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HR2343119th Congress

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

Sponsored By: Representative Salazar, Maria Elvira [R-FL-27]

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, Maria Elvira [R-FL-27]

FL • R

Cosponsors

  • Rep. Pingree, Chellie [D-ME-1]

    ME • D

    Sponsored 3/25/2025

  • Rep. Smith, Christopher H. [R-NJ-4]

    NJ • R

    Sponsored 3/25/2025

  • Rep. Johnson, Henry C. "Hank" [D-GA-4]

    GA • D

    Sponsored 3/25/2025

  • Rep. Owens, Burgess [R-UT-4]

    UT • R

    Sponsored 3/25/2025

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

    DC • D

    Sponsored 3/25/2025

  • Rep. Kim, Young [R-CA-40]

    CA • R

    Sponsored 3/25/2025

  • Rep. Rouzer, David [R-NC-7]

    NC • R

    Sponsored 3/25/2025

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

    Sponsored 3/25/2025

  • Rep. Kennedy, Timothy M. [D-NY-26]

    NY • D

    Sponsored 5/29/2025

  • Rep. Lawler, Michael [R-NY-17]

    NY • R

    Sponsored 6/5/2025

  • Rep. Langworthy, Nicholas A. [R-NY-23]

    NY • R

    Sponsored 6/5/2025

  • Sherrill

    NJ • D

    Sponsored 6/5/2025

  • Rep. Ruiz, Raul [D-CA-25]

    CA • D

    Sponsored 6/5/2025

  • Rep. Craig, Angie [D-MN-2]

    MN • D

    Sponsored 6/10/2025

  • Rep. Carter, Troy A. [D-LA-2]

    LA • D

    Sponsored 6/30/2025

  • Rep. Keating, William R. [D-MA-9]

    MA • D

    Sponsored 6/30/2025

  • Rep. Neguse, Joe [D-CO-2]

    CO • D

    Sponsored 7/29/2025

  • Rep. Panetta, Jimmy [D-CA-19]

    CA • D

    Sponsored 7/29/2025

  • Rep. Kean, Thomas H. [R-NJ-7]

    NJ • R

    Sponsored 7/29/2025

  • Rep. Watson Coleman, Bonnie [D-NJ-12]

    NJ • D

    Sponsored 7/29/2025

  • Rep. Malliotakis, Nicole [R-NY-11]

    NY • R

    Sponsored 8/1/2025

  • Rep. Weber, Randy K. Sr. [R-TX-14]

    TX • R

    Sponsored 8/1/2025

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 8/8/2025

  • Rep. McIver, LaMonica [D-NJ-10]

    NJ • D

    Sponsored 8/8/2025

  • Rep. Matsui, Doris O. [D-CA-7]

    CA • D

    Sponsored 9/4/2025

  • Rep. Larson, John B. [D-CT-1]

    CT • D

    Sponsored 9/9/2025

  • Rep. Rutherford, John H. [R-FL-5]

    FL • R

    Sponsored 9/19/2025

  • Rep. Bynum, Janelle S. [D-OR-5]

    OR • D

    Sponsored 9/19/2025

  • Rep. Latimer, George [D-NY-16]

    NY • D

    Sponsored 9/19/2025

  • Rep. Conaway, Herbert C. [D-NJ-3]

    NJ • D

    Sponsored 9/19/2025

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 10/3/2025

  • Rep. Valadao, David G. [R-CA-22]

    CA • R

    Sponsored 10/8/2025

  • Rep. Ross, Deborah K. [D-NC-2]

    NC • D

    Sponsored 10/8/2025

  • Rep. Van Drew, Jefferson [R-NJ-2]

    NJ • R

    Sponsored 10/14/2025

  • Rep. Maloy, Celeste [R-UT-2]

    UT • R

    Sponsored 10/17/2025

  • Rep. Smith, Adrian [R-NE-3]

    NE • R

    Sponsored 10/21/2025

  • Rep. Mackenzie, Ryan [R-PA-7]

    PA • R

    Sponsored 10/24/2025

  • Rep. McBride, Sarah [D-DE-At Large]

    DE • D

    Sponsored 10/24/2025

  • Rep. Flood, Mike [R-NE-1]

    NE • R

    Sponsored 11/4/2025

  • Rep. Bacon, Don [R-NE-2]

    NE • R

    Sponsored 11/7/2025

  • Rep. Lynch, Stephen F. [D-MA-8]

    MA • D

    Sponsored 11/12/2025

  • Rep. Kennedy, Mike [R-UT-3]

    UT • R

    Sponsored 12/5/2025

  • Rep. Elfreth, Sarah [D-MD-3]

    MD • D

    Sponsored 12/15/2025

  • Rep. Gillen, Laura [D-NY-4]

    NY • D

    Sponsored 12/15/2025

  • Rep. Garbarino, Andrew R. [R-NY-2]

    NY • R

    Sponsored 12/18/2025

  • Rep. Riley, Josh [D-NY-19]

    NY • D

    Sponsored 12/18/2025

  • Rep. McClain Delaney, April [D-MD-6]

    MD • D

    Sponsored 2/12/2026

  • Rep. Miller, Carol D. [R-WV-1]

    WV • R

    Sponsored 3/24/2026

  • Rep. Thompson, Mike [D-CA-4]

    CA • D

    Sponsored 3/24/2026

  • Rep. Garamendi, John [D-CA-8]

    CA • D

    Sponsored 4/21/2026

  • Rep. Haridopolos, Mike [R-FL-8]

    FL • R

    Sponsored 4/23/2026

  • Rep. Deluzio, Christopher R. [D-PA-17]

    PA • D

    Sponsored 4/30/2026

  • Rep. Wilson, Frederica S. [D-FL-24]

    FL • D

    Sponsored 5/14/2026

  • Rep. Soto, Darren [D-FL-9]

    FL • D

    Sponsored 6/2/2026

  • Rep. Meng, Grace [D-NY-6]

    NY • D

    Sponsored 7/20/2026

  • Rep. Van Orden, Derrick [R-WI-3]

    WI • R

    Sponsored 9/16/2026

  • Rep. Schneider, Bradley Scott [D-IL-10]

    IL • D

    Sponsored 9/24/2026

  • Rep. Wasserman Schultz, Debbie [D-FL-25]

    FL • D

    Sponsored 9/24/2026

  • Rep. Tlaib, Rashida [D-MI-12]

    MI • D

    Sponsored 9/24/2026

  • Rep. Bera, Ami [D-CA-6]

    CA • D

    Sponsored 10/1/2026

Roll Call Votes

No roll call votes available for this bill.

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