‘‘(iii) no special discounts or waivers 
are available for any follow-up services; 
and 
‘‘(iv) the facility does not bill for the 
screening to any Federal or State health 
care program or to any other third party 
payor.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to waivers occurring after the 
date of the enactment of this Act. 
SEC. 105. KIDNEY DISEASE EDUCATION IN HOSPITALS. 
(a) IN GENERAL.—Section 1861(e)(6) of the Social 
Security Act (42 U.S.C. 1395x(e)(6)) is amended— 
(1) by striking ‘‘and (B)’’ and inserting ‘‘, 
(B)’’; and 
(2) by inserting before the semicolon at the end 
the following: ‘‘, and (C) provides patients who are 
entitled to benefits under this title or title XIX diag-
nosed with stage IV or stage V kidney disease with 
educational materials regarding the treatment of 
kidney disease’’. 
(b) TECHNICAL ASSISTANCE.—Not later than one 
year after the date of the enactment of this Act, the Sec-
retary of Health and Human Services shall develop proto-
cols for the identification of chronic kidney disease in at- 
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risk Medicare and Medicaid beneficiaries for use in the 
inpatient hospital setting under the amendment made by 
subsection (a)(2). 
(c) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall take effect 1 year after the date of 
the enactment of this Act. 
SEC. 106. INCREASING ACCESS TO MEDICARE KIDNEY DIS-
EASE EDUCATION BENEFIT. 
(a) IN GENERAL.—Section 1861(ggg)(2) of the So-
cial Security Act (42 U.S.C. 1395x(ggg)(2)) is amended— 
(1) by striking subparagraph (B); and 
(2) in subparagraph (A)— 
(A) by striking ‘‘(A)’’ after ‘‘(2)’’; 
(B) by striking ‘‘and’’ at the end of clause 
(i); 
(C) by striking the period at the end of 
clause (ii) and inserting ‘‘; and’’; 
(D) by redesignating clauses (i) and (ii) as 
subparagraphs (A) and (B), respectively; and 
(E) by adding at the end the following: 
‘‘(C) a renal dialysis facility subject to the re-
quirements of section 1881(b)(1) with personnel 
who— 
‘‘(i) provide the services described in para-
graph (1); and 
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‘‘(ii) is a physician (as defined in sub-
section (r)(1)) or a physician assistant, nurse 
practitioner, or clinical nurse specialist (as de-
fined in subsection (aa)(5)).’’. 
(b) PAYMENT TO RENAL DIALYSIS FACILITIES.— 
Section 1881(b) of such Act (42 U.S.C. 1395rr(b)) is 
amended by adding at the end the following new para-
graph: 
‘‘(15) For purposes of paragraph (14), the sin-
gle payment for renal dialysis services under such 
paragraph shall not take into account the amount of 
payment for kidney disease education services (as 
defined in section 1861(ggg)). Instead, payment for 
such services shall be made to the renal dialysis fa-
cility on an assignment-related basis under section 
1848.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section apply to kidney disease education services fur-
nished on or after January 1, 2011. 
SEC. 107. KIDNEY DISEASE ACCOUNTABLE CARE ORGANI-
ZATIONS (ACOS). 
Section 1899(b)(1) of the Social Security Act (42 
U.S.C. 1395jjj(b)(1)), as added by section 3022, and 
amended by section 10307, of the Patient Protection and 
Affordable Care Act (Public Law 111–148), is amended— 
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(1) by redesignating subparagraph (E) as sub-
paragraph (F); and 
(2) by inserting after subparagraph (D) the fol-
lowing new subparagraph: 
‘‘(E) A group consisting of dialysis facili-
ties, nephrologists, and other providers of serv-
ices and suppliers that treat patients with kid-
ney disease.’’. 
SEC. 108. COORDINATION OF CARE BETWEEN HOSPITALS 
AND RENAL DIALYSIS FACILITIES. 
(a) IN GENERAL.—Section 1861(ee)(2) of the Social 
Security Act (42 U.S.C. 1395x(ee)(2)) is amended by add-
ing at the end the following new subparagraph: 
‘‘(I) In the case of a patient who has end 
stage renal disease and is or will be receiving 
dialysis treatments upon discharge, the hospital 
must transmit the discharge summary and any 
other relevant health information defined by the 
Secretary to the renal dialysis facility or hos-
pital-based provider when the patient is dis-
charged from the hospital.’’. 
(b) DEADLINE.—The Secretary of Health and 
Human Services shall implement guidelines and standards 
to carry out the amendment made by subsection (a) not 
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later than 6 months after the date of the enactment of 
this Act. 
SEC. 109. CLARIFICATION OF COVERAGE OF CERTAIN 
OCCULSIVE DRESSINGS. 
(a) IN GENERAL.—Section 1861(s)(5) of the Social 
Security Act (42 U.S.C. 1395x(s)(5)) is amended by in-
serting before the semicolon the following: ‘‘and special-
ized occlusive dressings used by a patient with receiving 
dialysis treatment to protect the individual against life 
threatening catheter-related infections during mainte-
nance of personal hygiene at home (such as during bathing 
and showering)’’. 
(b) EXCLUSION FROM ESRD BUNDLED PAYMENT 
RATE.—The last sentence of section 1881(b)(14)(B) of 
such Act (42 U.S.C. 1395rr(b)(14)(B)) is amended by in-
serting before the period at the end the following: ‘‘or oc-
clusive dressings described in section 1861(s)(5)’’. 
(c) PAYMENT UNDER SURGICAL DRESSING PROVI-
SIONS.—Section 1834(i)(1) of such Act (42 U.S.C. 
1395m(i)(1)) is amended by inserting ‘‘, including special-
ized occlusive dressings described in such section’’ after 
‘‘1861(s)(5)’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to dressings furnished on or after 
January 1, 2011. 
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