Preserving Patient Access to Home Infusion Act — HR. 2172

TL;DR (AI)

• The bill prohibits Medicare Advantage plans from restricting access to home infusion therapy services beyond the limitations applied to traditional Medicare.
• It requires Medicare Advantage plans to utilize a methodology for determining medical necessity that aligns with traditional Medicare’s approach.
• The bill mandates reporting from Medicare Advantage organizations regarding home infusion therapy prior authorization decisions to ensure transparency and accountability.