1. Short title
This Act may be cited as the “Preserving Patient Access to Home Infusion Act”.
Preserving Patient Access to Home Infusion Act
A BILL
To amend title XVIII of the Social Security Act to clarify congressional intent and preserve patient access to home infusion therapy under the Medicare program, and for other purposes.
2. Preservation of patient access to home infusion therapy under Medicare program
in paragraph (2)(A), by inserting “and pharmacy services” before “, furnished in accordance with the plan”; and
in paragraph (3)(C)(ii), by inserting after “list” the following: “, unless such self-administered drug or biological was included as a transitional home infusion drug (as defined in section 1834(u)(7)(A)(iii))”.
Clarification of infusion drug administration calendar day— Section 1834(u)(1)(A)(ii) of the Social Security Act (42 U.S.C. 1395m(u)(1)(A)(ii)) is amended by inserting after the first sentence the following new sentence: “For purposes of the previous sentence, with respect to the furnishing of home infusion drugs to an individual by a qualified home infusion therapy supplier, a reference to payment to such supplier for an infusion drug administration calendar day in the home of such individual shall refer to payment for the date on which such a drug was administered to the individual (regardless of whether a qualified home infusion therapy supplier was physically present in the home of such individual on such date).”.
Effective date— The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2021.