HR2199-119

In Committee

Restore Protections for Dialysis Patients Act

119th Congress Introduced Mar 18, 2025

Summary

What This Bill Does

The bill requires congressional statement of purpose restoring MSPA anti-discrimination protections for ESRD/dialysis patients and prohibiting health plans from shifting dialysis costs to Medicare and amends Social Security Act Section 1862(b)(1)(C) to prohibit group health plans from differentiating benefits or applying coverage limitations (including network composition) that disparately affect individuals. It relies on compliance mandates and definition changes. The main policy areas are Healthcare and Finance.

Who Benefits and How

ESRD/dialysis patients enrolled in group health plans could face reduced risk, Dialysis service providers (DaVita, Fresenius Medical Care) could gain revenue opportunities, and Medicare program could see lower costs.

Who Bears the Burden and How

Group health plans and private insurers would take on compliance duties and Employers sponsoring group health plans could face higher costs.

Key Provisions

  • Requires congressional statement of purpose restoring MSPA anti-discrimination protections for ESRD/dialysis patients and prohibiting health plans from shifting dialysis costs to Medicare.
  • Amends Social Security Act Section 1862(b)(1)(C) to prohibit group health plans from differentiating benefits or applying coverage limitations (including network composition) that disparately affect individuals...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill requires congressional statement of purpose restoring MSPA anti-discrimination protections for ESRD/dialysis patients and prohibiting health plans from shifting dialysis costs to Medicare and amends Social Security Act Section 1862(b)(1)(C) to prohibit group health plans from differentiating benefits or applying coverage limitations (including network composition) that disparately affect individuals.

Key Policy Areas

Healthcare, Finance

Primary Purpose

The bill requires congressional statement of purpose restoring MSPA anti-discrimination protections for ESRD/dialysis patients and prohibiting health plans from shifting dialysis costs to Medicare and amends Social Security Act Section 1862(b)(1)(C) to prohibit group health plans from differentiating benefits or applying coverage limitations (including network composition) that disparately affect individuals.

Policy Domains

Healthcare Finance

Whole bill

Identified Gains
  • ESRD/dialysis patients enrolled in group health plans
  • Dialysis service providers (DaVita, Fresenius Medical Care)
  • Medicare program
  • Dialysis service providers (DaVita, Fresenius)
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Medicare program:
Dialysis service providers (DaVita, Fresenius):
ESRD/dialysis patients enrolled in group health plans: ,
Dialysis service providers (DaVita, Fresenius Medical Care):
Identified Costs
  • Group health plans and private insurers
  • Employers sponsoring group health plans
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Employers sponsoring group health plans:
Group health plans and private insurers: ,

Legislative Progress

In Committee
Introduced Committee Passed
Mar 18, 2025

Mr. Kelly of Pennsylvania (for himself, Ms. Clarke of New …

Mar 18, 2025

Referred to the Committee on Ways and Means, and in …

Mar 18, 2025

Introduced in House

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
3 mentions across 2 clauses
+3 positive

ESRD/dialysis patients enrolled in group health plans, Medicare program

Financial Services
3 mentions across 2 clauses
-3 negative

Employers sponsoring group health plans, Group health plans and private insurers

Dialysis Services
2 mentions across 2 clauses
+2 positive

Dialysis service providers (DaVita, Fresenius Medical Care), Dialysis service providers (DaVita, Fresenius)

2/3
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Finance

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology