{
  "legislationId": "119_S_4358",
  "lastUpdate": "2026-04-29T11:29:46.681Z",
  "history": [
    {
      "timestamp": "2026-04-29T11:29:46.681Z",
      "source_url": "https://www.congress.gov/119/bills/s4358/BILLS-119s4358is.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [S. 4358 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4358 To amend title XVIII of the Social Security Act to provide coverage of medically necessary home resiliency services under Medicare. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES April 21, 2026 Mr. Markey introduced the following bill; which was read twice and referred to the Committee on Finance _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to provide coverage of medically necessary home resiliency services under Medicare. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Survival Aid For Emergencies through Medicare Act'' or the ``SAFE through Medicare Act''. SEC. 2. MEDICARE COVERAGE OF MEDICALLY NECESSARY HOME RESILIENCY SERVICES. (a) Coverage.--Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended-- (1) in subsection (s)(2)-- (A) in subparagraph (JJ), by striking ``and'' at the end; (B) in subparagraph (KK), by inserting ``and'' at the end; and (C) by adding at the end the following new subparagraph: ``(LL) in the case of an individual who is medically at- risk in the event of a climate or manmade disaster (as determined by the Secretary in accordance with subsection (ooo)), home resiliency services (as defined in such subsection);''; and (2) by adding at the end the following new subsection: ``(ooo) Home Resiliency Services; Determination of Individuals Medically At-Risk.-- ``(1) Home resiliency services.--The term `home resiliency services' means items and services-- ``(A) furnished on or after January 1, 2027, to an individual described in subsection (s)(2)(LL); and ``(B) that the Secretary determines are medically necessary for such individual in the case of a climate or manmade disaster, such as a heat pump for an individual vulnerable to extreme temperatures, solar batteries for an individual reliant on electrical medical equipment (including home mechanical ventilators), and energy efficient cold-storage for heat-sensitive medical supplies. ``(2) Determination of individuals medically at-risk.--For purposes of subsection (s)(2)(LL) and this subsection, the Secretary, in consultation with the Director of the National Institutes of Health, the Administrator of the Centers for Medicare & Medicaid Services, and the Administrator of the National Oceanic and Atmospheric Administration, shall establish a process to determine the conditions under which an individual would be determined to be medically at-risk in the event of a disaster or climate hazards, including extreme heat, extreme cold, flooding, and loss of power. Such a process shall consider-- ``(A) geography-specific climate risks and regional preparedness for different climate risks; ``(B) the regional history of disaster or climate hazards and infrastructure failure in the preceding 20 years or the forward-looking predicted risk of disaster or climate hazards and infrastructure failure in the next 20 years; ``(C) medical reliance on equipment, pharmaceuticals, mobility aids, and other supplies that are sensitive to exposure to extreme temperatures, poor air quality, flooding and water damage, or dependent on electrical power; and ``(D) chronic medical conditions, disabilities, and comorbidities that increase patient vulnerability during disaster.''. (b) Payment.--Section 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended-- (1) by striking ``and'' before ``(HH)''; and (2) by inserting before the semicolon at the end the following: ``and (II) with respect to home resiliency services described in section 1861(s)(2)(LL), the amount paid shall be an amount equal to 100 percent of the lesser of the actual charge for the services or the amount determined under a fee schedule established by the Secretary''. <all>\n\nSUMMARY TO EVALUATE:\nTitle: SAFE through Medicare Act: New coverage for home emergency resiliency services\nSummary: This bill allows Medicare to pay for home equipment that protects vulnerable patients during natural disasters or power outages. It focuses on providing tools like backup batteries and climate control to ensure medical safety at home.\nKey Points: Medicare will cover 100% of the cost for medically necessary home resiliency tools., Includes items like solar batteries for ventilators and heat pumps for temperature-sensitive patients., Eligibility depends on medical needs and local climate risks like flooding or extreme heat.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": true,\n  \"issue\": \"none\"\n}"
    },
