Home Dialysis Risk Prevention Act

Bill: 118-hr-3118
Sponsor: full_name: Rep. Smith, Adrian [R-NE-3]
Introduced: 2023-05-05
Policy area: Health
Subjects: Digestive and metabolic diseases

Health care coverage and access

Health technology, devices, supplies

Home and outpatient care

Medicare
Latest action: action_date: 2024-12-17
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2023-05-05
action_desc: Introduced in House
text: <p><b>Home Dialysis Risk Prevention Act</b></p> <p>This bill establishes separate payment under Medicare for certain items that are needed to detect venous needle dislodgement in individuals who undergo home dialysis.</p> <p>Specifically, the bill requires the Centers for Medicare &amp; Medicaid Services (CMS) to develop a separate payment system for monitoring and alarm devices that are used to detect venous needle dislodgement in home dialysis patients. The CMS may consult with device manufacturers, providers, patients, and insurers to develop the payment system and may consider factors such as costs, payments for similar items under Medicare, and payments established by private insurers.</p>

tv_txt: I 118th CONGRESS 1st Session H. R. 3118 IN THE HOUSE OF REPRESENTATIVES May 5, 2023 Mr. Smith of Nebraska (for himself and Ms. Stansbury ) 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 provide for Medicare coverage of monitoring devices to detect and alarm when a venous needle dislodgement occurs during home dialysis for hemodialysis patients.

1. Short title This Act may be cited as the Home Dialysis Risk Prevention Act . 2. Providing for coverage of monitoring and alarm devices to detect venous needle dislodgement for hemodialysis patients Section 1881(b)(14) of the Social Security Act ( 42 U.S.C. 1395rr(b)(14) ) is amended by adding at the end the following new subparagraph: (J) (i) For home dialysis services and equipment furnished to new and respite individuals on or after the date that is 1 year after the date of the enactment of this subparagraph which are monitoring and alarm devices for venous needle dislodgement (as defined in clause (iii)(II)), the Secretary shall increase the single payment that would otherwise apply under this paragraph for such services by the amount determined under the payment system established under clause (ii). (ii) The Secretary shall establish a prospective payment system through regulations to determine the amounts payable for monitoring and alarm devices and supplies to detect venous needle dislodgements for individuals receiving home dialysis. In establishing such system, the Secretary may consult with device manufacturers, health professionals, dialysis patients, private payers, and MA plans and may consider— (I) the costs of furnishing the monitoring and alarm device and necessary supplies; (II) payment amounts for similar items and services under parts A and B; and (III) payment amounts established by MA plans under part C, group health plans, and health insurance coverage offered by health insurance issuers. (iii) In this subparagraph: (I) The term new and respite individual means an individual described in subsection (a) who is initiating home hemodialysis. (II) The term monitoring and alarm devices for venous needle dislodgement means a blood loss detection solution specifically designed to detect blood leakage through core technology utilizing fiber optics. The detected blood triggers a visual and audible alarm. (III) The terms group health plan , health insurance coverage , and health insurance issuer have the meaning given such terms in section 2791 of the Public Health Service Act. .