Medicare at Home Act
Latest action (3 Aug 2026): Introduced
What this bill does
The Medicare at Home Act would amend Medicare law to create a new home care benefit under Part B. It would cover non-medical personal care services—help with activities such as bathing, dressing, eating, meal preparation, medication reminders, and light housekeeping—provided in a beneficiary's home by home care workers under a physician-approved plan of care. Coverage would be capped at 20 hours per week per person and would be separate from existing Medicare home health benefits. The bill directs the Secretary of Health and Human Services to set a payment methodology that includes a "reasonable wage floor" for home care workers.
To qualify, a person must be enrolled in Medicare Part A or B, be certified as needing help with a specified combination of daily living activities, and not already be receiving duplicate long-term care services through Medicaid. The benefit would be financed through adjustments to Medicare Part B premiums, with the CMS Chief Actuary required to report to Congress on the expected premium impact within 180 days of enactment. This would primarily affect Medicare beneficiaries who need personal care assistance, their families and unpaid caregivers, and home care workers and agencies.
The bill was introduced August 3, 2026, by Rep. Debbie Dingell and referred to the House Committees on Energy and Commerce and Ways and Means. It has not been voted on. If enacted, HHS would have one year to issue implementing regulations, and the benefit would take effect for plan years beginning more than two years after enactment.
Plain-English summary generated by Bill100 AI from the official record. Always verify against the source below.
Official summary
This bill is in the first stage of the legislative process. It was introduced into Congress on August 3, 2026. It will typically be considered by committee next before it is possibly sent on to the House or Senate as a whole.
Common questions
- What does H.R. 10020 do?
- The Medicare at Home Act would amend Medicare law to create a new home care benefit under Part B. It would cover non-medical personal care services—help with activities such as bathing, dressing, eating, meal preparation, medication reminders, and light housekeeping—provided in a beneficiary's home by home care workers under a physician-approved plan of care. Coverage would be capped at 20 hours per week per person and would be separate from existing Medicare home health benefits. The bill directs the Secretary of Health and Human Services to set a payment methodology that includes a "reasonable wage floor" for home care workers. To qualify, a person must be enrolled in Medicare Part A or B, be certified as needing help with a specified combination of daily living activities, and not already be receiving duplicate long-term care services through Medicaid. The benefit would be financed through adjustments to Medicare Part B premiums, with the CMS Chief Actuary required to report to Congress on the expected premium impact within 180 days of enactment. This would primarily affect Medicare beneficiaries who need personal care assistance, their families and unpaid caregivers, and home care workers and agencies. The bill was introduced August 3, 2026, by Rep. Debbie Dingell and referred to the House Committees on Energy and Commerce and Ways and Means. It has not been voted on. If enacted, HHS would have one year to issue implementing regulations, and the benefit would take effect for plan years beginning more than two years after enactment.
- Has H.R. 10020 become law?
- Not yet. As of 3 Aug 2026, H.R. 10020 is introduced.
- Who sponsored H.R. 10020?
- H.R. 10020 was sponsored by Rep. Debbie Dingell [D-MI6] (Democrat-MI), with 1 cosponsor.
- What's the latest action on H.R. 10020?
- Introduced (3 Aug 2026).
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