# 119-hr-6214: Kidney Care Access Protection Act

119-hr-6214, Kidney Care Access Protection Act, is a 119th Congress bill sponsored by Rep. Miller, Carol D. [R-WV-1] (R-WV); status introduced; PRIA reads it as touching household money (as of 2026-10-11).

- Canonical: https://policyrisk.com/legislation/119-hr-6214
- As of: 2026-10-11
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6214
- Congress: 119
- Title: Kidney Care Access Protection Act
- Status: introduced
- Introduced: 2025-11-20
- Sponsor: Rep. Miller, Carol D. [R-WV-1] (R-WV)
- Cosponsors: 18
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-11

## Summary

**Accelerate Medicare access to innovative kidney treatments and expand early screening and education.** This bill would create new, inflation-adjusted payment add-ons for dialysis drugs and devices while expanding Medicare wellness screenings and kidney disease education to improve detection and care.

## Cosponsors (18)

- Rep. Dunn, Neal P. [R-FL-2] (R-FL), 2026-10-09T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2026-10-09T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-11-20T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-12-10T00:00:00.000Z
- Rep. Rulli, Michael A. [R-OH-6] (R-OH), 2026-01-12T00:00:00.000Z
- Rep. Tenney, Claudia [R-NY-24] (R-NY), 2026-01-14T00:00:00.000Z
- Rep. Kelly, Mike [R-PA-16] (R-PA), 2026-01-30T00:00:00.000Z
- Rep. Carter, Troy A. [D-LA-2] (D-LA), 2026-02-17T00:00:00.000Z
- Rep. Murphy, Gregory F. [R-NC-3] (R-NC), 2026-02-23T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2026-03-16T00:00:00.000Z
- Rep. Wilson, Joe [R-SC-2] (R-SC), 2026-04-20T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2026-04-20T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2026-05-12T00:00:00.000Z
- Rep. Langworthy, Nicholas A. [R-NY-23] (R-NY), 2026-05-15T00:00:00.000Z
- Rep. Moore, Blake D. [R-UT-1] (R-UT), 2026-05-26T00:00:00.000Z
- Rep. Fields, Cleo [D-LA-6] (D-LA), 2026-06-10T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2026-09-03T00:00:00.000Z
- Rep. Flood, Mike [R-NE-1] (R-NE), 2026-09-14T00:00:00.000Z

## Provisions PRIA read

- Longer transitional payments for dialysis: benefit, medium. This bill would require at least three years of transitional add-on payments for new dialysis drugs and for qualifying new dialysis devices furnished on or after January 1, 2026. Devices with certain FDA expedited designations would be eligible. Capital-related assets that meet program rules would…
- More kidney care education and screening: benefit, medium. This bill would expand Medicare kidney disease education to people with stage V disease as well as stage IV. It would let physician assistants, nurse practitioners, clinical nurse specialists, and qualifying dialysis facilities provide that education. Payment for the education would not be in the s…
- Permanent drug add-on for dialysis: benefit, medium. This bill would create a permanent post-TDAPA add-on to the ESRD base rate for qualifying new dialysis drugs. The add-on would equal 65% of total Medicare spending on the drug divided by the number of dialysis services when it was given. Calculation would use the most recent 12 months of use and th…
- New forecast adjustment for dialysis payments: mixed, medium. This bill would require a yearly forecast error adjustment to the factor that updates Medicare ESRD payment amounts starting in 2026. The first adjustment would cover cumulative forecast error for 2021 and 2022. Later adjustments would use the most recent year with final data. The adjustment would…
- Separate billing for new comorbid drugs: mixed, medium. This bill would change which drugs count as part of the dialysis base rate. Drugs or biologics approved after December 31, 2025 that treat other conditions (for example, heart disease, cancer, diabetes, obesity) and do not replace a base-rate dialysis drug would be excluded from the ESRD base rate…

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-1502: North Platte Canteen Congressional Gold Medal Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act

## Sources
- [119-hr-6214 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6214)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-1502: North Platte Canteen Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-1502)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6214 (as of 2026-10-11).