
Kidney Care Partners Commends Senate Reintroduction of the Restore Protections for Dialysis Patients Act
Washington, DC March 27, 2025 --( PR.com)-- Kidney Care Partners (KCP) – the nation's largest non-profit, non-partisan kidney care coalition dedicated to protecting access and representing patients, dialysis professionals, physicians, nurses, researchers, therapeutic innovators, transplant coordinators, and manufacturers – today commended Senators Cory Booker (D-NJ), Bill Cassidy (R-LA), Kevin Cramer (R-ND) and Martin Heinrich (D-NM) for introducing the bipartisan Restore Protections for Dialysis Patients Act (S.1173).
'ESRD patients need dialysis treatments to survive,' said Dr. Cassidy. 'We must ensure their access to treatment is continued, and their choice of care is protected.'
'Three years ago, the Supreme Court made the decision to allow private health care companies to kick patients suffering from kidney failure off their plan, forcing many people into financial hardship,' said Senator Booker. 'No one should lose their insurance, especially when they need it most. The Restore Protections for Dialysis Patients Act is critical legislation that will ensure ESRD patients' right to choose their care is protected.'
If enacted, this bill would reaffirm Congress's original intent behind the Medicare Secondary Payer Act (MSPA) and safeguard individuals with kidney failure, known as end-stage renal disease (ESRD), from discriminatory practices by insurers. A Supreme Court decision from 2022, Marietta v. DaVita, undermined the statute and essentially permits health plans to push patients with kidney failure off their private insurance and onto Medicare prematurely.
The Restore Protections for Dialysis Patients Act seeks to close this gap by ensuring that individuals living with kidney disease receive the same protections as those with other chronic conditions under MSPA. The bill ensures dialysis patients can continue receiving the life-sustaining care they need without disruption by maintaining access to private insurance coverage for the full 30-month coordination period before transitioning to Medicare as the primary payer.
'Maintaining patient access to care choices is a priority for Kidney Care Partners and the broader kidney care community. We are grateful to Congressional leaders working to ensure those living with ESRD have access to the safe, effective care they need with the coverage of their choice through the Restore Protections for Dialysis Patients Act,' said Mahesh Krishnan, MD, MPH, MBA, Chair of Kidney Care Partners.
'Kidney failure is the only health condition where insurers are allowed to shift the cost of care onto the government. In exchange, Congress mandated that patients could keep their private coverage for 30 months to help protect patient access to transplant and to provide financial stability as individuals begin dialysis,' said Hrant Jamgochian, CEO of Dialysis Patient Citizens. 'The Restore Protections for Dialysis Patients Act was introduced in response to a recent Supreme Court decision, where both the majority and minority opinions said that the original law was poorly drafted and that Congress needed to clarify its intent. We urge prompt passage of this critical legislation to ensure that ESRD patient access to care and financial stability are not put at risk.'
'We are grateful to Senators Booker, Cassidy, Cramer and Heinrich for introducing this critical legislation, which will protect patient choice and encourage health plans to prioritize early detection and treatment for chronic kidney disease and ESRD,' said LaVarne A. Burton, President and CEO of the American Kidney Fund.
'It's important to pass the Restore Act so people with kidney disease can maintain their insurance,' said Lori Hartwell, Founder and President of Renal Support Network.
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On Monday, a Shas spokesperson told an ultra-Orthodox radio program the party currently plans to vote in favor of dissolution, unless there is a breakthrough in negotiations. The other party, Degel HaTorah, has been threatening to leave the government since last week. 'Basically, they don't really care about the war and the economic situation of the state and anything else but their communal interest. And the focus of this communal interest is getting the exemption from serving in the army," said Shuki Friedman, an expert on religion and state affairs and vice president of the Jewish People Policy Institute, a Jerusalem think tank. Friedman and other experts say the current system is unsustainable. With its high birthrate, the ultra-Orthodox are the fastest-growing segment of Israel's population, at about 4% annually. 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If one ultra-Orthodox party is absent, the vote will not pass and another cannot be brought for six months, Talshir said. However, there's also a 'valid possibility' the rabbis who advise the ultra-Orthodox parties will say they've waited long enough for a draft exemption law, because they are facing enormous pressure from their communities, Friedman said. The army has issued thousands of draft notices to the ultra-Orthodox community, and those who refuse to serve can face arrest. While only around a dozen have been arrested after being stopped for trying to leave the country or for traffic violations, the fear this has inspired is significant, he added. What impact does this have on the war in Gaza and the hostage crisis? Netanyahu frequently cites the ongoing war as a reason why Israel needs to provide a united front against its enemies. While the ultra-Orthodox parties remain part of the coalition, they want the war to end as quickly as possible, Talshir said. 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