II 115th CONGRESS 1st Session S. 353 IN THE SENATE OF THE UNITED STATES February 13, 2017 Ms. Collins (for herself and Ms. Cantwell ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to extend the rural add-on payment in the Medicare home health benefit, and for other purposes.

1. Short title This Act may be cited as the Preserve Access to Medicare Rural Home Health Services Act of 2017 . 2. Extension of the home health rural add-on (a) In general Section 421 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ( Public Law 108–173 ; 117 Stat. 2283), as amended by section 5201(b) of the Deficit Reduction Act of 2005 ( Public Law 109–171 ; 120 Stat. 46), section 3131(c) of the Patient Protection and Affordable Care Act ( Public Law 111–148 ; 124 Stat. 428), and section 210 of the Medicare Access and CHIP Reauthorization Act of 2015 ( Public Law 114–10 ; 129 Stat. 87), is amended by striking January 1, 2018 each place it appears and inserting January 1, 2023 . (b) Revision of home health outlier adjustment Section 1895(b)(5)(A) of the Social Security Act ( 42 U.S.C. 1395fff(b)(5)(A) ) is amended, in the second sentence, by inserting (or, in the case of each of 2018 through 2022, 2.25 percent) after 2.5 percent .