Adds staff-assisted respite care and renal mental health services furnished at home to Medicare's self-care home dialysis support services, with added payments for each session starting January 1, 2028.

• Adds staff-assisted home dialysis respite care to covered services, for up to 20 sessions per calendar year, during the 30-day period after a patient starts home dialysis or at any time if a physical limitation causes the temporary inability to dialyze
• Adds renal mental health services furnished at home, for up to 4 sessions during the 60-day period after a patient starts home dialysis
• Sets payment adjustments at the 2025 home and self-dialysis training add-on amount, reduced to 75 percent outside rural areas for respite care and to 50 percent (25 percent outside rural areas) for mental health services, with payments not budget neutral
• Takes effect for services furnished beginning January 1, 2028

• Ways and Means Committee (House)
• Energy and Commerce Committee (House)

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