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Ways and Means Chairman Jason Smith, Committee Members Highlight How Employers Discriminate Against ESRD Patients, Importance of Bipartisan RESTORE Act at Today’s Hearing on Improving Kidney Health
March 18, 2026
WASHINGTON — At today’s House Ways and Means Committee hearing on improving kidney health, Chairman Jason Smith and bipartisan colleagues sounded the alarm on a brewing fiscal and public health crisis — and highlighted the Restore Protections for Dialysis Patients Act (S. 1173 & H.R. 2199), known as the RESTORE Act.
The Supreme Court’s June 2022 Marietta ruling is a ticking fiscal bomb. It allows employers to discriminate against patients with end-stage renal disease (ESRD) by carving out dialysis benefits — kicking patients and their entire families off employer-sponsored insurance and forcing them onto Medicare prematurely. The consequences are severe: billions in new costs shifted to taxpayers, an endangered Medicare Trust Fund, and the potential closure of vital dialysis clinics nationwide, particularly in rural communities.
Today’s hearing made clear this is a national crisis affecting red and blue states, big cities and small towns. Lawmakers from both sides of the aisle highlighted the RESTORE Act a clear, practical fix.
“A recent Supreme Court Decision allows employers to discriminate against patients with ESRD and carve out their dialysis benefits… These vulnerable patients first and foremost need coverage to access this care. We have even seen legislation introduced to address the court’s decision and ensure access to employer coverage and patient care. Like my Colleague Mr. Kelly’s bill [RESTORE Act].” — Chairman Jason Smith (R-MO)
“The RESTORE Act — which is incredibly important.” — Rep. Mike Kelly (R-PA)
“Ensures individuals with ESRD will continue to have access to private healthcare and provide necessary protections to the Medicare Trust Fund.” — Rep. Brian Fitzpatrick (R-PA)
“We are urging everyone to join.” — Rep. Danny K. Davis (D-IL)
Kidney Care Access Coalition Applauds Rep. Yvette D. Clarke for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. — The Kidney Care Access Coalition commends Representative Yvette Clarke (NY-09) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court's June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
"Congresswoman Clarke is a dedicated advocate for fiscal responsibility and the protection of kidney failure patients and their families," said a Spokesperson of the Kidney Care Access Coalition. "By cosponsoring the RESTORE Act, she is helping ensure that our nation's kidney care system remains accessible to all patients, regardless of where they live, while safeguarding Medicare's future."
As employers increasingly exploit the Marietta ruling, rural dialysis clinics — nearly 20% of which are located in underserved areas — face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Neal Dunn for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. — The Kidney Care Access Coalition commends Representative Neal Dunn (FL-02) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court's June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
"Congressman Dunn's support for the RESTORE Act demonstrates his commitment to protecting kidney failure patients and ensuring the stability of Medicare," said a Spokesperson of the Kidney Care Access Coalition. "This legislation is a practical step toward maintaining access to critical care for all Americans, no matter their location or political affiliation."
As employers increasingly exploit the Marietta ruling, rural dialysis clinics — nearly 20% of which are located in underserved areas — face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Danny K. Davis for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. — The Kidney Care Access Coalition commends Representative Danny Davis (IL-07) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.The Supreme Court's June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely.
This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
"Congressman Danny Davis is a steadfast supporter of kidney failure patients, their families, and the fiscal health of the Medicare Trust Fund," said a Spokesperson of the Kidney Care Access Coalition. "His backing of the RESTORE Act ensures that patients across the country, from urban to rural communities, have access to the care they need."
As employers increasingly exploit the Marietta ruling, rural dialysis clinics — nearly 20% of which are located in underserved areas — face the risk of closure.
This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. John Joyce for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. — The Kidney Care Access Coalition commends Representative John Joyce (PA-13) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court's June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
"Congressman John Joyce's commitment to the RESTORE Act reflects his dedication to both patient care and fiscal responsibility," said a Spokesperson of the Kidney Care Access Coalition. "This legislation is vital to ensuring that kidney failure patients across all regions maintain access to essential care while protecting Medicare's long-term viability."
