# 119-s-1058: Preserving Patient Access to Home Infusion Act

119-s-1058, Preserving Patient Access to Home Infusion Act, is a 119th Congress bill sponsored by Sen. Warner, Mark R. [D-VA] (D-VA); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-1058
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-1058
- Congress: 119
- Title: Preserving Patient Access to Home Infusion Act
- Status: introduced
- Introduced: 2025-03-13
- Sponsor: Sen. Warner, Mark R. [D-VA] (D-VA)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Expands Medicare coverage and payment rules for home infusion therapy by including pharmacy services and clarifying when and how providers get paid.** It also lets nurse practitioners and physician assistants establish and review home infusion plans of care and sets changes to take effect on January 1, 2026. - Patients and families: Pharmacy activities like assessments, drug preparation, compounding, coordination, and documentation are now part of a home infusion plan of care. These changes apply to items and services furnished on or after January 1, 2026. - Providers and suppliers: The bill creates a reworked single payment that treats an infusion day as reflecting 5 hours of infusion per calendar day for transition years and pays 50 percent of that amount when the qualified supplier is not physically present in the home. - Program integrity and billing: It clarifies that certain non‑pump IV drugs and biologics can be billed under the home infusion framework and prohibits duplicate Medicare payments on the same day for enumerated supplies such as tubing, catheters, dressings, needles, syringes, and HCPCS codes A4221, A4222, and K0552.

## Cosponsors (1)

- Sen. Scott, Tim [R-SC] (R-SC), 2025-03-13T00:00:00.000Z

## Provisions PRIA read

- Expanded home infusion plan rules: benefit, low. If enacted, the home infusion plan of care would have to include pharmacy services, assessments, drug preparation and compounding, coordination, and documentation. Nurse practitioners and physician assistants, not just physicians, could establish and periodically review the plan. This change would…
- Medicare home infusion payment rules: mixed, medium. If enacted, Medicare would change how it pays and bills for home infusion therapy starting January 1, 2026. A day when the qualified home infusion supplier is not physically in your home would be paid at 50% of the regular single‑day amount. From January 1, 2026 through December 31, 2029, each paid…

## Related bills

- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-1686: Neighborhood Homes Investment Act
- 119-s-199: A bill to amend the Internal Revenue Code of 1986 to provide special rules for the taxation of certain residents of Taiwan with income from sources within the…
- 119-s-2763: Keep Billionaires Out of Social Security Act
- 119-s-4440: Clinical Trial Modernization Act
- 119-s-558: Antisemitism Awareness Act of 2025

## Sources
- [119-s-1058 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/1058)

## Related
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-1686: Neighborhood Homes Investment Act](https://policyrisk.com/legislation/119-s-1686)
- [119-s-199: A bill to amend the Internal Revenue Code of 1986 to provide special rules for…](https://policyrisk.com/legislation/119-s-199)
- [119-s-2763: Keep Billionaires Out of Social Security Act](https://policyrisk.com/legislation/119-s-2763)
- [119-s-4440: Clinical Trial Modernization Act](https://policyrisk.com/legislation/119-s-4440)
- [119-s-558: Antisemitism Awareness Act of 2025](https://policyrisk.com/legislation/119-s-558)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-1058 (as of 2026-04-21).