HR 4438 United States House · 118th Congress

John W. Walsh Alpha-1 Home Infusion Act of 2023

This bill expands Medicare coverage to include home infusion treatment for people with Alpha-1 Antitrypsin Deficiency Disorder, a genetic condition causing lung and liver damage. It specifically covers "augmentation therapy" (a standard treatment using Alpha-1 Proteinase Inhibitor) when administered in a patient's home by qualified providers. Medicare will pay 80% of the cost for intravenous kits and up to 2 hours of nursing care during these home infusions, starting January 1, 2025. The change directly affects Medicare beneficiaries with this condition who require home-based treatment and their qualified home infusion providers.
Bill status in committee 1 of 4 stages cleared
Introduction
Jun 2023
Committee Review
Floor Vote
President
Introduced Jun 30, 2023 Last action Dec 17, 2024
Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
3
Dec 17, 2024
Committee
Referred to the Subcommittee on Health.
lower
Jul 7, 2023
Committee
Referred to the Subcommittee on Health.
lower
Jun 30, 2023
Committee
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
lower
Jun 30, 2023
Introduced
Introduced in House
lower
1 primary · 59 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Maria Elvira Salazar
Maria Elvira Salazar
RRepublican
FL
27
Co
Photo of Adrian Smith
Adrian Smith
RRepublican
NE
3
Co
Photo of Adriano Espaillat
Adriano Espaillat
DDemocratic
NY
13
Co
Photo of Alma S. Adams
Alma S. Adams
DDemocratic
NC
12
Co
Photo of Ami Bera
Ami Bera
DDemocratic
CA
6
Co
Photo of Andrew R. Garbarino
Andrew R. Garbarino
RRepublican
NY
2
Co
Photo of Andy Kim
Andy Kim
DDemocratic
NJ
n/a
Co
Photo of Angie Craig
Angie Craig
DDemocratic
MN
2
Co
Photo of Anthony D’Esposito
Anthony D’Esposito
RRepublican
NY
4
Co
Photo of Bill Pascrell, Jr.
Bill Pascrell, Jr.
DDemocratic
NJ
9
Co
Photo of Bill Posey
Bill Posey
RRepublican
FL
8