PI Post Acute Access Act
Medicare Coverage for Immune Disorder Treatments in Nursing Homes
This bill is currently in the early stages of the legislative process. It has been sent to two House committees for review and is not yet scheduled for a vote. The bill is considered active as it moves through these initial committee assignments.
Legislative Progress
The bill has support from both parties and solves a specific technical problem, but it still faces the challenge of moving through the busy committee process.
Key Points
- This bill changes how Medicare pays for specific immune system treatments in nursing homes. It focuses on patients with primary immunodeficiency, which is a condition where the body cannot properly fight off infections.
- Currently, nursing homes often cannot afford to admit these patients because the cost of their medicine is higher than the flat daily rate Medicare pays the facility. This bill allows the medicine to be billed separately so nursing homes do not lose money by providing it.
- The policy specifically covers intravenous immune globulin treatments. These are life-saving medicines that provide the antibodies a patient's body cannot make on its own.
- If passed, these new rules would start on October 1, 2026. This would help patients move from hospitals to recovery centers more quickly without losing access to their necessary medication.
Impact Analysis
Govbase has not yet run an impact analysis on this legislation.
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.
News
No related news coverage found for this legislation yet.
Source Information
Document Type
Congressional Bill
Official Title
PI Post Acute Access Act
Data Sources
Sponsor
Cosponsors
(2)Analysis generated by AI. Always verify with official sources.