Numerous proposals have been made as part of deficit reduction discussions to institute co‐payments for Medicare beneficiaries who receive Medicare‐covered home care. President Obama’s fiscal year 2013 proposed budget includes a provision that would charge a $100 co‐payment for new home health users per episode of care (starting in 2017). This co‐payment would apply for episodes with five or more visits not preceded by a hospital or inpatient post‐acute stay.