Legislation to Establish Fairer Case Mix Evaluation System Introduced in Congress

HCAF Urges Home Care Advocates to Contact Members of Congress

Congressional Home Health Caucus co-chairs, U.S. Reps. Jim McGovern (D-MA) and Walter Jones (R-NC), introduced H.R.6059, the Home Health Care Access Protection Act before Congress adjourned for the July 4 recess. H.R.6059 would establish a fairer and more transparent process when the Centers for Medicare and Medicaid Services (CMS) evaluate case mix changes. Sens. Susan Collins (R-ME) and Maria Cantwell (D-WA) introduced the Senate version of this legislation, S.659, last year.

CMS has implemented what is known as case mix “creep” cuts to adjust home health payments. These types of cuts have been implemented to date as a 2.75 percent reduction in each of 2008, 2009, and 2010, a 3.79 percent reduction in 2011 and 2012, and an expected 1.32 percent cut in 2013. These cuts are projected to reduce home health payments by $32 billion and are in addition to nearly $40 billion in cuts mandated under the health care reform law and those expected through sequestration.

What can I do?

HCAF is encouraging home care advocates to ask their representative and senators to cosponsor H.R.6059 and S.659. Click here to take action!

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