Rep. Jason Smith (R-MO) reintroduced legislation that would establish a demonstration program for Medicare beneficiaries with ESRD. Under H.R. 4143, the Dialysis PATIENTS Demonstration Act of 2017, the ESRD Integrated Care Demonstration Program would assess the effects of alternative care delivery models and payment methodologies on patient care improvements. Eligible participating providers, including renal dialysis facilities, nephrologists, and physicians, and eligible participating partners, including Medicare Advantage plans, may form an ESRD Integrated Care Organization to integrate care and serve as the medical home for an eligible beneficiary under Medicare Parts A and B. The bill’s original co-sponsors are Reps. Cathy McMorris Rodgers (R-WA), Earl Blumenauer (D-OR) and Tony Cárdenas (D-CA), and the bill currently has 114 co-sponsors.

Companion legislation, S. 2065, was also reintroduced in the Senate by Sen. Todd Young (R-IN), who was the lead sponsor of the House bill in the last Congress when he was a representative. The Senate bill’s original co-sponsors are Sens. Bill Nelson (D-FL), Dean Heller (R-NV), and Michael Bennet (D-CO), and the bill currently has 6 co-sponsors.