119th Congress · introduced in the House · May 19, 2026
Improving Home Dialysis Act of 2026
Official title from Congress.gov
Latest action (May 21, 2026): Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 28 - 13.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (May 19, 2026)
Improving Home Dialysis Act of 2026
This bill provides for Medicare coverage of staff-assisted home dialysis respite care and renal mental health services that are furnished at the home of a beneficiary with end-stage renal disease.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 28 - 13.
Committee Consideration and Mark-up Session Held
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.
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.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
Digestive and metabolic diseases · Health care costs and insurance · Health care coverage and access · Health personnel · Health technology, devices, supplies · Home and outpatient care · Medicare · Mental health
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.
17 citations.
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$3,010,000
Spent on own lobbying
…vantage Improvement Act - Rep. Joyce, John - MA programmatic reforms H.R. 8377 - Stop Deadly Denials Act - Rep. Khanna, Ro - MA prior authorization prohibition H.R. 8875 - Improving Home Dialysis Act - Rep. Miller, Carol - Home dialysis coverage under Medicare H.R. 9542 - Protecting Health Care and Lowering Costs Act - Rep. Boy…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DAVITA INC · lobbying firm or registrant: DAVITA INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$1,120,000
Spent on own lobbying
…s Protection Act Issues related to End Stage Renal Disease (ESRD) Perspective Payment System (PPS) CMS regulations pertaining to the Medicare Advantage Program H.R. 8875, Improving Home Dialysis Act Issues related to home dialysis Issues related to chronic kidney disease (CKD) and prevention Issues related to access to kidney t…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DAVITA INC · lobbying firm or registrant: DAVITA INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$1,120,000
Spent on own lobbying
…s Protection Act Issues related to End Stage Renal Disease (ESRD) Perspective Payment System (PPS) CMS regulations pertaining to the Medicare Advantage Program H.R. 8875, Improving Home Dialysis Act Issues related to home dialysis Issues related to chronic kidney disease (CKD) and prevention Issues related to access to kidney t…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
RENAL HEALTHCARE ASSOCIATION · lobbying firm or registrant: MEHLMAN CONSULTING, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$70,000
Paid to lobbying firm
…RD Treatment Choice Model. Telehealth. H.R. 6214/S. 2730 - Kidney Care Access Protection Act H.R. 2199/S. 1173 - Restore Protections for Dialysis Patients Act. H.R. 8875 - Improving Home Dialysis Act of 2026.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
RENAL HEALTHCARE ASSOCIATION · lobbying firm or registrant: MEHLMAN CONSULTING, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$70,000
Paid to lobbying firm
…ase, Acute Kidney Injury, Dialysis, and ESRD Treatment Choice Model. Issues related to access for rural and underserved patients with ESRD. Medicare Advantage. H.R. 8875 - Improving Home Dialysis Act of 2026.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL KIDNEY FOUNDATION · lobbying firm or registrant: NATIONAL KIDNEY FOUNDATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$80,000
Spent on own lobbying
…ion Access Expansion Act of 2026," to expand eligibility and utilization of the Medicare kidney disease education benefit and improve kidney disease detection. H.R. 8875, the "Improving Home Dialysis Act of 2026" to address barriers to utilization of home dialysis. S.1973 and H.R. 4231, "Treat and Reduce Obesity Act," to provid…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NONPROFIT KIDNEY CARE ALLIANCE · lobbying firm or registrant: HOOPER, LUNDY & BOOKMAN, P.C.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$90,000
Paid to lobbying firm
…dialysis, cuts to Medicaid, policies related to home dialysis and Medicare Advantage; Concurrent Care for Comfort Act (H.R. 8376); Improving Home Dialysis Act (H.R. 8875).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL KIDNEY FOUNDATION · lobbying firm or registrant: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$30,000
