Preserving Patient Access to Home Infusion Act
Sponsored By: Representative Buchanan
Introduced
Summary
Expand and clarify Medicare coverage and payment for home infusion therapy. This bill would add pharmacy services to the home infusion benefit, define certain non-pump IV antibacterial, antifungal, and antiviral drugs, set per-day and per-therapy payment rules, and allow nurse practitioners and physician assistants to establish and review plans of care.
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 1 costs, 0 mixed.
New Medicare pay rules for home infusion
If enacted, Medicare would pay 50% of the normal daily amount when the supplier is not in your home. Payment would still be made for each day a drug is given, even if no one is there that day. From January 1, 2026 through December 31, 2029, the daily rate would reflect 5 hours of infusion per therapy. Starting January 1, 2026, Medicare would not pay separately the same day for tubing, catheters, dressings, needles, syringes, and similar supplies (HCPCS A4221, A4222, K0552).
Coverage for some non-pump IV drugs
If enacted, Medicare would pay home infusion suppliers for care tied to certain IV antibacterial, antifungal, or antiviral drugs that do not use a pump that is durable medical equipment. Payment would apply even if the drug itself is not paid under Part B. The infusion must not use a durable medical equipment pump. This would apply to services on or after January 1, 2026.
More services and providers in home infusion
If enacted, Medicare would add pharmacy services to home infusion care. Your plan of care would need assessments, drug preparation and compounding, and coordination and documentation. Nurse practitioners and physician assistants could create and review your plan, not just doctors. These changes would start for services on or after January 1, 2026.
Sponsors & CoSponsors
Sponsor
Buchanan
FL • R
Cosponsors
Dingell
MI • D
Sponsored 3/18/2025
Harshbarger
TN • R
Sponsored 3/18/2025
Sewell
AL • D
Sponsored 3/18/2025
Steube
FL • R
Sponsored 4/24/2025
Miller-Meeks
IA • R
Sponsored 4/24/2025
DelBene
WA • D
Sponsored 4/24/2025
Crenshaw
TX • R
Sponsored 5/13/2025
Mrvan
IN • D
Sponsored 5/13/2025
Tenney
NY • R
Sponsored 6/11/2025
Ruiz
CA • D
Sponsored 6/23/2025
Miller (WV)
WV • R
Sponsored 9/8/2025
Crow
CO • D
Sponsored 9/17/2025
Tonko
NY • D
Sponsored 10/8/2025
Panetta
CA • D
Sponsored 10/31/2025
Dean (PA)
PA • D
Sponsored 11/7/2025
Moore (UT)
UT • R
Sponsored 11/12/2025
Owens
UT • R
Sponsored 11/19/2025
Matsui
CA • D
Sponsored 11/19/2025
Davis (IL)
IL • D
Sponsored 11/19/2025
Soto
FL • D
Sponsored 11/19/2025
Lieu
CA • D
Sponsored 11/19/2025
Stanton
AZ • D
Sponsored 11/20/2025
Kennedy (NY)
NY • D
Sponsored 12/5/2025
Mannion
NY • D
Sponsored 12/15/2025
Trahan
MA • D
Sponsored 1/7/2026
Schneider
IL • D
Sponsored 2/10/2026
Roll Call Votes
No roll call votes available for this bill.
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