,,ii  #aahth ,,congress  #ast ,session  
,s4 #aigf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #ad1     
#bjbc,mr4 ,warner 7for himself and ,mr4 
,scott of ,south ,carolina7 introduced  
the following bill2 which was read twice
 and referred to the ,committee on      
,finance  ,a ,,bill  ,to amend title    
,,xviii of the ,social ,security ,act to
 clarify congressional intent and       
preserve patient access to home infusion
 therapy under the ,medicare program1   
and for other purposes4  #a4 ,short     
title ,this ,act may be cited as the    
,preserving ,patient ,access to ,home   
,infusion ,act4  #b4 ,preservation of   
patient access to home infusion therapy 
under ,medicare program  7a7 ,inclusion 
of pharmacy services ,section           
#ahfa7;iii77#b7 of the ,social ,security
 ,act 7#db ,u4,s4,c4 #aciex7iii77#b77 is
 amended-- 7#a7 in subparagraph 7,a71 by
 inserting and pharmacy services after  
nursing services2 and  7#b7 in          
subparagraph 7,b71 by inserting 1       

assessments1 drug preparation and       
compounding1 coordination and           
documentation of infusion therapy       
services in the plan of care after      
subsection 7n774  7b7 ,payment ,section 
#ahcd7u77#a77;,a7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciem7u77#a77;,a77 is amended-- 7#a7 in
 clause 7i71 by striking clause 7iii7   
and inserting clauses 7iii7 and 7iv72   
7#b7 in clause 7ii7 by inserting after  
the first sentence the following new    
sentence3 ,for purposes of the previous 
sentence1 a reference to payment to a   
qualified home infusion therapy supplier
 for an infusion drug administration    
calendar day in the home of such        
individual shall refer to payment for   
each day on which such a drug was       
administered to the individual          
7regardless of whether a qualified home 
infusion therapy supplier was physically
 present in the home of such individual 
on such date742 and  7#c7 by adding at  
the end the following new clause3  7iv7 

,special rule when a qualified home     
infusion therapy supplier not physically
 present in the individual's home ,in   
the case where a qualified home infusion
 therapy supplier is not physically     
present in the individual's home on the 
day the home infusion drug is           
administered to the individual1 the     
single payment amount under this        
subsection for items and services       
described in clause 7i7 furnished on    
such day to such individual shall be an 
amount equal to #ej percent of the      
amount that would have applied under    
this subsection for such items and      
services if such a supplier had been    
physically present4  4  7c7 ,permitting 
nurse practitioners and physician       
assistants ,to establish and review a   
home infusion plan of care ,section     
#ahfa7;iii77#a77;,b7 of the ,social     
,security ,act 7#db ,u4,s4,c4           
#aciex7iii77#a77;,b77 is amended by     
striking physician 7as defined in       
subsection 7r77#a77 and is periodically 

reviewed by a physician and inserting   
physician 7as defined in subsection     
7r77#a77 or a nurse practitioner or     
physician assistant 7as those terms are 
defined in subsection 7aa77#e77 and is  
periodically reviewed by a physician1   
nurse practitioner1 or physician        
assistant4  7d7 ,effective date ,the    
amendments made by this section shall   
apply with respect to items and services
 furnished on or after ,january #a1     
#bjbd4