As employers increasingly exploit the Marietta ruling, rural dialysis clinics — nearly 20% of which are located in underserved areas — face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Raul Ruiz for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. — The Kidney Care Access Coalition commends Representative Raul Ruiz (CA-25) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court's June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
"Congressman Raul Ruiz is a tireless advocate for kidney failure patients and the sustainability of the Medicare Trust Fund," said a Spokesperson of the Kidney Care Access Coalition. "His support for the RESTORE Act ensures that patients, whether in urban or rural areas, can access critical dialysis care without financial disruption."
As employers increasingly exploit the Marietta ruling, rural dialysis clinics — nearly 20% of which are located in underserved areas — face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Beth Van Duyne for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. — March 24, 2025 — The Kidney Care Access Coalition commends Representative Beth Van Duyne (TX-24) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court's June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely.
This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
"Congresswoman Beth Van Duyne's support for the RESTORE Act underscores her commitment to protecting vulnerable patients and ensuring the wise use of taxpayer funds," said a Spokesperson of the Kidney Care Access Coalition. "This legislation is essential to maintaining access to kidney care for all Americans."
As employers increasingly exploit the Marietta ruling, rural dialysis clinics — nearly 20% of which are located in underserved areas — face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers.The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Brittany Pettersen for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. –The Kidney Care Access Coalition commends Representative Brittany Pettersen (CO-07) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman Brittany Pettersen is a strong voice for kidney failure patients and fiscal responsibility,” said a Spokesperson of the Kidney Care Access Coalition. “Her support for the RESTORE Act helps ensure that patients across the nation have access to life-saving care while protecting Medicare’s future.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Jason Crow for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Jason Crow (CO-06) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Jason Crow’s commitment to the RESTORE Act highlights his dedication to protecting kidney failure patients and ensuring Medicare’s sustainability,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is critical to maintaining access to care for patients in both urban and rural communities.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Sheila Cherfilus-McCormick for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Sheila Cherfilus-McCormick (FL-20) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman Sheila Cherfilus-McCormick is a fierce advocate for kidney failure patients and the fiscal integrity of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “Her support for the RESTORE Act ensures that patients across the country can access essential care without increasing the burden on the American taxpayer.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Darren Soto for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. –The Kidney Care Access Coalition commends Representative Darren Soto (FL-09) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Soto’s support for the RESTORE Act reflects his commitment to ensuring access to care for dialysis patients,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is a vital step toward protecting patients and preserving Medicare’s financial stability.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Steve Cohen for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Steve Cohen (TN-09) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Steve Cohen is a dedicated champion for kidney failure patients and the long-term fiscal health of the Medicare Trust Fund,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients in all communities can access the care they need without facing undue financial burdens.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Julie Johnson for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Julie Johnson (TX-32) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman Julie Johnson’s backing of the RESTORE Act demonstrates her commitment to protecting kidney failure patients and ensuring Medicare’s stability,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is crucial for maintaining access to life-saving care for patients across the nation.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Paul Tonko for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Paul Tonko (NY-20) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Paul Tonko is a strong advocate for kidney failure patients and the fiscal health of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients across urban and rural communities can access critical care.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Jimmy Panetta for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Jimmy Panetta (CA-19) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Jimmy Panetta’s support for the RESTORE Act reflects his dedication to protecting kidney failure patients and ensuring Medicare’s long-term viability,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is essential to safeguarding access to care for patients across all regions of the country.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. LaMonica McIver for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
The Kidney Care Access Coalition commends Representative LaMonica McIver (NJ-10) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman LaMonica McIver is a committed advocate for kidney failure patients and the fiscal stability of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “Her support for the RESTORE Act ensures that patients in all communities can access life-saving care without the risk of being kicked off their employer-sponsored insurance plan.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Sarah McBride for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Sarah McBride (DE-At Large) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman Sarah McBride’s support for the RESTORE Act demonstrates her commitment to protecting kidney failure patients and ensuring Medicare’s fiscal health,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is vital to maintaining access to essential care for patients across the nation.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Herbert Conaway for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Herbert Conaway (NJ-03) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Herbert C. Conaway is a dedicated advocate for kidney failure patients and the sustainability of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients across all regions can access critical care without facing discriminatory insurance practices.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Don Davis for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Don Davis (NC-01) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Don Davis’ support for the RESTORE Act reflects his commitment to protecting kidney failure patients and ensuring Medicare’s fiscal stability,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is essential to maintaining access to life-saving care for patients in rural communities like his.