Medicare adds free home safety visits for older adults starting 2027
S. 2829 — Preventive Home Visit Act · Filed by Angus King (I-ME) · Introduced Sep 17, 2025 · Referred to committee
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What it does
This bill adds Medicare coverage for preventive home visits—assessments of a beneficiary's home environment conducted by qualified professionals up to once every 2 years to identify health risks, prevent falls, and recommend interventions. Medicare will pay 100% of the cost (up to a bundled amount set by the Secretary), and visits can be in-person, remote, or hybrid. Coverage begins January 1, 2027.
Why we flagged it
The bill's core function is to expand Medicare's covered services by adding a new preventive benefit (home visits for fall and health-risk assessment). This is a straightforward public-health measure, not a tax provision, deregulation, or narrow carve-out.
What the text implies
- The bill does not specify which professionals qualify (e.g., nurses, physical therapists, social workers, occupational therapists); the Secretary's definition will determine scope and cost. Overly broad definitions could increase utilization; overly narrow ones could limit access.
- Bundled payment model (Section 1834) may incentivize providers to bundle referrals and home-modification recommendations into the visit, potentially shifting costs to beneficiaries or other payers if modifications are not covered by Medicare.
The full analysis lists 4 implications of this text.
Who stands to gain
home health agencies; occupational and physical therapy providers; geriatric assessment services