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Bill would expand Medicare coverage for at-home infusion therapy

In markupH.R. 4993Latest action

Sponsor: Brian K. Fitzpatrick · Representative · PA

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Official title: Joe Fiandra Access to Home Infusion Act of 2025

119th Congress

Topics: Health care

Introduced:

Read the official bill on Congress.gov

In plain words

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Medicare would cover home infusion pumps and drugs needing professional administration if given by a qualified provider.

45-second read · 4 questions answered below

What does this do?

This bill lets Medicare cover home infusion equipment and drugs even when a health care professional must give or supervise the drug, as long as a qualified home infusion provider handles it safely. The drug must be infused at least 12 times a year via IV, under the skin, or at a pump-controlled rate. HHS would also need to ensure patients are told about cost differences between home and other treatment settings.

Who does it affect?

This affects Medicare beneficiaries needing regular infusion treatments, including those with chronic illnesses, immune disorders, or infections requiring long-term IV medication. It also affects home infusion therapy companies and health care professionals providing these services.

Why does it matter?

More patients could qualify for home-based infusion coverage instead of receiving treatment in a hospital or clinic setting. This shifts where and how infusion therapy services are delivered and paid for under Medicare.

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Where does it stand?

  1. IntroducedAug 19, 2025
  2. House committeeYou are here · Dec 10, 2025
  3. House vote
  4. Senate
  5. The president's desk

Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.

Latest action: — Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 41 - 0.

Data as of October 9, 2026
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