Restore Protections for Dialysis Patients Act
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
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)
Identified Costs
- Group health plans and private insurers
- Employers sponsoring group health plans
Sponsors
Legislative Progress
In CommitteeMr. Kelly of Pennsylvania (for himself, Ms. Clarke of New …
Referred to the Committee on Ways and Means, and in …
Introduced in House
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
ESRD/dialysis patients enrolled in group health plans, Medicare program
Employers sponsoring group health plans, Group health plans and private insurers
Dialysis service providers (DaVita, Fresenius Medical Care), Dialysis service providers (DaVita, Fresenius)
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
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