H.R. 2199 · 119th Congress

Restore Protections for Dialysis Patients Act

Introduced on Mar 18, 2025 by Mike Kelly (R-PA-16). 90 cosponsors, 46 of them from another party. Latest action (Mar 18, 2025): Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Stage
Introduced
Introduced
Mar 18, 2025
Cosponsors
90
46 from the other party
Policy area
Health
Open in the Congress explorerCongress.govAlert me

Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act.

Summary

By the Congressional Research Service (Introduced in House, Mar 18, 2025). Public domain.

Restore Protections for Dialysis Patients Act

This bill specifies certain requirements for private health insurers regarding coverage of individuals with end stage renal disease (ESRD) who are also covered under Medicare.

In particular, the bill specifies that insurers may not limit benefits, including limiting network composition, in a manner that will affect ESRD Medicare beneficiaries differently compared to others without ESRD. The bill additionally specifies that insurers are not required to include a particular renal dialysis provider or a particular number of such providers as part of their networks.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Mike KellyR-PA-16Sponsor

Democrats · 46

Republicans · 44

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Mar 18, 2025Introduced in House
  2. Mar 18, 2025Introduced in House
  3. Mar 18, 2025 · HouseReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  4. Mar 18, 2025 · HouseReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. DAVITA INC.30 reports
    $6.5M reported (all issues)Federal contractor: DAVITA INC.$179.4M in contracts, FY2026AI match · 97%
  2. Fresenius Medical Care North America15 reports
    $7.6M reported (all issues)
  3. Kidney Care Partners11 reports
    $860K reported (all issues)
  4. U.S. RENAL CARE8 reports
    $346K reported (all issues)Federal contractor: US RENAL CARE INC$26.9M in contracts, FY2026AI match · 100%
  5. AKEBIA THERAPEUTICS INC.6 reports
    $2.1M reported (all issues)
  6. AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)6 reports
    $25.6M reported (all issues)
  7. Dialysis Patient Citizens6 reports
    $2.1M reported (all issues)
  8. AMERICAN ASSOCIATION OF NURSE PRACTITIONERS5 reports
    $2.1M reported (all issues)
  9. Kidney Care Access Colaition, Inc.5 reports
    $370K reported (all issues)
  10. SERVICE EMPLOYEES INTERNATIONAL UNION5 reports
    $430K reported (all issues)
  11. Service Employees International Union CTW-CLC5 reports
    $1.4M reported (all issues)
  12. American Kidney Fund4 reports
    $796K reported (all issues)
  13. American Nephrology Nurses Association4 reports
    $120K reported (all issues)
  14. The Kidney Care Council4 reports
    $115K reported (all issues)
  15. AMERICAN BENEFITS COUNCIL2 reports
    $550K reported (all issues)
  16. LOCKHEED MARTIN CORPORATION2 reports
    $8.3M reported (all issues)Federal contractor: LOCKHEED MARTIN CORPORATION$13.3B in contracts, FY2026AI match · 100%
  17. The Rogosin Institute2 reports
    $60K reported (all issues)Federal contractor: THE ROGOSIN INSTITUTE INC$297.5K in contracts, FY2026AI match · 100%
  18. AFL-CIO1 report
    $760K reported (all issues)Federal contractor: AFL-CIO WORKING FOR AMERICA INSTITUTE, INC. (THE)AI match · 92%
  19. BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.1 report
    $10K reported (all issues)
  20. Blue Cross and Blue Shield Association1 report
    $1.2M reported (all issues)
  21. Blue Cross and Blue Shield of Florida, Inc.1 report
    $80K reported (all issues)
  22. CHRISTOPHER & DANA REEVE FOUNDATION1 report
    $21.6K reported (all issues)
  23. Corporate Health Care Coalition1 report
    $30K reported (all issues)
  24. GUIDEWELL MUTUAL HOLDING CORPORATION1 report
  25. Renal Healthcare Association1 report
    $70K reported (all issues)
  26. THE BOEING COMPANY1 report
    $2.8M reported (all issues)Federal contractor: THE BOEING COMPANY$9B in contracts, FY2026AI match · 99%

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.