A Republican bill with 47 Democratic cosponsors · See all 95 cosponsors
Last activity — Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
This bill, titled the "Restore Protections for Dialysis Patients Act," aims to amend the Social Security Act. It focuses on clarifying and preserving protections under the Medicare Secondary Payer Act. The legislation seeks to prevent private health plans from discriminating against patients with end stage renal disease (ESRD). It specifically targets the practice of treating dialysis differently than other covered medical services. Additionally, the bill aims to stop health insurance plans from shifting the cost of care for ESRD patients onto the Medicare program.
Yes· 3 of 12
- Scored +8
Would people over 65 be better off under this?
ESRD disproportionately affects seniors who rely on Medicare and private supplementary plans.
- Scored +8
Would retired people be better off under this?
Retirees are a primary demographic for ESRD treatment and Medicare services.
- Scored +7
Would people with disabilities be better off under this?
Protects patients with the chronic disability of end stage renal disease.
The opposite
- Scored -2
Would business owners be better off under this?
May increase costs for employers providing group health plans by limiting benefit restrictions.
Who it would affect, and how
Potential Positive Impacts for People
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Prevention of discrimination: The bill aims to ensure that private health plans do not discriminate against ESRD patients based on their diagnosis or need for dialysis (Section 2, Purpose 1; Section 3, Clause ii).
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Cost protection: It seeks to prohibit health insurance plans from shifting the primary responsibility for covering health care services needed by ESRD patients to the Medicare program (Section 2, Purpose 2).
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Equalized benefits: The bill prevents plans from differentiating benefits between individuals with ESRD and other covered individuals (Section 3, Clause ii, I).
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Protection against disproportionate limitations: It aims to stop plans from applying benefit limitations that would disparately affect people with ESRD (Section 3, Clause ii, II).
Potential Negative Impacts for People
- Provider network limitations: While the bill limits how plans treat dialysis services, it does not change a plan's ability to limit which specific renal dialysis providers it includes in its elected provider network (Section 2, Purpose 3; Section 3, Clause ii).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would retired people be better off under this? — Retirees are a primary demographic for ESRD treatment and Medicare services. Would people over 65 be better off under this? — ESRD disproportionately affects seniors who rely on Medicare and private supplementary plans. Would people with disabilities be better off under this? — Protects patients with the chronic disability of end stage renal disease. Would Black Americans be better off under this? — African Americans are disproportionately affected by ESRD. Would households on low incomes be better off under this? — Protects against cost-shifting that could increase the financial burden on low-income dialysis patients. Would Hispanic Americans be better off under this? — Hispanic Americans are disproportionately affected by ESRD. Would middle-income households be better off under this? — Prevents insurance plans from treating dialysis services less favorably. Would people in middle age be better off under this? — Provides protections for adults who may develop ESRD. Would business owners be better off under this? — May increase costs for employers providing group health plans by limiting benefit restrictions.
- Healthcare
- Does this make health care easier to get in general? — Ensures ESRD patients have non-discriminatory access to dialysis services through private plans.
- Social Issues And Justice
- Does this expand the rights of people with disabilities? — Protects patients with chronic health conditions (ESRD) from discriminatory insurance practices.
- Economy And Finance
- Does this give people more protection from unfair business practices? — Protects patients from discriminatory insurance benefit limitations.
- Governance And Ideology
- Does this give the federal government more power? — Increases federal oversight of private health insurance plans regarding ESRD coverage.
- 11/9/2026
- 1 Cosponsor added.
- 10/22/2026
- 1 Cosponsor added.
- 10/19/2026
- 3 Cosponsors added.
- 10/1/2026
- 9 Cosponsors added.
- 9/16/2026
- 3 Cosponsors added.
- 9/14/2026
- 2 Cosponsors added.
- 9/2/2026
- 1 Cosponsor added.
- 8/31/2026
- 1 Cosponsor added.
- 8/20/2026
- 2 Cosponsors added.
- 6/29/2026
- 1 Cosponsor added.
- 6/2/2026
- 3 Cosponsors added.
- 5/20/2026
- 1 Cosponsor added.
- 5/12/2026
- 5 Cosponsors added.
- 4/29/2026
- 1 Cosponsor added.
- 4/9/2026
- 1 Cosponsor added.
- 3/27/2026
- 1 Cosponsor added.
- 3/19/2026
- 1 Cosponsor added.
- 2/9/2026
- 1 Cosponsor added.
- 2/3/2026
- 3 Cosponsors added.
- 1/21/2026
- 1 Cosponsor added.
- 1/7/2026
- 2 Cosponsors added.
- 12/16/2025
- 1 Cosponsor added.
- 12/10/2025
- 1 Cosponsor added.
- 12/1/2025
- 3 Cosponsors added.
- 11/17/2025
- 1 Cosponsor added.
- 11/10/2025
- 1 Cosponsor added.
- 10/10/2025
- 1 Cosponsor added.
- 9/30/2025
- 2 Cosponsors added.
- 9/26/2025
- 1 Cosponsor added.
- 9/18/2025
- 1 Cosponsor added.
- 9/8/2025
- 2 Cosponsors added.
- 9/3/2025
- 1 Cosponsor added.
- 8/26/2025
- 1 Cosponsor added.
- 8/19/2025
- 1 Cosponsor added.
- 8/12/2025
- 1 Cosponsor added.
