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.
  • 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.

  • 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.

Nursing facility, home care, homemaker, personal care, adult day, therapies, respite, hospice care, care management, patient, and caregiver training, among others.

Not specified.

Medicare deductibles apply.

Not specified.

Defines home care agencies; no other provider types specified or defined.

Not specified.

Not specified.

Financing & Implementation

Revenue Source(s)

Not specified.

No cost estimate available.

The Department of Health and Human Services would administer new Medicare provisions.

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