    {
      "timestamp": "2026-04-29T11:19:11.424Z",
      "source_url": "https://www.congress.gov/119/bills/s4358/BILLS-119s4358is.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [S. 4358 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4358 To amend title XVIII of the Social Security Act to provide coverage of medically necessary home resiliency services under Medicare. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES April 21, 2026 Mr. Markey introduced the following bill; which was read twice and referred to the Committee on Finance _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to provide coverage of medically necessary home resiliency services under Medicare. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Survival Aid For Emergencies through Medicare Act'' or the ``SAFE through Medicare Act''. SEC. 2. MEDICARE COVERAGE OF MEDICALLY NECESSARY HOME RESILIENCY SERVICES. (a) Coverage.--Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended-- (1) in subsection (s)(2)-- (A) in subparagraph (JJ), by striking ``and'' at the end; (B) in subparagraph (KK), by inserting ``and'' at the end; and (C) by adding at the end the following new subparagraph: ``(LL) in the case of an individual who is medically at- risk in the event of a climate or manmade disaster (as determined by the Secretary in accordance with subsection (ooo)), home resiliency services (as defined in such subsection);''; and (2) by adding at the end the following new subsection: ``(ooo) Home Resiliency Services; Determination of Individuals Medically At-Risk.-- ``(1) Home resiliency services.--The term `home resiliency services' means items and services-- ``(A) furnished on or after January 1, 2027, to an individual described in subsection (s)(2)(LL); and ``(B) that the Secretary determines are medically necessary for such individual in the case of a climate or manmade disaster, such as a heat pump for an individual vulnerable to extreme temperatures, solar batteries for an individual reliant on electrical medical equipment (including home mechanical ventilators), and energy efficient cold-storage for heat-sensitive medical supplies. ``(2) Determination of individuals medically at-risk.--For purposes of subsection (s)(2)(LL) and this subsection, the Secretary, in consultation with the Director of the National Institutes of Health, the Administrator of the Centers for Medicare & Medicaid Services, and the Administrator of the National Oceanic and Atmospheric Administration, shall establish a process to determine the conditions under which an individual would be determined to be medically at-risk in the event of a disaster or climate hazards, including extreme heat, extreme cold, flooding, and loss of power. Such a process shall consider-- ``(A) geography-specific climate risks and regional preparedness for different climate risks; ``(B) the regional history of disaster or climate hazards and infrastructure failure in the preceding 20 years or the forward-looking predicted risk of disaster or climate hazards and infrastructure failure in the next 20 years; ``(C) medical reliance on equipment, pharmaceuticals, mobility aids, and other supplies that are sensitive to exposure to extreme temperatures, poor air quality, flooding and water damage, or dependent on electrical power; and ``(D) chronic medical conditions, disabilities, and comorbidities that increase patient vulnerability during disaster.''. (b) Payment.--Section 1833(a)(1) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended-- (1) by striking ``and'' before ``(HH)''; and (2) by inserting before the semicolon at the end the following: ``and (II) with respect to home resiliency services described in section 1861(s)(2)(LL), the amount paid shall be an amount equal to 100 percent of the lesser of the actual charge for the services or the amount determined under a fee schedule established by the Secretary''. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Nowe wsparcie Medicare: Finansowanie urządzeń chroniących zdrowie podczas katastrof i upałów\",\n  \"pl_summary\": \"Ustawa wprowadza bezpłatne wyposażenie domowe dla osób chorych, które pomoże im przetrwać ekstremalne zjawiska pogodowe i awarie prądu. Medicare pokryje koszty urządzeń takich jak pompy ciepła czy baterie słoneczne dla pacjentów wymagających stałego zasilania aparatury medycznej.\",\n  \"pl_key_points\": [\n    \"Medicare sfinansuje w 100% urządzenia takie jak pompy ciepła, baterie słoneczne i lodówki na leki.\",\n    \"Program skierowany jest do osób, których zdrowie jest zagrożone przez upały, mrozy lub brak prądu.\",\n    \"Zmiany wejdą w życie od 1 stycznia 2027 roku.