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S. Rept. 114-103 1 (2015-07-30)

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                                                        Calendar No. 182
                   114TH CONGRESS                                    REPORT
                     1st Session              SENATE                 114-103





                     COMMUNITY BASED INDEPENDENCE FOR SENIORS ACT


                                   JULY 30, 2015.-Ordered to be printed


                             Mr. HATCH, from the Committee on Finance,
                                      submitted the following


                                         REPORT

                                         [To accompany S. 704]
                    The  Committee  on Finance, to which was referred the bill (S.
                    704) to establish a Community-Based Institutional Special Needs
                  Plan demonstration program  to target home and community-based
                  care to eligible Medicare beneficiaries, having considered the same,
                  reports favorably thereon with an amendment   and  recommends
                  that the bill, as amended, do pass.
                                 I. LEGISLATIVE   BACKGROUND
                    The  Committee  on Finance, to which was referred the bill (S.
                    704) to establish a Community-Based Institutional Special Needs
                  Plan demonstration program  to target home and community-based
                  care to eligible Medicare beneficiaries, reports favorably thereon
                  with an amendment   and recommends  that the bill, as amended, do
                  pass.
                  Background  and need for legislative action
                    Medicare  covers a broad range of medical treatments, services,
                    and equipment needed by beneficiaries, but there are limitations to
                  Medicare's coverage. To be covered by Medicare, items or services
                  must  be considered reasonable and necessary for the diagnosis or
                  treatment of an illness or injury, or to improve the functioning of
                  a body part.1 Medicare law defines categories of services and items
                  that Medicare  routinely covers, but Medicare, unlike Medicaid,
                  does  not cover long-term services and supports (LTSS) such as

                    'Social Security Act (SSA) Sec. 1862(a)(1).
                      49-010

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