Preserving Patient Access to Home Infusion Act

Preserving Patient Access to Home Infusion Act

This bill specifically includes pharmacy services and certain self-administered drugs as part of covered home infusion therapy under Medicare, and specifies that certain payment components still apply regardless of whether or not a qualified supplier is physically present in the beneficiary's home.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6218 Introduced in House (IH)]

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116th CONGRESS
  2d Session
                                H. R. 6218

      To amend title XVIII of the Social Security Act to clarify 
   congressional intent and preserve patient access to home infusion 
      therapy under the Medicare program, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 12, 2020

Mr. Engel (for himself, Mr. Upton, Ms. Sewell of Alabama, Mr. Marchant, 
Mr. Marshall, and Ms. Kelly of Illinois) introduced the following bill; 
  which was referred to the Committee on Energy and Commerce, and in 
    addition to the Committee on Ways and Means, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

_______________________________________________________________________

                                 A BILL


 
      To amend title XVIII of the Social Security Act to clarify 
   congressional intent and preserve patient access to home infusion 
      therapy under the Medicare program, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Preserving Patient Access to Home 
Infusion Act''.

SEC. 2. PRESERVATION OF PATIENT ACCESS TO HOME INFUSION THERAPY UNDER 
              MEDICARE PROGRAM.

    (a) In General.--Section 1861(iii) of the Social Security Act (42 
U.S.C. 1395x(iii)) is amended--
            (1) in paragraph (2)(A), by inserting ``and pharmacy 
        services'' before ``, furnished in accordance with the plan''; 
        and
            (2) in paragraph (3)(C)(ii), by inserting after ``list'' 
        the following: ``, unless such self-administered drug or 
        biological was included as a transitional home infusion drug 
        (as defined in section 1834(u)(7)(A)(iii))''.
    (b) Clarification of Infusion Drug Administration Calendar Day.--
Section 1834(u)(1)(A)(ii) of the Social Security Act (42 U.S.C. 
1395m(u)(1)(A)(ii)) is amended by inserting after the first sentence 
the following new sentence: ``For purposes of the previous sentence, 
with respect to the furnishing of home infusion drugs to an individual 
by a qualified home infusion therapy supplier, a reference to payment 
to such supplier for an infusion drug administration calendar day in 
the home of such individual shall refer to payment for the date on 
which such a drug was administered to the individual (regardless of 
whether a qualified home infusion therapy supplier was physically 
present in the home of such individual on such date).''.
    (c) Effective Date.--The amendments made by this section shall 
apply with respect to items and services furnished on or after January 
1, 2021.
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