Measure Would Consolidate Infusion Under Part B

WASHINGTON–Legislation recently introduced by Rep. Kay Granger,
R-Texas, would consolidate coverage for home infusion drugs and
services under Medicare Part B.

The Medicare Home Infusion Consolidated Coverage Act (H.R. 5791)
would bring all components of home infusion therapy under the
Medicare Part B DME benefit for external infusion pumps, including
supplies, drugs, equipment and professional services.

Only 23 infusion drugs are now covered under Part B, with the
rest under the new Part D benefit, which includes a small
dispensing fee. Services and supplies that go along with home
infusion therapy are currently not covered by either Part B or
D.

“This bill will enable thousands of beneficiaries to obtain
these often life-saving therapies in the most convenient and
cost-effective setting–their homes,” Rep. Eliot Engel, D-N.Y., a
co-sponsor of the bill, said in a statement.

Engel continued, “Patients with private health coverage have
been able to receive this treatment for 20 years with excellent
results and fewer costs; it is time that Medicare provide this same
option.”

Under current Medicare coverage rules, beneficiaries are often
needlessly admitted into hospitals or nursing homes to receive the
care in situations where home infusion would be a preferred
alternative, Engel said.

“For most patients, receiving this safe and effective treatment
at home is preferable to inpatient care in terms of convenience,
comfort and cost. This legislation encourages Medicare to make it
easier for a patient to receive their care at home. We have been
looking for ways to have Medicare work for our constituents, this
legislation will do just that,” Engel said.

Other original co-sponsors include Reps. Tammy Baldwin, D-Wis.,
and Randy Kuhl, R-N.Y.

To view the text of H.R. 5791, visit http://thomas.loc.gov.