119-s1936

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 1936 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 1936

 To require the Center for Medicare and Medicaid Innovation to test 
 allowing blood transfusions to be paid separately from the Medicare 
 hospice all-inclusive per diem payment.

_______________________________________________________________________

 IN THE SENATE OF THE UNITED STATES

 June 3, 2025

 Ms. Rosen (for herself, Mr. Barrasso, and Ms. Baldwin) introduced the 
 following bill; which was read twice and referred to the Committee on 
 Finance

_______________________________________________________________________

 A BILL

 To require the Center for Medicare and Medicaid Innovation to test 
 allowing blood transfusions to be paid separately from the Medicare 
 hospice all-inclusive per diem payment.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Improving Access to Transfusion Care 
for Hospice Patients Act of 2025''.

SEC. 2. CENTER FOR MEDICARE AND MEDICAID INNOVATION TESTING OF ALLOWING 
 BLOOD TRANSFUSIONS TO BE PAID SEPARATELY FROM THE 
 MEDICARE HOSPICE ALL-INCLUSIVE PER DIEM PAYMENT.

 

Section 1115A of the Social Security Act (42 U.S.C. 1315a) is 
amended--

    (1) in subsection

    (b)

    (2)
        (A) , by adding at the end the 
 following new sentence: ``The models selected under this 
 subparagraph shall include the testing of the model described 
 in subsection

    (h) .''; and

    (2) by adding at the end the following new subsection:
 ``

    (h) Testing of Allowing Blood Transfusions To Be Paid Separately 
From the Medicare Hospice All-Inclusive Per Diem Payment.--
 ``

    (1) In general.--Not later than 1 year after the date of 
 enactment of this subsection, the CMI shall establish and 
 implement a model under which blood transfusions furnished to 
 an individual receiving hospice care are paid separately from 
 the hospice all-inclusive per diem payment under 

section 1814
            (i) . The separate payment amount for such blood transfusion 
 shall be the amount that would otherwise apply under title 
 XVIII if the transfusion was not furnished as part of hospice 
 care.
 ``

    (2) Requirements for evaluation.--In conducting any 
 evaluation of the model described in paragraph

    (1) pursuant to 
 subsection

    (b)

    (4) , the CMI shall ensure it compares 
 participants under the model with similar patients outside of 
 the model with respect to the following metrics:
 ``
        (A) The number of chemotherapy services furnished 
 in the last 14 days of life.
 ``
        (B) Hospital utilization in the last 30 days of 
 life, including emergency department visits, in-patient 
 and observation status stays (including the length of 
 the stays), and intensive care unit

    (ICU) days.
 ``
            (C) How many days receiving hospice care before 
 the end of life.
 ``
            (D) The number of patients receiving hospice care 
 who received a transfusion compared to patients with 
 similar diagnoses not receiving hospice care.
 ``
        (E) The average frequency of transfusion for 
 patients receiving hospice care compared to patients 
 not receiving hospice care.
 ``
        (F) The number of transfusions for patients 
 receiving hospice care compared to patients not 
 receiving hospice care.
 ``
        (G) Other areas determined appropriate by the 
 CMI.''.
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