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Greg Landsman for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Greg Landsman (OH-01) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Greg Landsman is a committed advocate for kidney failure patients and the fiscal health of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients across the country can access essential care.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Debbie Wasserman Schultz for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Debbie Wasserman Schultz (FL-25) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman Debbie Wasserman Schultz’s support for the RESTORE Act demonstrates her dedication to protecting kidney failure patients and ensuring Medicare’s sustainability,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is vital to maintaining access to critical care for patients in all communities.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Glenn Thompson for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Glenn Thompson (PA-15) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Glenn Thompson is a strong advocate for kidney failure patients and the fiscal integrity of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients across urban and rural areas can access life-saving care.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Nicole Malliotakis for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – June 5, 2025 – The Kidney Care Access Coalition commends Representative Nicole Malliotakis (NY-11) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman Nicole Malliotakis’s support for the RESTORE Act reflects her commitment to protecting kidney failure patients and ensuring Medicare’s fiscal health,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is essential to maintaining access to critical care for patients from New York City to the most rural corners of America.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Joe Wilson for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Joe Wilson (SC-02) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Joe Wilson is a dedicated advocate for kidney failure patients and fiscal responsibility,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients across all communities can access essential care.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Troy Balderson for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Troy Balderson (OH-12) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Troy Balderson’s support for the RESTORE Act demonstrates his commitment to protecting kidney failure patients and ensuring Medicare’s fiscal stability,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is vital to maintaining access to life-saving care for patients in all regions of the country.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. August Pfluger for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative August Pfluger (R-TX-11) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman August Pfluger is a strong advocate for kidney failure patients and the fiscal health of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients across urban and rural areas can access critical care.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Angie Craig for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Angie Craig (MN-02) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman Angie Craig’s support for the RESTORE Act reflects her dedication to protecting kidney failure patients and ensuring Medicare’s sustainability,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is essential to maintaining access to critical care for patients across the nation.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Joe Neguse for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. –The Kidney Care Access Coalition commends Representative Joe Neguse (CO-02) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Joe Neguse is a committed advocate for kidney failure patients and the fiscal integrity of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients across all communities can access essential care without facing discriminatory practices.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Tracey Mann for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Tracey Mann (KS-01) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Tracey Mann’s support for the RESTORE Act demonstrates his commitment to protecting kidney failure patients and ensuring Medicare’s fiscal health,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is vital to maintaining access to critical care for patients in rural areas.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Claudia Tenney for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Claudia Tenney (NY-24) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman Claudia Tenney is a dedicated advocate for kidney failure patients and the sustainability of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “Her support for the RESTORE Act ensures that patients across all communities can access essential care.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Lori Trahan for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – Kidney Care Access Coalition commends Representative Lori Trahan (MA-03) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman Lori Trahan’s support for the RESTORE Act reflects her commitment to protecting kidney failure patients and ensuring Medicare’s fiscal stability,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is essential to maintaining access to critical care for patients in all regions of the country.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Gabe Vasquez for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Gabe Vasquez (NM-02) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Gabe Vasquez is a committed advocate for kidney failure patients and the fiscal health of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients across all communities can access essential care."
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Rashida Tlaib for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. –The Kidney Care Access Coalition commends Representative Rashida Tlaib (MI-12) for her leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congresswoman Rashida Tlaib’s support for the RESTORE Act demonstrates her dedication to protecting kidney failure patients and ensuring Medicare’s fiscal stability,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is vital to maintaining access to critical care for patients in all regions of the country.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Shri Thanedar for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Shri Thanedar (MI-13) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Shri Thanedar is a strong advocate for kidney failure patients and the sustainability of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients across urban and rural areas can access critical care.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Eugene Vindman for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. – The Kidney Care Access Coalition commends Representative Eugene Vindman (VA-07) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Eugene Vindman’s support for the RESTORE Act reflects his commitment to protecting kidney failure patients and ensuring Medicare’s fiscal health,” said a Spokesperson of the Kidney Care Access Coalition. “This legislation is essential to maintaining access to critical care for patients in all communities across the country.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kidney Care Access Coalition Applauds Rep. Buddy Carter for Cosponsoring the RESTORE Act to Protect Dialysis Patients, Prevent Potential Fiscal Bomb
Washington, D.C. –The Kidney Care Access Coalition commends Representative Buddy Carter (GA-01) for his leadership in cosponsoring the RESTORE Act (H.R. 2199), a critical piece of legislation designed to protect patients with kidney failure and preserve the financial stability of the Medicare Trust Fund.
The Supreme Court’s June 2022 Marietta ruling permits employers to terminate coverage for individuals with employer-sponsored insurance who have kidney failure, along with their families, forcing these dialysis patients onto Medicare prematurely. This shift burdens the government with the full cost of their health care, including dialysis and other medical needs, potentially costing taxpayers billions of dollars and straining the Medicare Trust Fund.
“Congressman Buddy Carter is a dedicated advocate for kidney failure patients and the fiscal integrity of Medicare,” said a Spokesperson of the Kidney Care Access Coalition. “His support for the RESTORE Act ensures that patients across all communities can access essential care.”
As employers increasingly exploit the Marietta ruling, rural dialysis clinics—nearly 20% of which are located in underserved areas—face the risk of closure. This would force patients, particularly in rural America, to travel longer distances for life-saving care or rely on costly hospital emergency rooms, the least efficient setting for treatment. This issue represents a national crisis affecting both red and blue states, urban centers, and small towns alike.
The RESTORE Act offers a straightforward solution by reinforcing protections Congress established decades ago to prevent such discriminatory practices. By ensuring that patients with kidney failure retain their health insurance coverage options, the legislation upholds the intent of the Medicare statute, protecting both patients and taxpayers from the fallout of the Marietta ruling.
The Kidney Care Access Coalition urges Congress to pass the RESTORE Act swiftly to address this growing crisis, protect vulnerable patients, and secure the long-term sustainability of Medicare.
Kelly, colleagues introduce Restore Protections for Dialysis Patients Act
WASHINGTON, D.C. -- Today, U.S. Rep. Mike Kelly (R-PA), along with Reps. Yvette Clarke (D-NY), Neal Dunn, M.D. (R-FL), Danny Davis (D-IL), John Joyce, M.D. (R-PA), and Raul Ruiz (D-CA) announced the reintroduction of the Restore Protections for Dialysis Patients Act, bipartisan legislation which aims to ensure that individuals with End Stage Renal Disease (ESRD) continue to have equitable access to private healthcare and to provide protection of the Medicare Trust Fund.
The legislation follows a 2022 Supreme Court ruling that has allowed private health plans to prematurely force ESRD patients onto Medicare, creating disruption in coverage for patients and their families and shifting a significant financial burden onto taxpayers.
"This legislation is critical for Americans living with End Stage Renal Disease and who rely on dialysis," said Rep. Kelly. "Patients deserve to know their benefits will be in place when they need them. This legislation will improve both patient care and patient outcomes. I want to thank my House colleagues for joining me on this vital legislation."
"The tens of millions of Americans across our nation today who are fighting kidney disease should not face the danger of a disruption in coverage due to reasons beyond their control. It’s clear these individuals – who disproportionately belong to communities of color – are relying on Congress to stand up for them and protect their equitable access to necessary healthcare. I’m proud to support this bipartisan solution to ensure every American on dialysis has the care they need to live the lives they deserve," said Congresswoman Clarke.
“ESRD patients should not be concerned that they will be forced off their health insurance plan while seeking lifesaving dialysis treatments,” said Congressman Dunn. “I am proud to support this legislation to ensure that patients who depend on dialysis can focus on their treatment without worrying about their health insurance coverage.”
"The hundreds of thousands of patients throughout the country who rely on regular dialysis treatments should never be in fear of losing their access to care," said Rep. Joyce, M.D. "The Restore Protections for Dialysis Patients Act would ensure that patients with End Stage Renal Disease have access to the treatments they need."
