1. Short title This Act may be cited as the Rural Home Health Extension and Regulatory Relief Act . 2. Delaying application of, transitioning to, and limiting savings for home health groupings model under Medicare home health prospective payment system; home health rural add-on (a) Delayed implementation of home health groupings model with limit on savings and with transition (1) In general Section 1895(b) of the Social Security Act ( 42 U.S.C. 1395fff(b) ) is amended by inserting at the end the following new paragraph: (7) Implementation of home health groupings model (A) Use of home health groupings model with delayed implementation For purposes of calculating standard prospective payment amounts under the prospective payment system under this subsection with respect to home health units of service furnished on or after January 1, 2020, and subject to the succeeding subparagraphs of this paragraph, the Secretary shall apply the home health groupings model including use of a 30-day unit of payment, as described in the proposed rule entitled Medicare and Medicaid Programs; CY 2018 Home Health Prospective Payment System Rate Update and Proposed CY 2019 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model