Bill · H.R. 4993· House(119-HR-4993)
Joe Fiandra Access to Home Infusion Act of 2025
- Introduced
- 8/19/2025
- Last activity
- 12/10/2025 — Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 41 - 0.
- Sponsored by
- Brian Fitzpatrick
- Cosponsors
- - 2 - 4
- Introduced
What this bill would do
This bill, known as the "Joe Fiandra Access to Home Infusion Act of 2025," seeks to amend the Social Security Act. It aims to change how Medicare covers external infusion pumps and certain home infusion drugs. The legislation would allow certain drugs and pumps to be treated as meeting requirements for use in the home. This change applies to drugs that require supervision by a health care professional or specific infusion rates. The coverage changes would begin one year after the act is enacted.
Yes· 3 of 7
Does this make health care easier to get in general?+5
The bill expands access to specific therapies by allowing drugs that require professional supervision to be administered at home.
Would people over 65 be better off under this?+4
The bill expands Medicare benefits which primarily serve the elderly population.
Would people with disabilities be better off under this?+4
The bill improves access to essential medical treatments within the home setting for those with specific medical needs.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Expanded Medicare Coverage: The bill allows for the coverage of an external infusion pump and associated home infusion drugs or supplies that currently do not meet the requirement for use in the home (Section 2(a)).
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Improved Access to Specific Therapies: Patients can receive drugs that the FDA instructs should be administered by or under the supervision of a health care professional in their own home (Section 2(a)(1)).
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Safe Home Administration: The bill provides a framework where a qualified home infusion therapy supplier administers or supervises the drug in a safe and effective manner in the patient's home (Section 2(a)(2)).
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Coverage for High-Frequency Infusions: It extends coverage to drugs that must be infused at least 12 times per year intravenously, subcutaneously, or at specific rates requiring a pump (Section 2(a)(3)).
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Cost Transparency: The Secretary of Health and Human Services is required to ensure patients are notified of the cost sharing for home infusion therapy compared to other care settings (Section 2(b)).
Potential Negative Impacts for People
- Delayed Implementation: The new coverage provisions for pumps and drugs do not begin until the first calendar quarter that occurs at least one year after the date of the Act's enactment (Section 2(a)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For People With Disabilities+4Good For Retirees+4Good For Seniors+4Good For Low Income Households+2
- Healthcare
- Improves Healthcare Access+5Increases Medicare Funding+3
- Social Issues And Justice
- Improves Social Security+2
- 1/12/2026
- 1 Cosponsor added.
- 12/10/2025
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 41 - 0.
- 10/17/2025
- 1 Cosponsor added.
- 9/19/2025
- 1 Cosponsor added.
- 9/15/2025
- 1 Cosponsor added.
- 8/19/2025
- 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.
- 2 Cosponsors added.
- Introduced in House
3 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Neal DunnRepublican · Florida
Josh GottheimerDemocrat · New Jersey
Michael LawlerRepublican · New York
Deborah RossDemocrat · North Carolina
Darren SotoDemocrat · Florida
Eugene VindmanDemocrat · Virginia