I 
110TH CONGRESS 
1ST SESSION H. R. 1193 
To amend title XVIII of the Social Security Act to improve the benefits 
under the Medicare Program for beneficiaries with kidney disease, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 27, 2007 
Mr. LEWIS of Georgia (for himself, Mr. CAMP of Michigan, Mr. BISHOP of 
Georgia, Mr. WYNN, Ms. KILPATRICK, Mr. BUTTERFIELD, and Mr. 
CUMMINGS) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to improve 
the benefits under the Medicare Program for bene-
ficiaries with kidney disease, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Kidney Care Quality and Education Act of 2007’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
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Sec. 1. Short title; table of contents. 
TITLE I—IMPROVING QUALITY THROUGH PATIENT EDUCATION, 
ACCESS, AND SAFETY INITIATIVES 
Sec. 101. Support of public and patient education initiatives regarding kidney 
disease. 
Sec. 102. Medicare coverage of kidney disease patient education services. 
Sec. 103. Blood flow monitoring demonstration projects. 
Sec. 104. Institute of Medicine evaluation and report on treatment modalities 
for patients with kidney failure. 
Sec. 105. Required training for patient care dialysis technicians. 
TITLE II—ASSURING QUALITY OF CARE FOR PROVIDERS, FACILI-
TIES, AND PHYSICIANS THAT PROVIDE SERVICES TO INDIVID-
UALS WITH END-STAGE RENAL DISEASE WHO ARE ENROLLED 
IN PART B 
Sec. 201. Establishment of the End-Stage Renal Disease (ESRD) Advisory 
Committee. 
Sec. 202. Update for the Medicare ESRD composite rate for 2008, 2009, and 
2010. 
Sec. 203. Continuous quality improvement initiative in the Medicare end-stage 
renal disease program. 
Sec. 204. Extension of Medicare secondary payer. 
TITLE I—IMPROVING QUALITY 
THROUGH 
PATIENT 
EDU-
CATION, ACCESS, AND SAFETY 
INITIATIVES 
SEC. 101. SUPPORT OF PUBLIC AND PATIENT EDUCATION 
INITIATIVES REGARDING KIDNEY DISEASE. 
(a) CHRONIC KIDNEY DISEASE DEMONSTRATION 
PROJECTS.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the 
‘‘Secretary’’) shall establish demonstration projects 
to— 
(A) increase public awareness about the 
factors that lead to chronic kidney disease, how 
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to prevent it, how to treat it, and how to avoid 
kidney failure; and 
(B) enhance surveillance systems and ex-
pand research to better assess the prevalence 
and incidence of chronic kidney disease. 
(2) SCOPE AND DURATION.— 
(A) SCOPE.—The Secretary shall select at 
least 3 States in which to conduct demonstra-
tion projects under this subsection. In selecting 
the States under this subparagraph, the Sec-
retary shall take into account the size of the 
population of individuals with end-stage renal 
disease who are enrolled in part B of title 
XVIII of the Social Security Act and ensure the 
participation of individuals who reside in rural 
and urban areas. 
(B) 
DURATION.—The 
demonstration 
projects under this subsection shall be con-
ducted for a period that is not longer than 5 
years that begins on January 1, 2009. 
(3) EVALUATION AND REPORT.— 
(A) EVALUATION.—The Secretary shall 
conduct an evaluation of the demonstration 
projects conducted under this subsection. 
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