S. 2768/ H.R. 2584- To protect hospital personnel from violence, and for other purposes. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems.

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Save ACT S. 2768/ H.R. 2584- To protect hospital personnel from violence, and for other purposes. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114- To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Medicare Home Health Payment Cuts S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Medicaid Reimbursement Cuts - No Bill Number

Medicare Home Health Payment Cuts S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Medicaid Reimbursement Cuts - No Bill Number

Medicare Home Health Payment Cuts S.2137 - A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Medicaid Reimbursement Cuts

Medicare Home Health Payment Cuts S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Medicaid Reimbursement Cuts - No Bill Number

Medicare Home Health Payment Cuts S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Medicaid Reimbursement Cuts - No Bill Number

Choose Home Care Act (S. 2562/HR. 5514) Consolidated Appropriations Act, 2022 (H.R. 2471)

Choose Home Care Act (S. 2562/HR. 5514) Consolidated Appropriations Act, 2022 (H.R. 2471) Palliative Care and Hospice Education and Training Act (S.4260) CY 2023 Home Health Prospective Payment System Rate Update (Proposed Rule 87 FR 37600)

Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581 Palliative Care and Hospice Education and Training Act (S.4260) Better Care Better Jobs Act (S. 2210/H.R. 4131)

Choose Home Care Act (S. 2562/HR. 5514) Consolidated Appropriations Act, 2022 (H.R. 2471) Palliative Care and Hospice Education and Training Act (S.4260) CY 2023 Home Health Prospective Payment System Rate Update (Proposed Rule 87 FR 37600)

Choose Home Care Act (S. 2562/HR. 5514) Consolidated Appropriations Act, 2022 (H.R. 2471)

Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581 Palliative Care and Hospice Education and Training Act (S.4260) Better Care Better Jobs Act (S. 2210/H.R. 4131)

Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581

Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581 Palliative Care and Hospice Education and Training Act (S.4260) Better Care Better Jobs Act (S. 2210/H.R. 4131)

Choose Home Care Act (S. 2562/HR. 5514) Consolidated Appropriations Act, 2022 (H.R. 2471)

Choose Home Care Act (S. 2562/HR. 5514) Consolidated Appropriations Act, 2022 (H.R. 2471) Palliative Care and Hospice Education and Training Act (S.4260) CY 2023 Home Health Prospective Payment System Rate Update (Proposed Rule 87 FR 37600)

Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581 Palliative Care and Hospice Education and Training Act (S.4260) Better Care Better Jobs Act (S. 2210/H.R. 4131)

Choose Home Care Act (S. 2562/HR. 5514) Consolidated Appropriations Act, 2022 (H.R. 2471) Palliative Care and Hospice Education and Training Act (S.4260) CY 2023 Home Health Prospective Payment System Rate Update (Proposed Rule 87 FR 37600)

Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581

Preserving Access to Home Health Act of 2022 (S. 4605/H.R. 8581 Palliative Care and Hospice Education and Training Act (S.4260) Better Care Better Jobs Act (S. 2210/H.R. 4131)

Palliative Care & Hospice Education & Training Act (HR.647) CONNECT for Health Act of 2021 (S.1512) Home Health Emergency Access to Telehealth Act (S.1309) Choose Home Care Act of 2021 (S.2562) CLEAN Public Service Act (HR. 101)

Telehealth Modernization Bill S638/HR1332

Covid-19 Relief Access to Care, Medicare Sequestration - HR 1868

Build Back Better Act (HR.5376) Choose Home Care Act (S. 2562/HR. 5514)

Build Back Better Act (HR.5376) Choose Home Care Act (S. 2562/HR. 5514)

Palliative Care & Hospice Education & Training Act (HR.647) CONNECT for Health Act of 2021 (S.1512) Home Health Emergency Access to Telehealth Act (S.1309) Choose Home Care Act of 2021 (S.2562) CLEAN Public Service Act (HR. 101)

Palliative Care & Hospice Education & Training Act (HR.647) CONNECT for Health Act of 2021 (S.1512) Home Health Emergency Access to Telehealth Act (S.1309) Choose Home Care Act of 2021 (S.2562) CLEAN Public Service Act (HR. 101)

Palliative Care & Hospice Education & Training Act (HR.647) CONNECT for Health Act of 2021 (S.1512) Home Health Emergency Access to Telehealth Act (S.1309) Choose Home Care Act of 2021 (S.2562) CLEAN Public Service Act (HR. 101)

Build Back Better Act (HR.5376) Choose Home Care Act (S. 2562/HR. 5514)

Telehealth Modernization Bill S638/HR1332

Palliative Care & Hospice Education & Training Act (HR.647) CONNECT for Health Act of 2021 (S.1512) Home Health Emergency Access to Telehealth Act (S.1309) Choose Home Care Act of 2021 (S.2562) CLEAN Public Service Act (HR. 101)

COVID-19 Relief Funding within the Consolidated Appropriations Act - HR 133

Home Care for Seniors Act, H.R. 2878; Credit for Caring Act, H.R. 2730

Home Care for Seniors Act, H.R. 2878; Credit for Caring Act, H.R. 2730

HR 6800 - Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act).

HR7006 - Hazard Pay, COVID-19 Releif Funding, Improving Home Health Services Act

H.R. 257/S.433 Home Health Payment Innovation Act of 2019; H.R. 2150/S. 296 Home Health Care Planning Improvement Act of 2019 (2020); Home Care Access and Savings Act (H-CASA).

H.R. 257/S.433 Home Health Payment Innovation Act of 2019; H.R. 2150/S. 296 Home Health Care Planning Improvement Act of 2019 (2020); Home Care Access and Savings Act (H-CASA).

H.R. 257/S.433 Home Health Payment Innovation Act of 2019; H.R. 2150/S. 296 Home Health Care Planning Improvement Act of 2019 (2020); Home Care Access and Savings Act (H-CASA).

H.R. 257/S.433 Home Health Payment Innovation Act of 2019; H.R. 2150/S. 296 Home Health Care Planning Improvement Act of 2019 (2020); Home Care Access and Savings Act (H-CASA).

H.R. 2573/S.433 Home Health Payment Innovation Act of 2019;

S.433 Home Health Payment Innovation Act of 2019; S. 296 Home Health Care Planning Act of 2019 (2020)

H.R. 257/S.433 Home Health Payment Innovation Act of 2019; H.R. 2150/S. 296 Home Health Care Planning Improvement Act of 2019 (2020); Home Care Access and Savings Act (H-CASA).

H.R. 257/S.433 Home Health Payment Innovation Act of 2019; H.R. 2150/S. 296 Home Health Care Planning Improvement Act of 2019 (2020); Home Care Access and Savings Act (H-CASA).

S.433 Home Health Payment Innovation Act of 2019; S. 296 Home Health Care Planning Act of 2019 (2020)

H.R. 2573/S.433 Home Health Payment Innovation Act of 2019;

H.R. 257/S.433 Home Health Payment Innovation Act of 2019; H.R. 2150/S. 296 Home Health Care Planning Improvement Act of 2019 (2020); Home Care Access and Savings Act (H-CASA).

H.R. 257/S.433 Home Health Payment Innovation Act of 2019; H.R. 2150/S. 296 Home Health Care Planning Improvement Act of 2019 (2020); Home Care Access and Savings Act (H-CASA).