HR 4993 United States House · 119th Congress

Joe Fiandra Access to Home Infusion Act of 2025

This bill expands Medicare coverage for home infusion therapy by changing how external infusion pumps and certain non-self-administered drugs are treated as durable medical equipment. It requires that these items be covered if three conditions are met: the drug's FDA-approved instructions require professional supervision, a qualified home infusion supplier administers/supervises the therapy at home, and the drug requires at least 12 infusions annually (either IV/subcutaneous or at pump-requiring rates). The bill directly affects Medicare beneficiaries needing long-term infusion drugs and qualified home infusion therapy suppliers. It also mandates that Medicare notify patients about cost-sharing differences between home infusion therapy and other care settings. This policy change clarifies coverage for specific home-based infusion treatments under defined safety and frequency requirements.
Sub-Topics: Medicare
Bill status in committee 1 of 4 stages cleared
Introduction
Aug 2025
Committee Review
Floor Vote
President
Introduced Aug 19, 2025 Last action Dec 10, 2025
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Full legislative history

Actions timeline

Total actions
4
Key actions
1
Committee
2
Amendments
1
Dec 10, 2025
Introduced
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 41 - 0.
lower
Dec 10, 2025
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
Aug 19, 2025
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
Aug 19, 2025
Introduced
Introduced in House
lower
1 primary · 6 co-sponsors

Sponsors