Improving Home Dialysis Act of 2026
Sponsored By: Representative Miller, Carol D. [R-WV-1]
In Committee
Summary
Expands Medicare coverage for home dialysis support services. This bill would add two Medicare-covered home-based services to help patients start and maintain dialysis at home: temporary staff-assisted respite care and renal mental health services, both defined by federal standards and limited by session caps.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More Medicare help for home dialysis
If enacted, this bill would add two Medicare-covered home dialysis support services starting January 1, 2028. One service would be staff-assisted home dialysis respite care for patients temporarily unable to self-dialyze. It would apply during the 30-day start period or later for physical limitations, and only in the patient's home, not in skilled nursing facilities. The other service would be renal mental health services during the 60-day start period when furnished by qualified individuals in the patient's home. Medicare would pay per-session add-ons tied to the 2025 home dialysis training add-on: staff-assisted sessions would get 100% in rural areas and 75% in non-rural areas, capped at 20 sessions per calendar year; mental health sessions would get 50% in rural areas and 25% in non-rural areas, capped at 4 sessions during the 60-day start. Payments would not apply for sessions on days the person is not dialyzing at home, and the payment adjustments would not be required to be budget neutral.
Sponsors & CoSponsors
Sponsor
Miller, Carol D. [R-WV-1]
WV • R
Cosponsors
Rep. Wittman, Robert J. [R-VA-1]
VA • R
Sponsored 6/23/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov