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Expanded Medicare coverage for staff-assisted home dialysis and patient support.

This bill expands Medicare coverage to include staff-assisted home dialysis, allowing qualified medical professionals to assist patients at home. This change aims to provide greater flexibility and choice for kidney patients, especially those starting treatment, returning home after hospitalization, or facing mobility challenges. The legislation also mandates comprehensive patient education and training to ensure successful home treatment and better quality of life outcomes.
Key points
Medicare will cover staff-assisted home dialysis (hemodialysis and peritoneal dialysis) provided by qualified professionals (nurses, technicians).
Staff assistance is available for new patients (up to 90 days, extendable) and for returning or temporary assistance patients (up to 30 days).
Patients who are blind, have cognitive/neurological impairments, or reduced mobility can receive staff assistance indefinitely.
Mandates educating patients about the staff-assisted home dialysis option and providing comprehensive training for patients and their care partners.
Requires the development of a patient-centered decision tool to help individuals choose the best dialysis setting and modality based on their lifestyle and goals.
Requires studies on racial and geographic disparities in home dialysis utilization and analysis of quality of life outcomes across different dialysis modalities.
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Additional Information
Print number: 118_HR_8075
Sponsor: Rep. Miller, Carol D. [R-WV-1]
Process start date: 2024-04-18