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S 1058119th CongressIntroduced
Preserving Patient Access to Home Infusion Act
Introduced: Oct 28, 2025
Standard Summary
Comprehensive overview in 1-2 paragraphs
The Preserving Patient Access to Home Infusion Act expands Medicare coverage for home infusion therapy, adding pharmacy services, adjusting payment rules, and allowing nurse practitioners and physician assistants to establish and review infusion plans. It also clarifies coverage for non‑pump drugs and sets an effective date of January 1, 2026.
Key Points
- 1Section 1861(iii)(3) now includes pharmacy services and drug preparation in home infusion plans.
- 2Payment rules are revised to allow daily reimbursement for infusion drug administration regardless of supplier presence.
- 3Nurse practitioners and physician assistants may establish and review infusion plans.
- 4Coverage for specified non‑pump drugs and biologics is clarified.
- 5Effective date for all changes is January 1, 2026.
Impact Areas
Medicare beneficiaries receiving home infusion therapyHome infusion suppliers and pharmacistsNurse practitioners and physician assistantsMedicare program and its payment system
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