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Bill to ban pay-per-visit compensation for home health and hospice staff draws support and opposition
Summary
Senate Bill 1168 would extend the ban on per-visit pay beyond nurses to other home health and hospice clinicians. Proponents warned the pay-per-visit model causes burnout and harms patient care; provider groups warned the change would reduce access and conflict with Medicare capacity rules.
Senate Bill 1168 would prohibit compensating home health and hospice care staff on a per-visit basis, extending an existing prohibition that currently applies to nurses to include other clinicians such as therapists and social workers.
Supporters told the Senate Human Services Committee the pay-per-visit model incentivizes speed over quality and contributes to workforce burnout. “This bill fixes the pay per visit loophole and ensures that no clinician, whether a nurse or another professional, is compensated on a per visit…
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