I 
119TH CONGRESS 
1ST SESSION H. R. 2172 
To amend title XVIII of the Social Security Act to clarify congressional 
intent and preserve patient access to home infusion therapy under the 
Medicare program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 18, 2025 
Mr. BUCHANAN (for himself, Mrs. DINGELL, Mrs. HARSHBARGER, and Ms. 
SEWELL) 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 clarify 
congressional intent and preserve patient access to home 
infusion therapy under the Medicare program, 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. 
This Act may be cited as the ‘‘Preserving Patient Ac-
cess to Home Infusion Act’’. 
VerDate Sep 11 2014 
23:08 Mar 28, 2025
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H2172.IH
H2172
ssavage on LAPJG3WLY3PROD with BILLS
SEC. 2. PRESERVATION OF PATIENT ACCESS TO HOME IN-
FUSION THERAPY UNDER MEDICARE PRO-
GRAM. 
(a) INCLUSION OF PHARMACY SERVICES.—Section 
1861(iii)(2) of the Social Security Act (42 U.S.C. 
1395x(iii)(2)) is amended— 
(1) in subparagraph (A), by inserting ‘‘and 
pharmacy services’’ after ‘‘nursing services’’; and 
(2) in subparagraph (B), by inserting ‘‘, assess-
ments, drug preparation and compounding, coordi-
nation and documentation of infusion therapy serv-
ices in the plan of care’’ after ‘‘subsection (n))’’. 
(b) PAYMENT.—Section 1834(u)(1)(A) of the Social 
Security Act (42 U.S.C. 1395m(u)(1)(A)) is amended— 
(1) in clause (i), by striking ‘‘clause (iii)’’ and 
inserting ‘‘clauses (iii) and (iv)’’; 
(2) in clause (ii) by inserting after the first sen-
tence the following new sentence: ‘‘For purposes of 
the previous sentence, a reference to payment to a 
qualified home infusion therapy supplier for an infu-
sion drug administration calendar day in the home 
of such individual shall refer to payment for each 
day on which such a drug was administered to the 
individual (regardless of whether a qualified home 
infusion therapy supplier was physically present in 
the home of such individual on such date).’’; 
VerDate Sep 11 2014 
23:08 Mar 28, 2025
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H2172.IH
H2172
ssavage on LAPJG3WLY3PROD with BILLS
(3) in clause (iii)— 
(A) by striking ‘‘The single payment 
amount’’ and inserting the following: 
‘‘(I) IN
GENERAL.—Subject to 
subclause (II), the single payment 
amount’’; and 
(B) by adding at the end the following new 
subclause: 
‘‘(II) TRANSITIONAL RULE.—For 
home infusion therapy furnished on or 
after January 1, 2026, and before 
January 1, 2030, the Secretary shall 
ensure 
that 
the 
single 
payment 
amount determined under this sub-
paragraph reflects 5 hours of infusion 
for a particular therapy in a calendar 
day.’’; and 
(4) by adding at the end the following new 
clause: 
‘‘(iv) SPECIAL RULE WHEN A QUALI-
FIED HOME INFUSION THERAPY SUPPLIER 
NOT PHYSICALLY PRESENT IN THE INDI-
VIDUAL’S
HOME.—In the case where a 
qualified home infusion therapy supplier is 
not physically present in the individual’s 
VerDate Sep 11 2014 
23:08 Mar 28, 2025
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H2172.IH
H2172
ssavage on LAPJG3WLY3PROD with BILLS
home on the day the home infusion drug is 
administered to the individual, the single 
payment amount under this subsection for 
items and services described in clause (i) 
furnished on such day to such individual 
shall be an amount equal to 50 percent of 
the amount that would have applied under 
this subsection for such items and services 
if such a supplier had been physically 
present.’’. 
(c) PERMITTING NURSE PRACTITIONERS AND PHYSI-
CIAN ASSISTANTS TO ESTABLISH AND REVIEW A HOME 
INFUSION PLAN OF CARE.—Section 1861(iii)(1)(B) of the 
Social Security Act (42 U.S.C. 1395x(iii)(1)(B)) is 
amended by striking ‘‘physician (as defined in subsection 
(r)(1)) and is periodically reviewed by a physician’’ and 
inserting ‘‘physician (as defined in subsection (r)(1)) or 
a nurse practitioner or physician assistant (as those terms 
are defined in subsection (aa)(5)) and is periodically re-
viewed by a physician, nurse practitioner, or physician as-
sistant’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to items and services 
furnished on or after January 1, 2026. 
