PREVENT ESRD Act

The PREVENT ESRD Act establishes a ten-year demonstration program to help prevent kidney disease from progressing to end-stage renal disease, which places a heavy financial burden on Medicare. Starting in 2027, the program invites private health plans, Medicaid programs, and other insurers to voluntarily join an initiative where they must cover specific kidney care services, such as screenings, medications, and nutrition support, with little to no cost to patients. Participating plans can earn shared savings payments from Medicare if they successfully reduce the rate of kidney disease progression compared to a benchmark based on their historical data, provided they maintain high quality of care and do not avoid enrolling high-risk patients. The legislation also requires the Department of Health and Human Services to hold listening sessions and gather public input to refine the program's scope and ensure it meets the needs of patients and providers.