H.R. 8749

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8749 Introduced in House (IH)]

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119th CONGRESS
2d Session
H. R. 8749

To amend title XVIII of the Social Security Act to provide coverage of 
medically necessary home resiliency services under Medicare.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

May 12, 2026

Mr. Frost introduced the following bill; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall 
within the jurisdiction of the committee concerned

_______________________________________________________________________

A BILL

To amend title XVIII of the Social Security Act to provide coverage of 
medically necessary home resiliency services under Medicare.

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``Survival Aid For Emergencies through 
Medicare Act'' or the ``SAFE through Medicare Act''.

SEC. 2. MEDICARE COVERAGE OF MEDICALLY NECESSARY HOME RESILIENCY 
SERVICES.

(a) Coverage.--Section 1861 of the Social Security Act (42 U.S.C. 
1395x) is amended--
(1) in subsection (s)(2)--
(A) in subparagraph (JJ), by striking ``and'' at 
the end;
(B) in subparagraph (KK), by inserting ``and'' at 
the end; and
(C) by adding at the end the following new 
subparagraph:
``(LL) in the case of an individual who is medically at-
risk in the event of a climate or manmade disaster (as 
determined by the Secretary in accordance with subsection 
(ooo)), home resiliency services (as defined in such 
subsection);''; and
(2) by adding at the end the following new subsection:
``(ooo) Home Resiliency Services; Determination of Individuals 
Medically At-Risk.--
``(1) Home resiliency services.--The term `home resiliency 
services' means items and services--
``(A) furnished on or after January 1, 2027, to an 
individual described in subsection (s)(2)(LL); and
``(B) that the Secretary determines are medically 
necessary for such individual in the case of a climate 
or manmade disaster, such as a heat pump for an 
individual vulnerable to extreme temperatures, solar 
batteries for an individual reliant on electrical 
medical equipment (including home mechanical 
ventilators), and energy efficient cold-storage for 
heat-sensitive medical supplies.
``(2) Determination of individuals medically at-risk.--For 
purposes of subsection (s)(2)(LL) and this subsection, the 
Secretary, in consultation with the Director of the National 
Institutes of Health, the Director of the Centers of Medicare & 
Medicaid Services, and the Administrator of the National 
Oceanic and Atmospheric Administration, shall establish a 
process to determine the conditions under which an individual 
would be determined to be medically at-risk in the event of a 
disaster or climate hazards, including extreme heat, extreme 
cold, flooding, and loss of power. Such a process shall 
consider--
``(A) geography-specific climate risks and regional 
preparedness for different climate risks;
``(B) the regional history of disaster or climate 
hazards and infrastructure failure in the preceding 20 
years or the forward-looking predicted risk of disaster 
or climate hazards and infrastructure failure in the 
next 20 years;
``(C) medical reliance on equipment, 
pharmaceuticals, mobility aids, and other supplies that 
are sensitive to exposure to extreme temperatures, poor 
air quality, flooding and water damage, or dependent on 
electrical power; and
``(D) chronic medical conditions, disabilities, and 
comorbidities that increase patient vulnerability 
during disaster.''.
(b) Payment.--Section 1833(a)(1) of the Social Security Act (42 
U.S.C. 1395l(a)(1)) is amended--
(1) by striking ``and'' before ``(HH)''; and
(2) by inserting before the semicolon at the end the 
following: ``and (II) with respect to home resiliency services 
described in section 1861(s)(2)(LL), the amount paid shall be 
an amount equal to 100 percent of the lesser of the actual 
charge for the services or the amount determined under a fee 
schedule established by the Secretary''.
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