Concurrent Care for Comfort Act

Palliative dialysis for Medicare hospice

If enacted, Medicare would pay for palliative dialysis given while a person is on hospice, starting in 2026. This would apply to people with end-stage renal disease who were receiving dialysis when they elected hospice. Payment would generally be limited to ten sessions per eligible person; home dialysis days would convert to hemodialysis-equivalent sessions under Medicare rules. Medicare deductible and coinsurance for dialysis would still apply. The Secretary would set the annual payment method by rulemaking and must review the ten-session limit for 2029 and later years. Providers and dialysis facilities would bill under the new payment rules. This would not change coverage or payment for maintenance dialysis when hospice is elected for a non-ESRD primary condition.