- 7/16/2025
- 1 Cosponsor added.
- 7/2/2025
- 1 Cosponsor added.
- 6/23/2025
- 2 Cosponsors added.
- 6/17/2025
- 1 Cosponsor added.
- 6/12/2025
- 1 Cosponsor added.
- 6/11/2025
- 1 Cosponsor added.
- 6/9/2025
- 2 Cosponsors added.
- 6/5/2025
- 3 Cosponsors added.
- 5/29/2025
- 1 Cosponsor added.
- 5/21/2025
- 1 Cosponsor added.
- 5/20/2025
- 1 Cosponsor added.
- 5/15/2025
- 1 Cosponsor added.
- 5/8/2025
- 1 Cosponsor added.
- 5/6/2025
- 1 Cosponsor added.
- 4/24/2025
- 1 Cosponsor added.
- 4/9/2025
- 1 Cosponsor added.
- 4/7/2025
- 1 Cosponsor added.
- 3/31/2025
- 5 Cosponsors added.
- 3/24/2025
- 2 Cosponsors added.
- 3/18/2025
- Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
- 5 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Alma AdamsDemocrat · North Carolina
Mark AlfordRepublican · Missouri
Gus BilirakisRepublican · Florida
Ami BeraDemocrat · California
Jack BergmanRepublican · Michigan
Troy BaldersonRepublican · Ohio
Aaron BeanRepublican · Florida
Janelle BynumDemocrat · Oregon
Robert BresnahanRepublican · Pennsylvania
Tom ColeRepublican · Oklahoma
Yvette ClarkeDemocrat · New York
Steve CohenDemocrat · Tennessee
Eric CrawfordRepublican · Arkansas
Earl CarterRepublican · Georgia
J. CorreaDemocrat · California
Salud CarbajalDemocrat · California
Angie CraigDemocrat · Minnesota
Jason CrowDemocrat · Colorado
Troy CarterDemocrat · Louisiana
Mike CareyRepublican · Ohio
Sheila Cherfilus-McCormickDemocrat · Florida
Herbert ConawayDemocrat · New Jersey
Danny DavisDemocrat · Illinois
Donald DavisDemocrat · North Carolina
Neal DunnRepublican · Florida
Madeleine DeanDemocrat · Pennsylvania
Veronica EscobarDemocrat · Texas
Randy FeenstraRepublican · Iowa
Brian FitzpatrickRepublican · Pennsylvania
Mike FloodRepublican · Nebraska
Vince FongRepublican · California
Vicente GonzalezDemocrat · Texas
Josh GottheimerDemocrat · New Jersey
Richard HudsonRepublican · North Carolina
Chrissy HoulahanDemocrat · Pennsylvania
Ashley HinsonRepublican · Iowa
Erin HouchinRepublican · Indiana
Wesley HuntRepublican · Texas
Jeff HurdRepublican · Colorado
Glenn IveyDemocrat · Maryland
John JoyceRepublican · Pennsylvania
Jonathan JacksonDemocrat · Illinois
Julie JohnsonDemocrat · Texas
Marcy KapturDemocrat · Ohio
William KeatingDemocrat · Massachusetts
Thomas KeanRepublican · New Jersey
Jennifer KiggansRepublican · Virginia
Frank LucasRepublican · Oklahoma
Ted LieuDemocrat · California
Darin LaHoodRepublican · Illinois
Nick LaLotaRepublican · New York
Michael LawlerRepublican · New York
Nicholas LangworthyRepublican · New York
Greg LandsmanDemocrat · Ohio
James McGovernDemocrat · Massachusetts
Nicole MalliotakisRepublican · New York
Tracey MannRepublican · Kansas
Grace MengDemocrat · New York
Daniel MeuserRepublican · Pennsylvania
Mariannette Miller-MeeksRepublican · Iowa
Nathaniel MoranRepublican · Texas
LaMonica McIverDemocrat · New Jersey
Mark MessmerRepublican · Indiana
Sarah McBrideDemocrat · Delaware
Ralph NormanRepublican · South Carolina
Joe NeguseDemocrat · Colorado
Robert OnderRepublican · Missouri
August PflugerRepublican · Texas
Jimmy PanettaDemocrat · California
Chris PappasDemocrat · New Hampshire
Brittany PettersenDemocrat · Colorado
Raul RuizDemocrat · California
John RutherfordRepublican · Florida
Michael RulliRepublican · Ohio
Josh RileyDemocrat · New York
Terri SewellDemocrat · Alabama
Darren SotoDemocrat · Florida
Thomas SuozziDemocrat · New York
Pete StauberRepublican · Minnesota
Mike ThompsonDemocrat · California
Glenn ThompsonRepublican · Pennsylvania
Paul TonkoDemocrat · New York
Claudia TenneyRepublican · New York
Rashida TlaibDemocrat · Michigan
Lori TrahanDemocrat · Massachusetts
Shri ThanedarDemocrat · Michigan
David ValadaoRepublican · California
Beth Van DuyneRepublican · Texas
Derrick Van OrdenRepublican · Wisconsin
Gabe VasquezDemocrat · New Mexico
Eugene VindmanDemocrat · Virginia
Joe WilsonRepublican · South Carolina
Debbie Wasserman SchultzDemocrat · Florida
Daniel WebsterRepublican · Florida
Ann WagnerRepublican · Missouri