“I thank members of Congress for introducing the Restore Protections for Dialysis Patients Act, which will ensure insurance plans provide life-sustaining care to dialysis patients,” said LaVarne Burton, President & CEO of the American Kidney Fund (AKF). “This critical legislation will ensure that the Medicare Secondary Payer Act (MSPA) is working for the benefit of those it was intended to protect.”
“MSPA effectively protected patients with the option to stay on their private insurance plan as they navigated their life-altering diagnosis of kidney failure, but we’ve unfortunately seen that protection upended,” said Mahesh Krishnan, MD, MPH, MBA, Chair of Kidney Care Partners. “Now, we encourage all lawmakers to work together to restore critical protections for patients with kidney failure by passing the Restore Protections for Dialysis Patients Act without delay.”
Rep. Kelly first introduced this legislation in December 2023.
You can read the bill text here.
BACKGROUND
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In 1981, Congress amended the Medicare Secondary Payer Act (MSPA) to add language to protect against private health insurers from designing benefit plans to push individuals with ESRD onto Medicare prematurely.
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For decades, health plans have abided by the principles of MSPA, benefitting both beneficiaries and taxpayers.
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In June 2022, the Supreme Court ruled that health plans can effectively push ESRD patients onto Medicare, prompting a need for Congress to introduce legislation to clarify the Medicare Secondary Payer Act and protect ESRD patients from being kicked off of their private health plans.
Issues:Health Care
Mike Kelly: The RESTORE Act supports dialysis patients and strengthens Medicare | Opinion
September 19, 2025
This summer, we received some startling news about the long-term financial health of Medicare — the trust fund that pays Medicare's hospital bills would be depleted in 2033, three years earlier than expected. Nearly 1-in-5 Americans already depend on Medicare, and millions more soon will. Solving Medicare's looming fiscal crisis is a must.
It's equally important that we do not worsen Medicare's financial situation. But, following the Supreme Court's 2022 Marietta ruling, that is exactly what is beginning to happen.
The ruling forces employers to make tough decisions regarding their employees and may prematurely force patients living with end-stage renal disease onto Medicare, creating disruption in coverage for patients and their families and shifting a significant financial burden onto taxpayers. My legislation, the bipartisan Restore Protection for Dialysis Patients Act (RESTORE Act), aims to ensure that individuals with end-stage renal disease (ESRD) continue to have equitable access to private health care and to provide protection of the Medicare trust fund.
This legislation is critical for Americans living with end-stage renal disease and for those who rely on dialysis. Patients deserve to know their benefits will be in place when they need them. Our goal is simple: to improve both patient care and patient outcomes.
End-stage renal disease, also known as kidney failure, impacts more than 27,400 Pennsylvanians, according to the Dialysis Patient Citizens Education Center. More than 80% of dialysis treatments are covered by Medicare, their data shows.
When patients lose their private health insurance plan and are forced onto Medicare, the government doesn't simply pick up the tab for their dialysis treatments; it's on the hook for all their health care needs. That adds up to billions of dollars now onto the backs of all American taxpayers. Medicare, which provides health insurance coverage to more than 67 million Americans, is already on shaky ground. This ruling and its ripple effects further add fuel to the fire."
That's why the RESTORE Act is a game changer. My legislation isn't simply about fixing bad policy. It's about building a sustainable future for a program Americans have paid into their entire lives.
Medicare currently spends about $51 billion a year on costs associated with dialysis patients, according to a 2022 American Kidney Fund report. "To offset some of those costs to taxpayers, Congress passed (the Medicare Secondary Payer Act) to give patients 30 months to transition to Medicare as their primary insurance; private health insurance is secondary," the report notes.
The RESTORE Act would bring back the protections that Americans had before Marietta, letting patients stay on their private insurance instead of being forced onto Medicare. It would ensure that the Medicare Secondary Payer Act is working for the benefit of those it was intended to protect. Plus, it would allow dialysis clinics to remain open, save taxpayers billions, and make sure people receive the care they need without breaking the bank.
Congress put these safeguards in place decades ago for a reason, and it's time to bring that commonsense policy back. The RESTORE Act strengthens Medicare's future, it saves taxpayer money, and it allows Pennsylvanians — and Americans at large — to continue receiving the care they need without delay.
