HR 5554
Stand Strong for Medicare Act of 2025
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Bill overview
This bill aims to expand Medicare coverage to include items designed to prevent falls. Specifically, it amends the Medicare program to cover grab bars, non-slip mats, shower chairs, bed rails, and other specified fall prevention items. The bill also modifies existing Medicare rules to allow for these items to be covered without a specific physician’s order in certain circumstances and ensures these payments are not subject to sequestration.
Key provisions
- Medicare coverage is expanded to include grab bars, non-slip mats, shower chairs, and bed rails.
- The definition of ‘fall prevention items’ is established.
- Medicare may specify additional categories of fall prevention items.
- Fall prevention items can be covered without a physician’s order under certain conditions.
- Payments for fall prevention items are exempt from sequestration.
Who is affected
- Medicare beneficiaries
- Healthcare providers
- Medical equipment suppliers
Notable changes
- Medicare will now cover items specifically designed to prevent falls.
- The requirement for a physician’s order for some fall prevention items is modified.
Sponsors
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Primary sponsor
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119th CONGRESS — 1st Session
H. R. 5554
IN THE HOUSE OF REPRESENTATIVES
A BILL
To amend title XVIII of the Social Security Act to provide coverage for certain fall prevention items under the Medicare program.
This Act may be cited as the Stand Strong for Medicare Act of 2025
.
in subsection (n)—
by striking and wheelchairs
and inserting wheelchairs
; and
by inserting , and fall prevention items (as defined in subsection (nnn))
after may prescribe)
; and
by adding at the end the following new subsection:
fall prevention itemsincludes grab bars, non-slip mats, shower chairs, bed rails, and such other items or categories of items as the Secretary may specify.
Section 1862(a)(1) of the Social Security Act (42 U.S.C. 1395y(a)(1)) is amended—
in subparagraph (O), by striking and
at the end;
in subparagraph (P), by striking the semicolon and inserting , and
; and
by adding at the end the following new subparagraph:
The amendments made by subsection (a) shall apply beginning 60 days after the date of the enactment of this Act.