Bill · H.R. 10020· House(119-HR-10020)
Medicare at Home Act
- Introduced
- 8/3/2026
- Last activity
- 8/3/2026 — 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.
- Sponsored by
- Debbie Dingell
- Cosponsors
- - 3 - 0
- Introduced
- In Committee
What this bill would do
The ``Medicare at Home Act'' seeks to amend the Social Security Act to create a new Medicare home care benefit. This benefit would cover assistance with activities of daily living and certain instrumental activities of daily living. To qualify, individuals must be entitled to Medicare Part A or enrolled in Part B and have a certified plan of care. The benefit is limited to a maximum of 20 hours per week per person. This new coverage is intended to help people age in their homes and reduce the burden on unpaid caregivers. The Act also directs the Secretary to establish payment methodologies and adjust monthly premiums to cover the additional costs.
Yes· 3 of 6
Would people over 65 be better off under this?+8
The bill provides a new Medicare benefit specifically designed to help seniors age safely at home.
Would retired people be better off under this?+8
The bill introduces a home care benefit that provides financial and practical support for retirees.
Does this make health care easier to get in general?+7
The act provides access to essential home care services for eligible Medicare beneficiaries.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Assistance with Daily Needs: The bill establishes coverage for assistance with activities of daily living, such as bathing, dressing, and eating, as well as instrumental activities like meal preparation and medication reminders (Section 3(a)(1)). This allows people to receive help with essential tasks in their own homes.
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Increased Independence: By providing a modest, capped benefit, the bill aims to allow older adults and people with disabilities to remain safely in their homes and communities (Section 2(5)).
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Financial Relief for Caregivers: The provision of these services is intended to take pressure off unpaid family caregivers who currently provide significant amounts of unpaid care (Section 2(5)).
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Worker Protections: The Secretary is required to establish a payment methodology that reflects a reasonable wage floor for home care workers (Section 3(c)).
Potential Negative Impacts for People
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Benefit Limitations: The help provided through this benefit is strictly capped at a maximum of 20 hours per week per individual (Section 3(a)(2)(A) and Section 5).
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Increased Premium Costs: To pay for this new benefit, the Secretary is directed to adjust monthly premiums under Medicare Part B to reflect the additional actuarial costs (Section 6(a)).
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Strict Eligibility Requirements: Access to the benefit is not universal; it requires a physician-established plan of care certifying that the individual needs specific levels of assistance (Section 3(a)(3)), and individuals cannot receive these services if they are already receiving duplicate long-term services through a State Medicaid plan (Section 4(3)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Retirees+8Good For Seniors+8Good For People With Disabilities+5
- Healthcare
- Improves Healthcare Access+7Increases Medicare Funding+6
- Social Issues And Justice
- Improves Disability Rights+5
- 10/9/2026
- 1 Cosponsor added.
- 10/1/2026
- 1 Cosponsor added.
- 8/31/2026
- 1 Cosponsor added.
- 8/3/2026
- 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.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Josh RileyDemocrat · New York
Rashida TlaibDemocrat · Michigan
James WalkinshawDemocrat · Virginia