IN THE SENATE OF THE UNITED STATES
August 5, 2021
Mr. Warner (for himself and Mr. Scott of South Carolina) introduced the following bill; which was read twice and referred to the Committee on Finance
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.
This Act may be cited as the
Preserving Patient Access to Home Infusion Act.
Preservation of patient access to home infusion therapy under Medicare program
Inclusion of pharmacy services
Section 1861(iii)(2)(A) of the Social Security Act (42 U.S.C. 1395x(iii)(2)(A)) is amended by inserting
and pharmacy services after
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)..
Permitting nurse practitioners and physician assistants To establish and review a home infusion plan of care
Section 1861(iii)(1)(B) of the Social Security Act (42 U.S.C. 1395x(iii)(1)(B)) is amended by striking
physician (as defined in subsection (r)(1)) and is periodically reviewed by a physician and inserting
physician (as defined in subsection (r)(1)) or a nurse practitioner or physician assistant (as those terms are defined in subsection (aa)(5)) and is periodically reviewed by a physician, nurse practitioner, or physician assistant.
The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2022.