Title: Preserving Patient Access to Home Infusion Act
Policy area: Health

Summary:
Preserving Patient Access to Home Infusion Act
This bill specifically includes pharmacy services as part of covered home infusion therapy under Medicare, and specifies that certain payment components still apply regardless of whether or not a qualified supplier is physically present in the beneficiary's home. The bill also allows nurses and physician assistants to establish and review the plan of care for home infusion therapy.

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5067 Introduced in House (IH)]

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117th CONGRESS
  1st Session
                                H. R. 5067

      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

                            August 20, 2021

  Ms. Sewell (for herself, Mr. Upton, Mrs. Dingell, and Mr. Buchanan) 
 introduced the following bill; which was referred to the Committee 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 Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Preserving Patient Access to Home 
Infusion Act''.

SEC. 2. PRESERVATION OF PATIENT ACCESS TO HOME INFUSION THERAPY UNDER 
              MEDICARE PROGRAM.

    (a) Inclusion of Pharmacy Services.--Section 1861(iii)(2)(A) of the 
Social Security Act (42 U.S.C. 1395x(iii)(2)(A)) is amended by 
inserting ``and pharmacy services'' after ``nursing services''.
    (b) Infusion Drug Administration Calendar Day.--Section 
1834(u)(1)(A)(ii) of the Social Security Act (42 U.S.C. 
1395m(u)(1)(A)(ii)) is amended by inserting after the first sentence 
the following new sentence: ``For purposes of the previous sentence, 
with respect to the furnishing of home infusion drugs to an individual 
by a qualified home infusion therapy supplier, a reference to payment 
to such supplier for an infusion drug administration calendar day in 
the home of such individual shall refer to payment for the date 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).''.
    (c) Permitting Nurse Practitioners and Physician 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 reviewed by a physician, nurse practitioner, or physician 
assistant''.
    (d) Effective Date.--The amendments made by this section shall 
apply with respect to items and services furnished on or after January 
1, 2022.
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