Restore Protections for Dialysis Patients Act
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To President
- Became Law
Overview
This bill, the Restore Protections for Dialysis Patients Act, aims to strengthen protections for individuals with end-stage renal disease (ESRD) who rely on Medicare coverage. It specifically prohibits private health insurers from unfairly limiting benefits or network access based on a diagnosis of ESRD, ensuring equal treatment compared to other covered individuals. The bill clarifies that insurers cannot shift primary responsibility for care costs to Medicare and prevents them from singling out dialysis services for less favorable coverage.
Key provisions
- Prohibits private health insurers from differentiating benefits based on a diagnosis of end-stage renal disease.
- Prevents insurers from limiting network composition in a way that disproportionately affects ESRD patients.
- Prevents insurers from shifting primary responsibility for care costs to the Medicare program.
- Clarifies that singling out dialysis services for coverage limitations is inappropriate.
- Ensures equal treatment of ESRD patients compared to other covered individuals.
- Specifically addresses the Medicare Secondary Payer Act.
Who is affected
- Individuals with end-stage renal disease (ESRD)
- Private health insurance companies
- Medicare beneficiaries
- Healthcare providers (specifically renal dialysis providers)
Notable changes
Bill text
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Sponsors
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8 on record
Primary sponsor
Cosponsors
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