Kidney Care Access Protection Act
Congress Proposes Expanding Medicare Coverage for Kidney Disease Screening and Innovative Treatments
Stalled
No legislative action in over 90 days.
Legislative Progress
Key Points
- This bill updates how Medicare pays for dialysis treatments to make sure patients can get the latest medical technology. It extends extra payments for new drugs and 'breakthrough' medical devices for at least three years, ensuring doctors can afford to use the newest tools available.
- The policy adds kidney disease screening to the standard Medicare 'Annual Wellness Visit.' This means doctors would check for kidney problems during a person's yearly check-up, helping to catch issues before they become life-threatening.
- It expands who can teach patients about kidney health. Currently, only certain doctors can provide this education, but this change would allow nurse practitioners and physician assistants to help, and it would offer these classes to patients in the final stage of kidney failure.
- The bill also adjusts Medicare payments to better reflect the real-world costs of hiring staff at dialysis centers. If the government's estimate for labor costs is too low, the payment rates would be adjusted to help clinics stay open and fully staffed.
- Most of these changes are set to begin on January 1, 2026. By making these updates, the bill aims to improve the quality of life for the hundreds of thousands of Americans who rely on dialysis every day.
Impact Analysis
Personal Impact
Life & Work
Many dialysis centers are operated as small or independent facilities. The bill's labor cost adjustments, which correct for forecast errors in the ESRD market basket, help ensure these facilities get reimbursed at rates that reflect actual staffing costs. Extended and permanent add-on payments for new drugs and devices also reduce the financial risk of adopting innovative treatments, helping smaller providers stay competitive and financially viable.
Programs
Disabilities
State Impacts
Milestones
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.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in House
The bill was officially filed and given a number. It now enters the legislative queue.
Votes
No votes have been recorded for this legislation yet.
Related News
5 articles
Kidney policy advocacy more important than ever
The Renal Physicians Association (RPA) highlighted support for the Kidney Care Access Protection Act (H.R. 6214), which includes provisions to improve the underutilized Medicare Kidney Disease Education (KDE) benefit and ensure equitable reimbursement for nephrology services.
Kidney Care Faces Rapidly Evolving Policy Landscape
Medical experts noted that the Kidney Care Access Protection Act, introduced in late 2025, aims to create sustainable pathways for innovation and parity in Medicare Advantage payments for kidney care, addressing limitations in current reimbursement for new drugs and technologies.

Marsha Blackburn Report: Strengthening Kidney Care Access
Senator Marsha Blackburn (R-TN) detailed the introduction of the bipartisan Kidney Care Access Protection Act with Senator Cory Booker (D-NJ). The bill aims to modernize Medicare's payment system to ensure dialysis facilities can stay open and patients can access innovative treatments.
Source Information
Document Type
Congressional Bill
Official Title
Kidney Care Access Protection Act
Data Sources
Sponsor
Cosponsors
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