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US SB1173
Bill
AI Summary
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Amends the Medicare Secondary Payer Act to prohibit group health plans from differentiating benefits between individuals with end-stage renal disease (ESRD) and other covered individuals
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Prohibits health plans from applying benefit limitations, including network composition restrictions, that disparately affect individuals with ESRD
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Prevents private insurers from shifting primary responsibility for covering ESRD-related healthcare costs to Medicare
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Preserves health plans' ability to determine which specific renal dialysis providers and how many to include in their networks
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Requires the Secretary to enforce these provisions consistent with nonconformance determination requirements in 42 CFR Part 411
Legislative Description
Restore Protections for Dialysis Patients Act
Health
Last Action
Read twice and referred to the Committee on Finance.
3/27/2025