Carves out intravenous immune globulin (IVIG) used to treat primary immune deficiency disease from Medicare's bundled payment system for skilled nursing facilities. Under current rules, SNFs receive a single per-day payment that must cover almost all care, which creates a financial disincentive to admit patients who need expensive IVIG infusions. Starting October 1, 2026, IVIG products identified by specific HCPCS codes and the related services would be billed separately rather than absorbed in the SNF daily rate. The change is intended to make it easier for primary immunodeficiency patients to find post-hospital nursing facility placement.
Congressional Summary
PI Post Acute Access Act This bill allows for separate payment under Medicare to skilled nursing facilities for items and services that are needed to administer intravenous immune globin (IVIG) to patients with primary immune deficiency diseases (rare genetic disorders that impair the immune system and increase vulnerability for other infections).
Details
- Congress
- 119th
- Chamber
- House
- Status
- summarized
- Action
- Introduced in House
- Action Date
- 2026-04-27
- Date Added
- 2026-05-22
- Source
- Congress.gov →
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