Comprehensive Care Act of 1992
Overview
Type of Reform: Expanding Medicare Coverage
Description: Expands Medicare by providing:
- Medicare Part A coverage of facility care without requiring a prior hospital stay for chronically dependent individuals.
- Medicare Part B coverage of home care services to severely dependent individuals.
Sponsoring Organization and Key Author(s):
- Introduced by Rep. Eliot Engel (D-NY) on September 30, 1992.
- No co-sponsors.
Impact and Action:
- Introduced by Rep. Eliot Engel (D-NY) on September 30, 1992 (House Committee on Energy and Commerce and Ways and Means).
- House Committee Referrals: Subcommittees on Health, Subcommittee on Health and the Environment.
Program Details
Participation Criteria
Existing Medicare participation criteria.
Conditions for Receiving Benefits Scope of Services
- Coverage of facility care is available to chronically dependent individuals who cannot perform two or more of five ADLs or suffer from cognitive impairment.
- Coverage of home care services is available to severely dependent individuals who cannot perform three or more of five ADLS or pose harm to themselves/others.
Scope of Services
Nursing facility, home care, homemaker, personal care, adult day, therapies, respite, hospice care, care management, patient, and caregiver training, among others.
Amount of Services
Not specified.
Participant Financial Responsibility
Medicare deductibles apply.
Elimination Period
Not specified.
Provider Requirements
Defines home care agencies; no other provider types specified or defined.
Provider Payment Levels
Not specified.
Inflation Adjustments
Not specified.
Financing & Implementation
Revenue Source(s)
Not specified.
Total Program Costs
No cost estimate available.
Program Administration
The Department of Health and Human Services would administer new Medicare provisions.
Comprehensive Care Act of 1992 (H.R. 6063)
Category:
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