Bill · S. 4358· Senate(119-S-4358)
SAFE through Medicare Act
- Introduced
- 4/21/2026
- Last activity
- 4/21/2026 — Read twice and referred to the Committee on Finance.
- Sponsored by
- Edward Markey
- Cosponsors
- None
- Introduced
- In Committee
What this bill would do
The SAFE through Medicare Act aims to amend the Social Security Act to include coverage for medically necessary home resiliency services under Medicare. These services are intended for individuals deemed medically at-risk during climate or manmade disasters. The bill defines these services as items like heat pumps, solar batteries, and cold-storage for medical supplies. A process will be established by the Secretary to determine who is at-risk based on factors like geography, history of disasters, and medical needs. Finally, the bill outlines specific payment terms for these services.
Yes· 3 of 9
Would people with disabilities be better off under this?+6
The bill protects people with disabilities by covering equipment necessary for their survival during climate or manmade disasters.
Does this put more money into Medicare, the health coverage for people over 65?+6
The bill expands Medicare coverage to include medically necessary home resiliency services like heat pumps and solar batteries.
Would people over 65 be better off under this?+5
The bill benefits Medicare beneficiaries, a large portion of whom are seniors, by providing coverage for home resiliency items.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Coverage for essential survival items: Individuals may receive coverage for items like heat pumps, solar batteries, and cold-storage for medical supplies if they are determined to be medically at-risk during a disaster (Section 2(a)(1)(LL) and Section 2(a)(2)(1)(B)).
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Targeted protection for vulnerable populations: The bill establishes a process to identify individuals at risk due to chronic medical conditions, disabilities, or reliance on electrical power and temperature-sensitive supplies (Section 2(a)(2)(2)(C) and Section 2(a)(2)(2)(D)).
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Full payment for services: Medicare would pay 100 percent of the lesser of the actual charge or the Secretary's fee schedule for these services (Section 2(b)(2)).
Potential Negative Impacts for People
- Delayed implementation: The bill specifies that the coverage for home resiliency services applies to items and services furnished on or after January 1, 2027 (Section 2(a)(2)(1)(A)).
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 People With Disabilities+6Good For Retirees+5Good For Seniors+5Good For Low Income Households+4
- Healthcare
- Increases Medicare Funding+6Improves Healthcare Access+5
- Social Issues And Justice
- Improves Disability Rights+5Improves Poverty Reduction+3
- Environment Energy And Infrastructure
- Increases Renewable Energy Investment+4
- 4/21/2026
- Read twice and referred to the Committee on Finance.
- Introduced in Senate
3 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.