There is a risk of significant cuts in payment rates and spending on home health services.
These cuts are likely to be in the range of $3 - 6 billion over the next 10 years! The savings from these cuts would not be used for home health services. There is also a threat that the home health care rural add-on would be phased out of existence.
Senators Susan Collins (R-ME) and Maria Cantwell (D-WA) have put forward S.353, which would save the rural add-on and extend it for 5 additional years.