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Congress·In Committee·S. 1058

Sens. Warner and Scott Introduce the Preserving Patient Access to Home Infusion Act

Preserving Patient Access to Home Infusion Act

about 1 year ago·View on Congress.gov
Part of: Bipartisan Push to Expand Medicare Coverage for Home Infusion Therapy
⏸

Stalled

No legislative action in over 90 days.

Legislative Progress

Senate
House
President
Law

Key Points

  • This bill makes it easier for people on Medicare to receive IV medications—like antibiotics or heart medicine—in their own homes instead of having to go to a hospital or a doctor's office.
  • It fixes a payment issue by requiring Medicare to pay for the "behind-the-scenes" work pharmacists do, such as mixing the drugs and coordinating care, which currently isn't always covered for home patients.
  • Medicare would be required to pay for every day a patient receives their medicine at home, even on days when a nurse doesn't need to visit in person.
  • To speed up care, the bill allows nurse practitioners and physician assistants to order and manage these home treatments, rather than requiring a doctor to do every piece of paperwork.
  • It expands coverage to include IV drugs that are given without an electric pump, which includes many common treatments for infections.
  • If passed, these changes would take effect on January 1, 2026, helping patients stay out of the hospital while still getting the specialized medicine they need.
Healthcare

Impact Analysis

Personal Impact

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

Milestones

2 milestones2 actions
Mar 13, 2025Senate

Read twice and referred to the Committee on Finance.

Mar 13, 2025

Introduced in Senate

What Happens Next

Projected impacts based on AI analysis

2026-01-01

Expanded home infusion coverage takes effect under Medicare

Medicare begins paying for pharmacy services, non-pump IV drugs, and daily infusion administration for home patients. Nurse practitioners and physician assistants can now order and review home infusion care plans.

2030-01-01

Transitional 5-hour payment floor expires

The guaranteed payment amount based on 5 hours of infusion per day ends. After this date, Medicare returns to its standard payment calculation, which could mean lower reimbursements for home infusion suppliers.

Related Bills

1 bill
H.R. 2172Related bill

Preserving Patient Access to Home Infusion Act

Mar 18 — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.

Source Information

Document Type

Congressional Bill

Official Title

Preserving Patient Access to Home Infusion Act

Bill NumberS 1058
Congress119th Congress
ChamberSenate
Latest ActionRead twice and referred to the Committee on Finance.

Sponsor

Cosponsors

(1)
R: 1

Analysis generated by AI. Always verify with official sources.