Congressman Peter Roskam

Representing the 6th District of Illinois

Reps. Roskam, Burgess, Dingell, and Thompson Reintroduce Bill to Extend At-Home Medicare Program

Jul 19, 2017
Press Release

Congressman Peter Roskam (IL-06) released the following statement after the reintroduction of H.R. 3262, which he co-authored with Congressman Michael C. Burgess, M.D. (R-TX), Congresswoman Debbie Dingell (D-MI), and Congressman Mike Thompson (D-CA). The bill extends the Independence at Home Medical Practice Demonstration Program (IAH) from five to seven years. IAH has proven successful in cutting costs while providing valuable increases in benefits to high-need beneficiaries.

“My constituent, Dr. Thomas Cornwell, who has long been a champion for bringing primary care to seniors in the comfort of their own homes, brought this important demonstration program to my attention. In fact, since founding his homecare practice in 1997, Dr. Cornwell has personally made over 30,000 house calls. These services ensure Americans have convenient access to the care they need and save taxpayer dollars. The IAH demonstration focuses on reducing costs where they are the highest and improving care for those with the greatest need, all while protecting the viability of Medicare. I want to thank Dr. Cornwell for his tireless commitment to this important cause and inspiring me to advance this program.”

Dr. Cornwell, who serves as the Chief Executive Officer of the Home Centered Care Institute (HCCI) headquartered in Schaumburg, IL, said, “I greatly appreciate Representative Roskam’s years of support for home-based primary care and Independence at Home.  His efforts and this legislation in particular lead us down the path of better care for our most fragile elders while dramatically reducing health care costs.” Cornwell added, “Representative Roskam has also been particularly supportive of the Home Centered Care Institute that is training the workforce to provide this care for generations to come.”

Created in 2010, IAH provides home-based primary care to high-need Medicare beneficiaries with multiple chronic conditions, helping them to avoid unnecessary hospitalizations, emergency room visits, and nursing home admission. The types of beneficiaries enrolled in IAH currently account for the majority of Medicare costs, and are expected to account for increasing costs over the next ten years.

In the program’s first year alone, there were both increases in the continuity of care for Medicare beneficiaries and an estimated $25 million in savings. In 2015, the program was extended for an additional two years with bipartisan support. H.R. 3263 builds upon the prior successes of the program’s first five years both by continuing the demonstration program for beneficiaries and by allowing providers to enroll additional beneficiaries in the demonstration.