VerDate Sep 11 2014 
23:08 Mar 28, 2025
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H2172.IH
H2172
ssavage on LAPJG3WLY3PROD with BILLS
SEC. 3. ACCESS TO HOME INFUSION FOR NON-PUMP DRUGS 
AND BIOLOGICALS. 
(a) MODIFICATION OF DEFINITION OF HOME INFU-
SION DRUG.—Section 1861(iii)(3) of the Social Security 
Act (42 U.S.C. 1395x(iii)(3)) is amended— 
(1) in subparagraph (C), by inserting ‘‘and, in 
the case of a drug or biological other than a speci-
fied non-pump drug or biological (as defined in sub-
paragraph (E)),’’ before ‘‘through’’; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(E) The term ‘specified non-pump drug or bio-
logical’ means a drug or biological that— 
‘‘(i) is administered intravenously but not 
through a pump that is an item of durable med-
ical equipment (as defined in subsection (n)); 
and 
‘‘(ii) is an antibacterial, antifungal, or 
antiviral (as categorized by the United States 
Pharmacopeia).’’. 
(b) CLARIFICATION ON BILLING.—Section 1834(u) 
of the Social Security Act (42 U.S.C. 1395m(u)) is 
amended by adding at the end the following new para-
graph: 
‘‘(8) CLARIFICATION ON BILLING FOR A SPECI-
FIED NON-PUMP DRUG OR BIOLOGICAL.—In the case 
VerDate Sep 11 2014 
23:08 Mar 28, 2025
Jkt 059200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H2172.IH
H2172
ssavage on LAPJG3WLY3PROD with BILLS
of a qualified home infusion supplier (as defined in 
section 1861(iii)(3)(D)) that furnishes items and 
services described in subparagraphs (A) and (B) of 
section 1861(iii)(2) in coordination with the fur-
nishing of a home infusion drug (as defined in sec-
tion 1861(iii)(3)(C)) that is a specified non-pump 
drug 
or 
biological 
(as 
defined 
in 
section 
1861(iii)(3)(E)) where the method of infusion uti-
lized in furnishing such drug or biological does not 
involve a pump that is an item of durable medical 
equipment, payment under this subsection for the 
items and services described in subparagraphs (A) 
and (B) of section 1861(iii)(2) shall be made with 
respect to such drug or biological regardless of 
whether such drug or biological so furnished is pay-
able under this part.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to items and services 
furnished on or after January 1, 2026. 
SEC. 4. MODIFICATION OF PAYMENT FOR HOME INFUSION 
SUPPLIES. 
Section 1834(a) of the Social Security Act (42 U.S.C. 
1395m(a)) is amended by adding at the end the following 
new paragraph: 
VerDate Sep 11 2014 
23:08 Mar 28, 2025
Jkt 059200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H2172.IH
H2172
ssavage on LAPJG3WLY3PROD with BILLS
‘‘(22) SPECIAL PAYMENT RULE FOR ITEMS AND 
SUPPLIES FURNISHED IN CONJUNCTION WITH HOME 
INFUSION THERAPY.— 
‘‘(A) IN
GENERAL.—Notwithstanding the 
preceding provisions of this subsection, no pay-
ment may be made under this subsection with 
respect to applicable items and services (as de-
fined in subparagraph (B)) that are furnished 
on or after January 1, 2026, in conjunction 
home infusion therapy (as defined in section 
1861(iii)(1)) for which payment is made under 
subsection (u) and which are so furnished on 
the same day as such home infusion therapy 
and with respect to the same home infusion 
drug (as defined in section 1861(iii)(3)(C)) for 
which such payment was so made. 
‘‘(B) APPLICABLE
ITEMS
AND
SERVICES 
DEFINED.—For purposes of subparagraph (A), 
the term ‘applicable items and services’ means 
tubing, catheters, dressings, needles, syringes, 
and other supplies identified by HCPCS code 
A4221, A4222, or K0552 (or any successor 
code).’’. 
Æ 
VerDate Sep 11 2014 
23:08 Mar 28, 2025
Jkt 059200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6301
E:\BILLS\H2172.IH
H2172
ssavage on LAPJG3WLY3PROD with BILLS