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Home Infusion Legislative Initiatives

The Preserving Patient Access to Home Infusion Act (H.R. 2172, S. 1058)

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Joe Fiandra Access to Home Infusion Act (H.R. 4993) – Recently Passed

    • One-page summary

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Preserving Patient Access to Home Infusion Act (H.R. 2172, S. 1058)

EXPAND MEDICARE COVERAGE FOR IV ANTIBIOTICS

RECOGNIZES AND PAYS FOR PHARMACY PROFESSIONAL SERVICES

CREATE A BUNDLED PAYMENT FOR SUPPLIES AND SERVICES, SIMILAR TO COMMERCIAL MODEL

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Joe Fiandra Access to Home Infusion Act

  • Makes changes to the DME infusion benefit to allow more drugs to qualify if they meet certain conditions
  • Likely limited to a small number of rare disease drugs that require a pump and a healthcare professional to administer
  • CMS rulemaking to occur in 2026

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Commercial Payor Advocacy

Provide education and support to commercial payors about parenteral and enteral nutrition

Published white papers to highlight economic pressures facing home infusion providers

https://nhia.org/advocate/nutrition-support-advocacy/

Collection of outcomes data to promote and design value-based reimbursement model pilot programs