Paid to lobbying firm
H.R. 8875 - Improving Home Dialysis Act of 2026 H.R. 9509 - Kidney Disease Education Access Expansion Act of 2026 Kidney Disease Education
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
KIDNEY CARE PARTNERS · lobbying firm or registrant: CROSSROADS STRATEGIES, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 17, 2026 · issue area: Medicare/Medicaid
$110,000
Paid to lobbying firm
…ney Care Access Protection Act of 2025 (H.R.6214/S.2730). Restore Protections for Dialysis Patients Act (H.R.8594/S.4750). Improving Home Dialysis Act of 2026 (H.R.8875).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN SOCIETY OF NEPHROLOGY · lobbying firm or registrant: AMERICAN SOCIETY OF NEPHROLOGY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 14, 2026 · issue area: Health Issues
$70,000
Spent on own lobbying
…t Act (HR 8367) and related policy concepts regarding helping patients on dialysis nearing end of life also access hospice care -Home Dialysis Improvement Act (HR 8875) and related policy concepts helping more patients consider electing home dialysis -Kidney Disease Education Expansion Act of 2026 (H.R. 9509) and related poli…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$3,010,000
Spent on own lobbying
…vantage Improvement Act - Rep. Joyce, John - MA programmatic reforms H.R. 8377 - Stop Deadly Denials Act - Rep. Khanna, Ro - MA prior authorization prohibition H.R. 8875 - Improving Home Dialysis Act - Rep. Miller, Carol - Home dialysis coverage under Medicare S. 523 - Protect Medicaid Act - Sen. Cassidy, Bill - Medicaid eligib…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DAVITA INC · lobbying firm or registrant: DAVITA INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$980,000
Spent on own lobbying
…nd Stage Renal Disease (ESRD) Perspective Payment System (PPS) Issues related to nursing shortages CMS regulations pertaining to the Medicare Advantage Program H.R. 8875, Improving Home Dialysis Act Issues related to home dialysis Issues related to chronic kidney disease (CKD) and prevention Issues related to access to kidney t…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DAVITA INC · lobbying firm or registrant: DAVITA INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$980,000
Spent on own lobbying
…nd Stage Renal Disease (ESRD) Perspective Payment System (PPS) Issues related to nursing shortages CMS regulations pertaining to the Medicare Advantage Program H.R. 8875, Improving Home Dialysis Act Issues related to home dialysis Issues related to chronic kidney disease (CKD) and prevention Issues related to access to kidney t…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NONPROFIT KIDNEY CARE ALLIANCE · lobbying firm or registrant: HOOPER, LUNDY & BOOKMAN, P.C.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$90,000
Paid to lobbying firm
…dialysis, cuts to Medicaid, policies related to home dialysis and Medicare Advantage; Concurrent Care for Comfort Act (H.R. 8376); Improving Home Dialysis Act (H.R. 8875).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
KIDNEY CARE PARTNERS · lobbying firm or registrant: CROSSROADS STRATEGIES, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Medicare/Medicaid
$70,000
Paid to lobbying firm
…ney Care Access Protection Act of 2025 (H.R.6214/S.2730). Restore Protections for Dialysis Patients Act (H.R.8594/S.4750). Improving Home Dialysis Act of 2026 (H.R.8875).
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN SOCIETY OF NEPHROLOGY · lobbying firm or registrant: AMERICAN SOCIETY OF NEPHROLOGY
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Health Issues
$60,000
Spent on own lobbying
…t Act (HR 8367) and related policy concepts regarding helping patients on dialysis nearing end of life also access hospice care -Home Dialysis Improvement Act (HR 8875) and related policy concepts helping more patients consider electing home dialysis -Kidney Disease Education Expansion Act of 2026 (H.R. 9509) and related poli…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL KIDNEY FOUNDATION · lobbying firm or registrant: CAVAROCCHI RUSCIO DENNIS ASSOCIATES, L.L.C.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Medicare/Medicaid
$30,000
Paid to lobbying firm
H.R. 8875 - Improving Home Dialysis Act of 2026 H.R. 9509 - Kidney Disease Education Access Expansion Act of 2026 Kidney Disease Education
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing