HR 5426 · 117th Congress 2021–2023, ended

Improving Access to Home Dialysis Act of 2021

Latest action · Sep 30, 2021 Referred to the Subcommittee on Health.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedSep 29, 2021
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Improving Access to Home Dialysis Act of 2021

This bill provides for Medicare coverage of staff-assisted home dialysis services for certain individuals with end-stage renal disease (ESRD).

Specifically, the bill provides for coverage of services for ESRD individuals who are either initiating peritoneal or home hemodialysis or receiving home dialysis and are unable to self-dialyze due to illness, injury, caregiver issues, or other temporary circumstances. The Centers for Medicare & Medicaid Services must develop a payment system for such services.

The bill also requires the development of a patient-centered decision tool that includes home dialysis as an option, as well as a report on racial disparities with respect to the use of staff-assisted home dialysis services.

Cosponsors 19

Members who signed on, in the order they did. Signatures ran from Sep 29, 2021 to Oct 7, 2022; 1 is an original cosponsor, there from the day it was introduced.

SeatCosponsorSigned on
R-MOJason SmithOriginalSep 29, 2021
R-NEAdrian SmithJan 25, 2022
D-INAndré CarsonJan 25, 2022
D-CABarbara LeeJan 25, 2022
R-PABrian K. FitzpatrickJan 25, 2022
D-ILDanny K. DavisJan 25, 2022
D-NJDonald M. Payne, Jr.Jan 25, 2022
D-WIMark PocanJan 25, 2022
D-TNSteve CohenJan 25, 2022
R-OKMarkwayne MullinMar 3, 2022
D-PAMichael F. DoyleMar 3, 2022
D-CATed LieuMar 3, 2022
D-NCDeborah K. RossMar 8, 2022
R-FLJohn H. RutherfordMar 8, 2022
D-DCEleanor Holmes NortonMar 9, 2022
D-NMMelanie A. StansburyMar 9, 2022
D-OREarl BlumenauerApr 14, 2022
D-LATroy A. CarterMay 16, 2022
D-CAMark DeSaulnierOct 7, 2022

Committees 2

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseEnergy and Commerce Committee
Referred Sep 29, 2021
Health Subcommittee
Referred Sep 30, 2021
HouseWays and Means Committee
Referred Sep 29, 2021
Health Subcommittee
Referred Sep 29, 2021

Actions 4

Everything that happened, newest first.

  1. Sep 30, 2021Referred to the Subcommittee on Health.
  2. Sep 29, 2021Introduced in House
  3. Sep 29, 2021Referred 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.
  4. Sep 29, 2021Referred to the Subcommittee on Health.

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Constitutional authority

Congress has the power to enact this legislation pursuant to the following: Article I, Section 8

The sponsor’s statement, as printed in the Congressional Record, vol. 167, no. 170, September 29, 2021, page H5553.

Related bills 1

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
S 4486Health Equity and Accountability Act of 2022Related billJun 23, 2022

Titles 2

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To amend title XVIII of the Social Security Act to provide for Medicare coverage of staff-assisted home dialysis for certain hemodialysis and peritoneal dialysis patients and to ensure all patients are educated on modality options and receive the resources, information, and support to succeed on the modality of their choice, and for other purposes.
Short Title(s) as Introduced
Improving Access to Home Dialysis Act of 2021

Subjects

Assigned by the Library of Congress. Policy area: Health.

Text 1

Each version as it was printed, newest first.

  1. Sep 29, 2021Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.