H.R. 8528

PI Post Acute Access Act

Official summary

Written by the Congressional Research Service.

PI Post Acute Access Act

This bill allows for separate payment under Medicare to skilled nursing facilities for items and services that are needed to administer intravenous immune globin (IVIG) to patients with primary immune deficiency diseases (rare genetic disorders that impair the immune system and increase vulnerability for other infections).

Text of the bill

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Sec. 2. Improving access to skilled nursing facility services for primary immunodeficiency patients

(a) In general. Section 1888(e)(2)(A)(iii) of the Social Security Act (42 U.S.C. 1395yy(e)(2)(A)(iii)) is amended by adding at the end the following new subclause:

Text this section adds to the law

(VII) Intravenous immune globulin indicated for the treatment of primary immune deficiency disease (identified as of January 1, 2026, by HCPCS codes J1561, J1569, J1576, J1568, J1459, J1554, J1557, J1566, and as subsequently modified by the Secretary) and items and services related to the furnishing of such globulin.

(b) Effective date. The amendment made by subsection (a) shall apply to items and services furnished on or after October 1, 2026.