H.R. 2199: Restore Protections for Dialysis Patients Act
This bill, titled the Restore Protections for Dialysis Patients Act, aims to strengthen the protections for patients with end-stage renal disease (ESRD) under the Medicare program. The main objectives of the bill are as follows:
Key Purposes
- Protect ESRD Patients: The bill seeks to ensure that private health insurance plans cannot discriminate against dialysis patients or treat dialysis services less favorably than other medical services.
- Prevent Cost Shifting: It aims to stop health insurance plans from passing the primary responsibility for covering healthcare services for ESRD patients onto the Medicare program.
- Clarify Coverage Limitations: The bill clarifies that it is inappropriate for health plans to single out dialysis services for different treatment or coverage limitations compared to other services, while still allowing plans to choose which dialysis providers are included in their networks.
Prohibition Clarifications
The bill proposes amendments to the Social Security Act, specifically regarding the Medicare program, to include the following:
- Health insurance plans are prohibited from differentiating benefits between individuals with ESRD and other insured individuals based on the diagnosis of ESRD or the need for dialysis.
- The bill prevents plans from implementing limitations on benefits that would disproportionately impact individuals with ESRD.
- It reaffirms that while plans cannot discriminate in the benefits provided, they are not required to include specific dialysis providers or a certain number of providers in their network.
Enforcement
The Secretary of Health and Human Services would be tasked with enforcing these provisions in line with existing federal regulations concerning health insurance plans.
Relevant Companies
- DVA (DaVita Inc.): A major provider of dialysis services in the United States that could be positively affected by regulations that protect patient access to dialysis services.
- CMI (Cantel Medical Corp.): A company that provides infection prevention and minimally invasive products, including some related to dialysis that may be impacted by increased demand from ESRD patients.
This is an AI-generated summary of the bill text. There may be mistakes.
Sponsors
69 bill sponsors
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TrackMike Kelly
Sponsor
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TrackTroy Balderson
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TrackAaron Bean
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TrackGus M. Bilirakis
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TrackRobert Bresnahan
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TrackJanelle Bynum
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TrackSalud O. Carbajal
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TrackMike Carey
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TrackEarl L. "Buddy" Carter
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TrackSheila Cherfilus-McCormick
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TrackYvette D. Clarke
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TrackSteve Cohen
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TrackTom Cole
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TrackHerbert Conaway
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TrackJ. Luis Correa
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TrackAngie Craig
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TrackEric A. "Rick" Crawford
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TrackJason Crow
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TrackDanny K. Davis
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TrackDonald G. Davis
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TrackMadeleine Dean
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TrackNeal P. Dunn
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TrackRandy Feenstra
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TrackBrian K. Fitzpatrick
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TrackVince Fong
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TrackVicente Gonzalez
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TrackJosh Gottheimer
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TrackAshley Hinson
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TrackWesley Hunt
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TrackJulie Johnson
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TrackJohn Joyce
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TrackMarcy Kaptur
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TrackWilliam R. Keating
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TrackJennifer Kiggans
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TrackDarin LaHood
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TrackNick LaLota
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TrackGreg Landsman
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TrackMichael Lawler
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TrackNicole Malliotakis
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TrackTracey Mann
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TrackSarah McBride
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TrackJames P. McGovern
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TrackLaMonica McIver
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TrackMariannette Miller-Meeks
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TrackNathaniel Moran
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TrackJoe Neguse
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TrackRobert Onder
Co-Sponsor
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TrackJimmy Panetta
Co-Sponsor
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TrackChris Pappas
Co-Sponsor
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TrackBrittany Pettersen
Co-Sponsor
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TrackAugust Pfluger
Co-Sponsor
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TrackRaul Ruiz
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TrackJohn H. Rutherford
Co-Sponsor
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TrackTerri A. Sewell
Co-Sponsor
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TrackDarren Soto
Co-Sponsor
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TrackPete Stauber
Co-Sponsor
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TrackThomas R. Suozzi
Co-Sponsor
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TrackClaudia Tenney
Co-Sponsor
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TrackShri Thanedar
Co-Sponsor
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TrackGlenn Thompson
Co-Sponsor
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TrackRashida Tlaib
Co-Sponsor
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TrackPaul Tonko
Co-Sponsor
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TrackLori Trahan
Co-Sponsor
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TrackDavid G. Valadao
Co-Sponsor
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TrackBeth Van Duyne
Co-Sponsor
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TrackGabe Vasquez
Co-Sponsor
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TrackEugene Vindman
Co-Sponsor
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TrackDebbie Wasserman Schultz
Co-Sponsor
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TrackJoe Wilson
Co-Sponsor
Actions
2 actions
| Date | Action |
|---|---|
| Mar. 18, 2025 | Introduced in House |
| Mar. 18, 2025 | Referred 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. |
Corporate Lobbying
3 companies lobbying