\"\n  ],\n  \"eng_ai_title\": \"SAFE through Medicare Act: New coverage for home emergency resiliency services\",\n  \"eng_summary\": \"This bill allows Medicare to pay for home equipment that protects vulnerable patients during natural disasters or power outages. It focuses on providing tools like backup batteries and climate control to ensure medical safety at home.\",\n  \"eng_key_points\": [\n    \"Medicare will cover 100% of the cost for medically necessary home resiliency tools.\",\n    \"Includes items like solar batteries for ventilators and heat pumps for temperature-sensitive patients.\",\n    \"Eligibility depends on medical needs and local climate risks like flooding or extreme heat.\"\n  ],\n  \"de_ai_title\": \"SAFE through Medicare Gesetz: Kostenübernahme für Notfallausrüstung zu Hause\",\n  \"de_summary\": \"Dieses Gesetz ermöglicht es Medicare, die Kosten für Heimausrüstung zu übernehmen, die schutzbedürftige Patienten bei Naturkatastrophen oder Stromausfällen schützt. Es stellt sicher, dass medizinische Geräte auch in Notfällen weiterlaufen.\",\n  \"de_key_points\": [\n    \"Medicare übernimmt 100 % der Kosten für medizinisch notwendige Klimaanlagen oder Batterien.\",\n    \"Unterstützung für Patienten, die auf Beatmungsgeräte oder kühlpflichtige Medikamente angewiesen sind.\",\n    \"Die Regelung tritt am 1. Januar 2027 in Kraft.\"\n  ],\n  \"fr_ai_title\": \"Loi SAFE through Medicare : Prise en charge des équipements de résilience à domicile\",\n  \"fr_summary\": \"Ce projet de loi permet à Medicare de financer des équipements domestiques pour protéger les patients vulnérables lors de catastrophes climatiques ou de pannes de courant. L'objectif est de garantir la sécurité médicale à domicile malgré les conditions extrêmes.\",\n  \"fr_key_points\": [\n    \"Prise en charge à 100 % par Medicare pour des dispositifs comme les pompes à chaleur ou les batteries solaires.\",\n    \"Destiné aux personnes dont la santé dépend d'appareils électriques ou de conditions de température stables.\",\n    \"Les services seront disponibles à partir du 1er janvier 2027.\"\n  ],\n  \"es_ai_title\": \"Ley SAFE through Medicare: Cobertura de equipos de emergencia para el hogar\",\n  \"es_summary\": \"Esta ley permite que Medicare cubra el costo de equipos domésticos que protegen a pacientes vulnerables durante desastres naturales o cortes de energía. Busca garantizar que los suministros médicos y equipos vitales sigan funcionando en emergencias.\",\n  \"es_key_points\": [\n    \"Medicare pagará el 100% de equipos como baterías solares para respiradores y bombas de calor.\",\n    \"Ayuda a personas en riesgo por calor extremo, inundaciones o falta de electricidad.\",\n    \"La cobertura comenzará a partir del 1 de enero de 2027.\"\n  ],\n  \"it_ai_title\": \"Legge SAFE through Medicare: Copertura per attrezzature domestiche di emergenza\",\n  \"it_summary\": \"Questa proposta di legge prevede che Medicare finanzi attrezzature domestiche per proteggere i pazienti fragili durante disastri climatici o interruzioni di corrente. Si concentra sulla sicurezza di chi dipende da macchinari medici o farmaci termosensibili.\",\n  \"it_key_points\": [\n    \"Copertura totale (100%) per dispositivi come batterie solari e sistemi di controllo della temperatura.\",\n    \"Protezione per cittadini a rischio durante ondate di calore, alluvioni o blackout.\",\n    \"Le nuove norme diventeranno operative dal 1° gennaio 2027.\"\n  ],\n  \"nl_ai_title\": \"SAFE through Medicare Act: Vergoeding voor noodvoorzieningen in huis\",\n  \"nl_summary\": \"Deze wet zorgt ervoor dat Medicare apparatuur vergoedt die kwetsbare patiënten beschermt tijdens natuurrampen of stroomuitval. Het gaat om hulpmiddelen die de medische veiligheid thuis garanderen bij extreem weer.\",\n  \"nl_key_points\": [\n    \"Medicare vergoedt 100% van de kosten voor medisch noodzakelijke warmtepompen en zonnebatterijen.\",\n    \"Bedoeld voor mensen die afhankelijk zijn van elektrische medische apparatuur of gekoelde medicijnen.\",\n    \"De regeling gaat in op 1 januari 2027.\"\n  ],\n  \"pt_ai_title\": \"Lei SAFE through Medicare: Cobertura de equipamentos de resiliência doméstica\",\n  \"pt_summary\": \"Esta proposta permite que o Medicare pague por equipamentos domésticos que protegem pacientes vulneráveis durante desastres naturais ou falhas de energia. O foco é garantir a continuidade de tratamentos médicos vitais em casa.\",\n  \"pt_key_points\": [\n    \"O Medicare cobrirá 100% dos custos de itens como baterias solares e sistemas de climatização.\",\n    \"Destinado a pessoas em risco devido a calor extremo, inundações ou dependência de aparelhos elétricos.\",\n    \"As mudanças entram em vigor em 1 de janeiro de 2027.\"\n  ],\n  \"category\": [\n    \"Health\",\n    \"Environment\"\n  ]\n}"
    }
  ]
}