Protecting Seniors and Stopping Fraudsters Act
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
The Protecting Seniors and Stopping Fraudsters Act aims to strengthen oversight of hospice programs and home health agencies participating in the Medicare program. It increases survey frequency for these agencies, particularly those with potential risks of fraud or aberrant behavior, and establishes a process for identifying high-risk providers. The bill also includes provisions to improve enrollment screening and ensure that providers receive clear notice regarding enrollment elections.
Key provisions
- Increases survey frequency for hospice and home health agencies, especially those identified as high-risk.
- Establishes a process for identifying hospice and home health agencies at ‘extreme risk’ of fraud.
- Requires fingerprinting and liability insurance verification for administrators and medical directors of high-risk programs.
- Adjusts Medicare payment rates for hospice and home health agencies that fail to submit quality data.
- Mandates clear written notice to individuals regarding their enrollment election in hospice programs.
- Requires accreditation organizations to meet Medicare survey standards.
- Extends the Medicare cap amount calculation to 2036.
- Requires a report to Congress on program integrity activities related to hospice and home health agencies.
Who is affected
- Hospice Programs
- Home Health Agencies
- Medicare Beneficiaries
Bill text
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Primary sponsor
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