U.S. Rep. Mike Kelly, of Butler, is a Republican representing Pennsylvania's 16th Congressional District. He serves on the Ways & Means Health Subcommittee and is the lead sponsor of the Restore Protection for Dialysis Patients Act (RESTORE Act).
Commentary: SC dialysis patients need Sen. Tim Scott's support
October 17, 2025
When it comes to people going through kidney failure, South Carolina is full of stories of people stepping up for their neighbors and loved ones.
Earlier this year, the law enforcement community and other organizations around North Charleston rallied together to support a police officer battling kidney disease. More recently, nonprofits and organ donors gathered in Clemson for a triathlon to raise funds and register new donors. Here in South Carolina, we look out for each other. But people with kidney failure need more help from Congress.
Today, thousands of South Carolinians living with end-stage renal disease are counting on U.S. Sen. Tim Scott, R-S.C., to champion legislation that could mean the difference between financial stability and medical bankruptcy.
End-stage renal disease, commonly known as kidney failure, represents a growing health crisis in South Carolina. Unlike many chronic conditions, there is no cure — only management through dialysis or kidney transplant. Unfortunately, transplants are rare, leaving the vast majority of patients dependent on dialysis treatments three to four times per week for the rest of their lives.
Historically, newly diagnosed patients could maintain their employer-provided insurance as primary coverage for the first 30 months, providing continuity of care and financial relief during the most vulnerable period of their treatment. This grace period allowed patients to maintain access to their established physicians, preferred medications and comprehensive care networks while they planned for the inevitable transition to Medicare.
However, a U.S. Supreme Court ruling enabled private insurance plans to discriminate against dialysis patients by cutting coverage and reducing reimbursement rates for life-sustaining treatments. This forces vulnerable patients off their private insurance plans and into Medicare far earlier than intended, creating both medical and financial hardships at the worst possible time — when they're already struggling to adapt to a life dependent on dialysis.
This creates significant problems. While Medicare covers 80% of dialysis costs, patients must find ways to cover the remaining 20% — a burden that can amount to thousands of dollars monthly. Many patients are forced to spend down their life savings to qualify for Medicaid, a process that devastates families financially while shifting costs to taxpayers, which is hardly a conservative outcome.
The medical consequences are equally severe. Private insurance typically provides better access to physicians, medications and treatments compared to Medicare. Most critically, private insurance gives dialysis patients a significantly better chance at receiving a life-saving kidney transplant.
The solution is straightforward: Sen. Scott should cosponsor the Restore Protections for Dialysis Patients Act (S.1173), bipartisan legislation that would protect access to private insurance for people with kidney failure. Sen. Scott’s influence on the Senate Finance Committee, which is considering the bill, could be the difference that gets this vital legislation to President Donald Trump’s desk.
This legislation already enjoys bipartisan support from senators across the political spectrum, from Republican Bill Cassidy of Louisiana to Democrat Martin Heinrich of New Mexico. The bill doesn't create new government programs or expand federal spending: It simply restores a protection that existed for decades until the Supreme Court's 2022 ruling created uncertainty.
For South Carolina's dialysis patients, this isn't about politics — it's about survival with dignity. These are working South Carolinians who paid into insurance plans with the reasonable expectation that their coverage would be there when they needed it most. They're asking not for handouts, but for the protection they were promised.
Sen. Scott has built his reputation on standing up for S.C. families and defending access to high-quality health care. Supporting the Restore Protections for Dialysis Patients Act offers him a clear opportunity to demonstrate these values while helping thousands of vulnerable constituents navigate one of the most challenging health crises imaginable.
South Carolina's dialysis patients deserve better than bureaucratic games that treat them as liabilities. They deserve the stability, dignity and quality care that only comes with protected access to their private insurance coverage. Sen. Scott should stand with them by cosponsoring the Restore Protections for Dialysis Patients Act.
Dr. Zachary W. Sutton teaches at MUSC as an adjunct faculty member and is a health care researcher and a co-founder and executive director of the S.C. Transplant Fund, a charity that assists transplant recipients.
The Post and Courier: https://www.postandcourier.com/opinion/commentary/dialysis-patients-private-insurance-tim-scott-congress/article_0cb027f0-aa85-4b91-9baa-f9b9057ba955.html