H.R.2172 - Preserving Patient Access to Home Infusion Act (119th Congress)
Summary
H.R.2172, the "Preserving Patient Access to Home Infusion Act," aims to amend Title XVIII of the Social Security Act to improve Medicare coverage for home infusion therapy. The bill seeks to clarify congressional intent regarding home infusion therapy, ensuring continued patient access under the Medicare program. It addresses pharmacy services, payment structures, and the roles of nurse practitioners and physician assistants in establishing and reviewing home infusion plans of care.
Expected Effects
The bill's passage would likely result in expanded access to home infusion therapy for Medicare beneficiaries. It would clarify payment policies and broaden the scope of healthcare professionals authorized to manage home infusion plans. These changes aim to streamline the process and ensure more patients can receive necessary treatments at home.
Potential Benefits
- Enhanced access to home infusion therapy for Medicare beneficiaries.
- Clarified payment policies for home infusion services, promoting financial stability for providers.
- Expanded roles for nurse practitioners and physician assistants in managing home infusion plans, potentially improving care coordination.
- Inclusion of pharmacy services in covered home infusion services.
- Addresses access to non-pump drugs and biologicals.
Potential Disadvantages
- Potential for increased Medicare spending, requiring careful monitoring to ensure fiscal responsibility.
- Complexity in implementing the new payment rules, which could lead to administrative challenges.
- Possible disparities in access to care if certain geographic areas lack qualified home infusion therapy suppliers.
- The transitional rule for payment amounts may create temporary instability in the market.
- Could incentivize overuse of home infusion therapy if not properly monitored.
Constitutional Alignment
The bill appears to align with the general welfare clause of the Constitution (Preamble), as it aims to improve healthcare access for Medicare beneficiaries. Congress has the power to legislate on matters related to Medicare under its implied powers to provide for the general welfare. The bill does not appear to infringe on any specific constitutional rights or limitations.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).