Georgia 2025-2026 Regular Session

Georgia House Bill HR540

Caption

Congress; adopt legislation requiring Medicare program to provide for lifelong coverage of immunosuppressive drugs for liver, heart, and lung transplant recipients; urge

Impact

By extending lifelong coverage for immunosuppressive drugs to additional transplant recipients, HR540 aims to prevent costly hospitalizations and the need for re-treatment with dialysis. The resolution argues that the financial implications are significant, noting that while dialysis may cost Medicare approximately $90,000 per patient annually, the covered immunosuppressive drugs would only cost between $10,000 to $15,000 annually per patient. The bill seeks not only to improve health outcomes but also to provide equitable access to necessary care for vulnerable populations, especially in underserved communities.

Summary

House Resolution 540 urges Congress to pass legislation that mandates Medicare to provide lifelong coverage of immunosuppressive drugs for liver, heart, and lung transplant recipients, aligning their benefits with those of kidney transplant recipients. This resolution highlights the significance of such coverage in ensuring the health and well-being of transplant recipients and reducing their healthcare costs. Without this coverage, many recipients face a risk of organ rejection due to lack of essential medications after a limited coverage period, which is currently capped at 36 months for those with a kidney transplant.

Contention

The resolution suggests that healthcare disparities pertaining to organ transplant recipients would be addressed, promoting equity in health care access as it aligns with national healthcare goals. As such, it stipulates a federal initiative for supporting health care expansion, thereby enhancing both workforce reintegration and psychological well-being post-transplant. Nevertheless, the bill could face opposition regarding potential funding implications and the prioritization of Medicare resources, a common point of debate surrounding healthcare legislative measures.

Companion Bills

No companion bills found.

Previously Filed As

GA SB481

Medical Assistance; Medicaid coverage for heart and lung transplants when medically necessary; require

GA HB522

Health; prohibit certain health care providers and facilities from discriminating against potential organ transplant recipients due solely to their vaccine status

GA HB263

Medical assistance; pilot program to provide coverage under Medicaid program for doula care for pregnant Medicaid recipients; provide

GA HB1264

Medical assistance; pilot program to provide coverage under Medicaid program for doula care for pregnant Medicaid recipients; provide

GA SB00439

An Act Requiring Medicaid Coverage For Bone Marrow And Stem Cell Transplants And Fda-approved Gene Therapies To Treat Sickle Cell Disease.

GA S1182

Medicaid Coverage of Continuous Glucose Monitors

GA HB1316

To Mandate Coverage For Lung Cancer Screenings.

GA SB360

Public Assistance; public option buy-in program to provide healthcare coverage to individuals not eligible for Medicaid coverage; provide

GA HCR35

Requesting The Auditor To Assess The Social And Financial Effects Of Mandatory Health Insurance Coverage For Biomarker Testing.

GA HB163

An Act To Amend Title 29 Of The Delaware Code Relating To The Delaware Diabetes Wellness Pilot Program Within The Department Of Human Resources To Study Prediabetic And Diabetic Well Care.

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ANATOMICAL DONATION

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GA HB522

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