To amend title XVIII of the Social Security Act to clarify the policy for coverage under the Medicare program for palliative dialysis services, and clarify separate payment for such palliative dialysis services, furnished by renal dialysis facilities and providers of services to certain individuals electing hospice care, and for other purposes.

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.

2026-04-20

The bill would clarify Medicare's coverage rules for palliative dialysis—a gentler form of kidney dialysis focused on comfort rather than extending life—for patients who choose hospice care. It would also establish separate payment rates for dialysis facilities and providers that offer this service to these patients, ensuring they are reimbursed appropriately for this specialized care. This affects Medicare beneficiaries with kidney disease who are nearing the end of life and their healthcare providers.