[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3118 Introduced in House (IH)]

<DOC>






118th CONGRESS
  1st Session
                                H. R. 3118

To amend title XVIII of the Social Security Act to provide for Medicare 
coverage of monitoring devices to detect and alarm when a venous needle 
  dislodgement occurs during home dialysis for hemodialysis patients.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 5, 2023

 Mr. Smith of Nebraska (for himself and Ms. Stansbury) 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 provide for Medicare 
coverage of monitoring devices to detect and alarm when a venous needle 
  dislodgement occurs during home dialysis for hemodialysis patients.

    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 ``Home Dialysis Risk Prevention Act''.

SEC. 2. PROVIDING FOR COVERAGE OF MONITORING AND ALARM DEVICES TO 
              DETECT VENOUS NEEDLE DISLODGEMENT FOR HEMODIALYSIS 
              PATIENTS.

    Section 1881(b)(14) of the Social Security Act (42 U.S.C. 
1395rr(b)(14)) is amended by adding at the end the following new 
subparagraph:
    ``(J)(i) For home dialysis services and equipment furnished to new 
and respite individuals on or after the date that is 1 year after the 
date of the enactment of this subparagraph which are monitoring and 
alarm devices for venous needle dislodgement (as defined in clause 
(iii)(II)), the Secretary shall increase the single payment that would 
otherwise apply under this paragraph for such services by the amount 
determined under the payment system established under clause (ii).
    ``(ii) The Secretary shall establish a prospective payment system 
through regulations to determine the amounts payable for monitoring and 
alarm devices and supplies to detect venous needle dislodgements for 
individuals receiving home dialysis. In establishing such system, the 
Secretary may consult with device manufacturers, health professionals, 
dialysis patients, private payers, and MA plans and may consider--
            ``(I) the costs of furnishing the monitoring and alarm 
        device and necessary supplies;
            ``(II) payment amounts for similar items and services under 
        parts A and B; and
            ``(III) payment amounts established by MA plans under part 
        C, group health plans, and health insurance coverage offered by 
        health insurance issuers.
    ``(iii) In this subparagraph:
            ``(I) The term `new and respite individual' means an 
        individual described in subsection (a) who is initiating home 
        hemodialysis.
            ``(II) The term `monitoring and alarm devices for venous 
        needle dislodgement' means a blood loss detection solution 
        specifically designed to detect blood leakage through core 
        technology utilizing fiber optics. The detected blood triggers 
        a visual and audible alarm.
            ``(III) The terms `group health plan', `health insurance 
        coverage', and `health insurance issuer' have the meaning given 
        such terms in section 2791 of the Public Health Service Act.''.
                                 <all>