Preserving Patient Access to Home Infusion Act

This bill aims to keep Medicare patients’ access to infusion therapy at home. It adds needed pharmacy services, updates how providers are paid so it better matches the time and work, and lets more types of clinicians help manage care.

Key points

• Coverage: Clarifies that pharmacy services are part of home infusion under Medicare.
• Who can manage care: Nurse practitioners and physician assistants can set and review a home infusion plan of care, not just doctors.
• Payment updates: From 2026 through 2029, Medicare’s standard payment for home infusion will reflect up to 5 hours of infusion time per therapy, per day. If the supplier isn’t in the home that day, payment is 50% of the full amount.
• Non‑pump infusions: Ensures payment for the related services when a drug is given without a pump, even if that drug itself isn’t payable under this part.
• Supplies: Ends separate same‑day payments for certain supplies (like tubing, catheters, dressings, needles, and syringes) when the home infusion therapy is already paid.
• Start date: Most changes apply to items and services provided on or after January 1, 2026.