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This bill amends the Medicare program to expand coverage of self-care home dialysis support services. Specifically, it adds two new covered services beginning January 1, 2028: staff-assisted home dialysis respite care (for patients temporarily unable to dialyze independently, up to 20 sessions per year) and renal mental health services (up to 4 sessions during the first 60 days of home dialysis initiation). The bill establishes payment rates for these services based on existing home dialysis training add-on payments, with higher rates in rural areas.
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