Preserving Patient Access to Home Infusion Act

Bill: 116-hr-6218
Sponsor: full_name: Rep. Engel, Eliot L. [D-NY-16]
Introduced: 2020-03-12
Policy area: Health
Subjects: Drug therapy

Health care coverage and access

Home and outpatient care

Medicare
Latest action: action_date: 2020-03-12
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2020-03-12
action_desc: Introduced in House
text: <p><b>Preserving Patient Access to Home Infusion Act</b></p> <p>This bill specifically includes pharmacy services and certain self-administered drugs 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. </p>

tv_txt: I 116th CONGRESS 2d Session H. R. 6218 IN THE HOUSE OF REPRESENTATIVES March 12, 2020 Mr. Engel (for himself, Mr. Upton , Ms. Sewell of Alabama , Mr. Marchant , Mr. Marshall , and Ms. Kelly of Illinois ) 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.

1. Short title This Act may be cited as the Preserving Patient Access to Home Infusion Act . 2. Preservation of patient access to home infusion therapy under Medicare program (a) In general Section 1861(iii) of the Social Security Act ( 42 U.S.C. 1395x(iii) ) is amended— (1) in paragraph (2)(A), by inserting and pharmacy services before , furnished in accordance with the plan ; and (2) in paragraph (3)(C)(ii), by inserting after list the following: , unless such self-administered drug or biological was included as a transitional home infusion drug (as defined in section 1834(u)(7)(A)(iii)) . (b) Clarification of 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) Effective date The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2021.