Improving Home Dialysis Act of 2026
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
The Improving Home Dialysis Act of 2026 aims to expand Medicare coverage for certain support services for individuals receiving home dialysis. Specifically, it adds provisions for staff-assisted home dialysis respite care and renal mental health services, which can be provided in the patient’s home. The bill also adjusts Medicare payments to reflect the cost of these new services, with limitations on the number of sessions covered and budget neutrality considerations.
Key provisions
- Adds staff-assisted home dialysis respite care as a covered service.
- Adds renal mental health services as a covered service.
- Payment adjustments are tied to the 2025 home and self-dialysis training add-on amount.
- Respite care payments are capped at 20 sessions per year.
- Renal mental health services payments are capped at 4 sessions within a 60-day period.
- Payment adjustments are not budget neutral.
- The bill amends existing sections of the Social Security Act to incorporate these changes.
- Effective dates for new services begin January 1, 2028.
Who is affected
- Individuals receiving home dialysis
- Medicare beneficiaries
- Healthcare providers offering home dialysis services
- Skilled nursing facilities and nursing facilities
Notable changes
Bill text
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Sponsors
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3 on record
Primary sponsor
Cosponsors
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