Sponsors (8)
The bill aims to expand physician‑led remote monitoring for Medicare home dialysis patients and increase clinician reimbursement, improving patient monitoring but likely raising Medicare costs and creating administrative winners/losers plus near‑term billing uncertainty.
Medicare beneficiaries on home dialysis will have better access to physician‑led remote patient monitoring (RPM), which can improve monitoring and earlier detection of complications.
Physician‑furnished RPM services for ESRD home dialysis will be paid under the Physician Fee Schedule starting Jan 1, 2028, increasing clinician reimbursement for those providing remote monitoring.
A clear statutory payment rule reduces uncertainty for providers and HHS about billing and reimbursement for RPM in the ESRD home dialysis population.
Shifting RPM payment to the Physician Fee Schedule could increase Medicare spending, raising costs for taxpayers and pressure on the Medicare program.
If PFS payment rates or billing rules are restrictive, some suppliers (for example, dialysis clinics or non‑physician providers) may lose reimbursement or face new administrative burdens.
The change does not take effect until Jan 1, 2028, creating interim uncertainty and billing complexity for providers between enactment and the effective date.
Based on analysis of 2 sections of legislative text.
Requires Medicare to pay physician‑provided remote physiologic monitoring for home dialysis ESRD patients under the Physician Fee Schedule starting Jan 1, 2028.
Official title: To amend title XVIII of the Social Security Act to expand certain remote monitoring services furnished by physicians to individuals with end stage renal disease under the Medicare program.
Introduced April 16, 2026 by Rudy Yakym · Last progress April 16, 2026
Makes Medicare pay for physician-provided remote physiologic monitoring (RPM) for people with end stage renal disease (ESRD) who receive home dialysis under the Physician Fee Schedule beginning January 1, 2028. It changes the Medicare payment rules so RPM furnished by a physician to home dialysis ESRD patients is paid on the same basis as other physician services under section 1848 (the Physician Fee Schedule).