HR2343119th Congress

John W. Walsh Alpha-1 Home Infusion Act of 2025

Sponsored By: Representative Salazar

Introduced

Summary

Creates Medicare Part B coverage for Alpha‑1 Antitrypsin Deficiency augmentation therapy delivered at home. This bill would set rules for which patients and providers qualify and establish a dedicated Part B payment for infusion kits and nursing services.

Show full summary
  • Patients and families: Adults with severe hereditary Alpha‑1 who are enrolled in both Medicare Part A and Part B and not in Medicare Advantage would be eligible to receive augmentation therapy in their home from qualified home infusion therapy suppliers.
  • Home infusion suppliers and nurses: Qualified suppliers would be reimbursed under a new Part B provision for intravenous administration kits and for up to 2 hours of nursing care per visit. Payment would be made to the supplier and set at 80% of the lesser of the actual charge or the amount determined under the new rule.
  • Providers and benefit rules: The bill designates physicians, nurse practitioners, and physician assistants as applicable providers overseeing home infusion and excludes these IV kits and nursing services from the separate home health benefit.

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & CoSponsors

Sponsor

Salazar

FL • R

Cosponsors

  • Pingree

    ME • D

    Sponsored 3/25/2025

  • Smith (NJ)

    NJ • R

    Sponsored 3/25/2025

  • Johnson (GA)

    GA • D

    Sponsored 3/25/2025

  • Owens

    UT • R

    Sponsored 3/25/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 3/25/2025

  • Kim

    CA • R

    Sponsored 3/25/2025

  • Rouzer

    NC • R

    Sponsored 3/25/2025

  • Tonko

    NY • D

    Sponsored 3/25/2025

  • Kennedy (NY)

    NY • D

    Sponsored 5/29/2025

  • Lawler

    NY • R

    Sponsored 6/5/2025

  • Langworthy

    NY • R

    Sponsored 6/5/2025

  • Sherrill

    NJ • D

    Sponsored 6/5/2025

  • Ruiz

    CA • D

    Sponsored 6/5/2025

  • Craig

    MN • D

    Sponsored 6/10/2025

  • Carter (LA)

    LA • D

    Sponsored 6/30/2025

  • Keating

    MA • D

    Sponsored 6/30/2025

  • Neguse

    CO • D

    Sponsored 7/29/2025

  • Panetta

    CA • D

    Sponsored 7/29/2025

  • Kean

    NJ • R

    Sponsored 7/29/2025

  • Watson Coleman

    NJ • D

    Sponsored 7/29/2025

  • Malliotakis

    NY • R

    Sponsored 8/1/2025

  • Weber (TX)

    TX • R

    Sponsored 8/1/2025

  • Gottheimer

    NJ • D

    Sponsored 8/8/2025

  • McIver

    NJ • D

    Sponsored 8/8/2025

  • Matsui

    CA • D

    Sponsored 9/4/2025

  • Larson (CT)

    CT • D

    Sponsored 9/9/2025

  • Rutherford

    FL • R

    Sponsored 9/19/2025

  • Bynum

    OR • D

    Sponsored 9/19/2025

  • Latimer

    NY • D

    Sponsored 9/19/2025

  • Conaway

    NJ • D

    Sponsored 9/19/2025

  • Vindman

    VA • D

    Sponsored 10/3/2025

  • Valadao

    CA • R

    Sponsored 10/8/2025

  • Ross

    NC • D

    Sponsored 10/8/2025

  • Van Drew

    NJ • R

    Sponsored 10/14/2025

  • Maloy

    UT • R

    Sponsored 10/17/2025

  • Smith (NE)

    NE • R

    Sponsored 10/21/2025

  • Mackenzie

    PA • R

    Sponsored 10/24/2025

  • McBride

    DE • D

    Sponsored 10/24/2025

  • Flood

    NE • R

    Sponsored 11/4/2025

  • Bacon

    NE • R

    Sponsored 11/7/2025

  • Lynch

    MA • D

    Sponsored 11/12/2025

  • Kennedy (UT)

    UT • R

    Sponsored 12/5/2025

  • Elfreth

    MD • D

    Sponsored 12/15/2025

  • Gillen

    NY • D

    Sponsored 12/15/2025

  • Garbarino

    NY • R

    Sponsored 12/18/2025

  • Riley (NY)

    NY • D

    Sponsored 12/18/2025

  • McClain Delaney

    MD • D

    Sponsored 2/12/2026

  • Miller (WV)

    WV • R

    Sponsored 3/24/2026

  • Thompson (CA)

    CA • D

    Sponsored 3/24/2026

Roll Call Votes

No roll call votes available for this bill.

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