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".

119th Congress Introduced by Andrew Clyde

HJRES 58 disapproves a CMS rule updating Medicare's home health payment system for 2025, impacting reimbursement rates and quality reporting for home health agencies.

Introduced in House

Bill Overview

Bill Number: HJRES 58
Title: 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".
Status: Introduced in House
Introduced On: February 12, 2025
Classification: Resolution

Purpose and Intent

HJRES 58 aims to formally disapprove a specific rule issued by the Centers for Medicare & Medicaid Services (CMS) concerning the Home Health Prospective Payment System (HH PPS) for the calendar year 2025. The resolution seeks to prevent the implementation of this rule, which encompasses various updates and requirements related to home health services under Medicare.

Key Provisions

Disapproval of CMS Rule: The resolution states that Congress disapproves the CMS rule published in the Federal Register on November 7, 2024 (89 Fed. Reg. 88354).

Impact on Medicare Policies: The disapproved rule includes:

Updates to the Home Health Prospective Payment System (HH PPS) rates.
Requirements for the Home Health Quality Reporting Program.
Changes related to the Home Intravenous Immune Globulin (IVIG) items and services.
Adjustments to the Home Health Value-Based Purchasing Expanded Model.

Affected Parties

Home Health Agencies: The resolution directly impacts home health agencies that rely on the HH PPS for reimbursement rates and quality reporting.

Medicare Beneficiaries: Changes in the payment system and quality reporting may affect the services available to Medicare beneficiaries receiving home health care.

CMS: The Centers for Medicare & Medicaid Services would be required to revise or withdraw the proposed rule if the resolution passes.

Legislative Process

Referral to Committees: Upon introduction, HJRES 58 was referred to the House Committee on Ways and Means and the Committee on Energy and Commerce for consideration. The Speaker will determine the period for each committee's review.

Next Steps: The resolution must be debated and voted on by the House of Representatives. If passed, it will proceed to the Senate for consideration.

Conclusion

HJRES 58 represents a significant legislative effort to challenge and potentially overturn specific updates to Medicare's home health policies for 2025. The resolution reflects ongoing discussions regarding the adequacy and fairness of payment systems and quality measures in home health care services.

Bill