summary
Introduced
03/18/2025
03/18/2025
In Committee
03/18/2025
03/18/2025
Crossed Over
Passed
Dead
Introduced Session
119th Congress
Bill Summary
A BILL To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act.
AI Summary
This bill aims to protect patients with End-Stage Renal Disease (ESRD) by amending the Medicare Secondary Payer Act (MSPA) to prevent health insurance plans from discriminating against dialysis patients. Specifically, the bill prohibits private health plans from differentiating benefits between ESRD patients and other patients, or implementing benefit limitations that disproportionately affect individuals with end-stage renal disease. The legislation clarifies that while health plans cannot unfairly restrict dialysis services, they are not required to include specific dialysis providers or a set number of such providers in their network. The bill's purpose is to ensure that ESRD patients receive equitable healthcare coverage and prevent insurance plans from shifting primary healthcare cost responsibility to Medicare. Key terms include ESRD (a serious kidney condition requiring dialysis or kidney transplant) and MSPA (a law designed to protect Medicare's interests in health insurance situations). The bill will be enforced by the Secretary of Health and Human Services consistent with existing federal regulations, maintaining the intent of protecting vulnerable patients while preserving some flexibility for health insurance providers.
Committee Categories
Budget and Finance
Sponsors (59)
Mike Kelly (R)*,
Troy Balderson (R),
Aaron Bean (R),
Gus Bilirakis (R),
Robert Bresnahan (R),
Janelle Bynum (D),
Salud Carbajal (D),
Mike Carey (R),
Buddy Carter (R),
Sheila Cherfilus-McCormick (D),
Yvette Clarke (D),
Steve Cohen (D),
Tom Cole (R),
Herbert Conaway (D),
Angie Craig (D),
Rick Crawford (R),
Jason Crow (D),
Danny Davis (D),
Don Davis (D),
Madeleine Dean (D),
Neal Dunn (R),
Randy Feenstra (R),
Brian Fitzpatrick (R),
Vince Fong (R),
Vicente Gonzalez (D),
Ashley Hinson (R),
Julie Johnson (D),
John Joyce (R),
Darin LaHood (R),
Greg Landsman (D),
Nicole Malliotakis (R),
Tracey Mann (R),
Sarah McBride (D),
LaMonica McIver (D),
Mariannette Miller-Meeks (R),
Nathaniel Moran (R),
Joe Neguse (D),
Jimmy Panetta (D),
Chris Pappas (D),
Brittany Pettersen (D),
August Pfluger (R),
Raul Ruiz (D),
John Rutherford (R),
Terri Sewell (D),
Darren Soto (D),
Pete Stauber (R),
Tom Suozzi (D),
Claudia Tenney (R),
Shri Thanedar (D),
G.T. Thompson (R),
Rashida Tlaib (D),
Paul Tonko (D),
Lori Trahan (D),
David Valadao (R),
Beth Van Duyne (R),
Gabe Vasquez (D),
Eugene Vindman (D),
Debbie Wasserman Schultz (D),
Joe Wilson (R),
Last Action
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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. (on 03/18/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/119th-congress/house-bill/2199/all-info |
| BillText | https://www.congress.gov/119/bills/hr2199/BILLS-119hr2199ih.pdf |
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