# 119-hr-1143: Medicare IVIG Access Enhancement Act of 2025

119-hr-1143, Medicare IVIG Access Enhancement Act of 2025, is a 119th Congress bill sponsored by Rep. Smith, Adrian [R-NE-3] (R-NE); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-1143
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1143
- Congress: 119
- Title: Medicare IVIG Access Enhancement Act of 2025
- Status: introduced
- Introduced: 2025-02-07
- Sponsor: Rep. Smith, Adrian [R-NE-3] (R-NE)
- Cosponsors: 2
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Expands Medicare in-home IVIG coverage to treat CIDP and MPN.** This bill would let Medicare cover intravenous immune globulin given at home for chronic inflammatory demyelinating polyneuropathy and multifocal motor neuropathy. It also authorizes different payment levels by diagnosis, set by the Secretary through notice-and-comment rulemaking. - People with CIDP or MPN on Medicare would become eligible for Medicare-covered in-home IVIG beginning January 1, 2027, which can reduce travel to infusion centers and clinic visits. - Family caregivers and home-infusion providers could see more IVIG delivered at home, changing care routines and billing needs for those services. - Medicare payment policy would change because the Secretary must establish diagnosis-based payment variations for in-home IVIG through formal rulemaking, allowing different rates for primary immune deficiency versus CIDP or MPN.

## Cosponsors (2)

- Rep. Garamendi, John [D-CA-8] (D-CA), 2025-02-07T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-11-04T00:00:00.000Z

## Provisions PRIA read

- Medicare in-home IVIG for CIDP and MMN: benefit, high. If enacted, Medicare would cover in-home IVIG to treat chronic inflammatory demyelinating polyneuropathy (CIDP) and multifocal motor neuropathy (MMN). Coverage would start January 1, 2027. This applies to IVIG given at home for these diagnoses. The bill does not set payment amounts or cost-sharing…
- Medicare may vary in-home IVIG payments: mixed, medium. If enacted, Medicare could pay different amounts for in-home IVIG based on the diagnosis. The Health and Human Services Secretary would set the differences through notice-and-comment rulemaking. The bill does not set exact rates or an effective date. Beneficiary coinsurance could change depending o…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-6900: American Affordability Act of 2025
- 119-hr-6500: Continuing Appropriations and Extensions Act, 2027
- 119-hr-2548: Sanctioning Russia Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-10421: Transforming Education for the Future Act

## Sources
- [119-hr-1143 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1143)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-6500: Continuing Appropriations and Extensions Act, 2027](https://policyrisk.com/legislation/119-hr-6500)
- [119-hr-2548: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-hr-2548)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-10421: Transforming Education for the Future Act](https://policyrisk.com/legislation/119-hr-10421)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1143 (as of 2026-04-21).