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Summary
This bill amends the Medicare Secondary Payer Act to clarify and preserve protections for patients with end-stage renal disease (ESRD) by prohibiting private health plans from discriminating against them or treating dialysis services less favorably than other covered medical services. It also affirms that plans may still choose which dialysis providers to include in their networks.
Sec. 2, Purposes: The bill aims to restore protections for ESRD patients by ensuring private health plans do not discriminate against them or classify dialysis unfavorably compared to other services. It prohibits shifting primary cost responsibility to Medicare and clarifies that singling out dialysis for coverage limitations is inappropriate differentiation, but does not affect a plan's ability to limit which dialysis providers are in its network.
Sec. 3, Clarification and preservation of prohibition under the Medicare program: This section amends the Social Security Act to specify that group health plans may not differentiate benefits based on ESRD diagnosis, need for dialysis, or in any other manner. It adds that nothing requires a plan to include a particular dialysis provider in its network, and the Secretary must enforce this consistently with existing federal regulations.
Summary of the bill text as introduced in House (Dec 19, 2023), generated by SecBot from the official bill text; the Library of Congress summary is not yet published.
Actions
HouseReferred to the Subcommittee on Health.Dec 17, 2024
HouseReferred to the Subcommittee on Health.Dec 22, 2023
HouseIntroduced in HouseDec 19, 2023
HouseReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.Dec 19, 2023
Restore Protections for Dialysis Patients ActShort Title(s) as Introduced
Official titles
To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act.Official Title as Introduced