A bill to amend title XVIII of the Social Security Act to provide coverage for kidney disease education services under the medicare program, and for other purposes.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Kidney Disease Educational Benefits 
Act of 2002''.

SEC. 2. MEDICARE COVERAGE OF KIDNEY DISEASE EDUCATION SERVICES.

    (a) Coverage of Kidney Disease Education Services.--
            (1) In general.--Section 1861 of the Social Security Act 
        (42 U.S.C. 1395x), as amended by section 105 of the Medicare, 
        Medicaid, and SCHIP Benefits Improvement and Protection Act of 
        2000 (114 Stat. 2763A-471), as enacted into law by section 
        1(a)(6) of Public Law 106-554, is amended--
                    (A) in subsection (s)(2)--
                            (i) in subparagraph (U), by striking 
                        ``and'' at the end;
                            (ii) in subparagraph (V)(iii), by adding 
                        ``and'' at the end; and
                            (iii) by adding at the end the following 
                        new subparagraph:
            ``(W) kidney disease education services (as defined in 
        subsection (ww));''; and
                    (B) by adding at the end the following new 
                subsection:

                  ``Kidney Disease Education Services

    ``(ww)(1) The term `kidney disease education services' means 
educational services that are--
            ``(A) furnished to an individual with kidney disease who, 
        according to accepted clinical guidelines identified by the 
        Secretary, will require dialysis or a kidney transplant;
            ``(B) furnished, upon the referral of the physician 
        managing the individual's kidney condition, by a qualified 
        person (as defined in paragraph (2)); and
            ``(C) designed--
                    ``(i) to provide comprehensive information 
                regarding--
                            ``(I) the management of comorbidities;
                            ``(II) the prevention of uremic 
                        complications; and
                            ``(III) each option for renal replacement 
                        therapy (including peritoneal dialysis, 
                        hemodialysis in a center or at home (including 
                        vascular access options), and transplantation); 
                        and
                    ``(ii) to ensure that the individual has the 
                opportunity to actively participate in the choice of 
                therapy.
    ``(2) The term `qualified person' means--
            ``(A) a physician (as described in subsection (r)(1));
            ``(B) an individual who--
                    ``(i) is--
                            ``(I) a registered nurse;
                            ``(II) a registered dietitian or nutrition 
                        professional (as defined in subsection 
                        (vv)(2));
                            ``(III) a clinical social worker (as 
                        defined in subsection (hh)(1)); or
                            ``(IV) a physician assistant, nurse 
                        practitioner, or clinical nurse specialist (as 
                        those terms are defined in section 
                        1861(aa)(5)); and
                    ``(ii) meets such requirements related to 
                experience and other qualifications that the Secretary 
                finds necessary and appropriate for furnishing the 
                services described in paragraph (1); or
            ``(C) a renal dialysis facility subject to the requirements 
        of section 1881(b)(1) with personnel who--
                    ``(i) provide the services described in paragraph 
                (1); and
                    ``(ii) meet the requirements of subparagraph (A) or 
                (B).
    ``(3) The Secretary shall develop the requirements under paragraph 
(2)(B)(ii) after consulting with physicians, health educators, 
professional organizations, accrediting organizations, kidney patient 
organizations, dialysis facilities, transplant centers, network 
organizations described in section 1881(c)(2), and other knowledgeable 
persons.
    ``(4) In promulgating regulations to carry out this subsection, the 
Secretary shall ensure that such regulations ensure that each 
beneficiary who is entitled to kidney disease education services under 
this title receives such services in a timely manner that ensures that 
the beneficiary receives the maximum benefit of those services.
    ``(5) The Secretary shall monitor the implementation of this 
subsection to ensure that beneficiaries who are eligible for kidney 
disease education services receive such services in the manner 
described in paragraph (4).
    ``(6) Not later than April 1, 2003, and annually thereafter, the 
Secretary shall submit to Congress a report on the number of medicare 
beneficiaries who are entitled to kidney disease education services (as 
defined in paragraph (1)) and who receive such services, together with 
such recommendations for legislative and administrative action as the 
Secretary determines to be appropriate to fulfill the legislative 
intent that resulted in the enactment of this subsection.''.
            (2) Payment under physician fee schedule.--Section 
        1848(j)(3) of the Social Security Act (42 U.S.C. 1395w-4(j)(3)) 
        is amended by inserting ``, (2)(W)'', after ``(2)(S)''.
            (3) Payment to renal dialysis facilities.--Section 1881(b) 
        of the Social Security Act (42 U.S.C. 1395rr(b)) is amended by 
        adding at the end the following new paragraph:
            ``(12) For purposes of paragraph (7), the single composite 
        weighted formulas determined under such paragraph shall not 
        take into account the amount of payment for kidney disease 
        education services (as defined in section 1861(ww)). Instead, 
        payment for such services shall be made to the renal dialysis 
        facility on an assignment-related basis under section 1848.''.
    (b) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after the date that is 6 months after 
the date of enactment of this Act.

Summary: Kidney Disease Educational Benefits Act of 2002 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, to provide coverage for kidney disease education services furnished, upon the managing physician's referral, to an individual with kidney disease who will require dialysis or a kidney transplant. Requires such services to: (1) impart comprehensive information regarding management, prevention, and options regarding treatment of kidney disease; and (2) ensure that such individuals have the opportunity to participate actively in the choice of therapy.