S. 1173 · 119th Congress
Restore Protections for Dialysis Patients Act
Introduced on Mar 27, 2025 by Bill Cassidy (R-LA). 7 cosponsors, 2 of them from another party. Latest action (Mar 27, 2025): Read twice and referred to the Committee on Finance.
- Stage
- Introduced
- Introduced
- Mar 27, 2025
- Cosponsors
- 7
- 2 from the other party
- Policy area
- Health
Progress
The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.
- Introduced
- 2Reported by committee
- 3Passed one chamber
- 4Passed both chambers
- 5Sent to the President
- 6Became law
Official title
A bill 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 Senate, Mar 27, 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.
Democrats · 2
- Cory A. BookerD-NJoriginal
- Martin HeinrichD-NMoriginal
Republicans · 5
- Kevin CramerR-NDoriginal
- Roger MarshallR-KSsigned on Sep 11, 2025
- Cindy Hyde-SmithR-MSsigned on Oct 1, 2025
- Ted BuddR-NCsigned on Oct 29, 2025
- Marsha BlackburnR-TNsigned on Dec 18, 2025
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.
- Mar 27, 2025Introduced in Senate
- Mar 27, 2025 · SenateRead twice and referred to the Committee on Finance.
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.
- DAVITA INC.30 reports$6.5M reported (all issues)Federal contractor: DAVITA INC.$179.4M in contracts, FY2026AI match · 97%
- Fresenius Medical Care North America13 reports$7.6M reported (all issues)
- Kidney Care Partners11 reports$860K reported (all issues)
- U.S. RENAL CARE9 reports$396K reported (all issues)Federal contractor: US RENAL CARE INC$26.9M in contracts, FY2026AI match · 100%
- AKEBIA THERAPEUTICS INC.6 reports$2.1M reported (all issues)
- Dialysis Patient Citizens6 reports$2.1M reported (all issues)
- AMERICAN ASSOCIATION OF NURSE PRACTITIONERS5 reports$2.1M reported (all issues)
- Kidney Care Access Colaition, Inc.5 reports$370K reported (all issues)
- SERVICE EMPLOYEES INTERNATIONAL UNION5 reports$430K reported (all issues)
- American Kidney Fund4 reports$796K reported (all issues)
- American Nephrology Nurses Association4 reports$120K reported (all issues)
- The Kidney Care Council4 reports$115K reported (all issues)
- LOCKHEED MARTIN CORPORATION2 reports$8.3M reported (all issues)Federal contractor: LOCKHEED MARTIN CORPORATION$13.3B in contracts, FY2026AI match · 100%
- The Rogosin Institute2 reports$60K reported (all issues)Federal contractor: THE ROGOSIN INSTITUTE INC$297.5K in contracts, FY2026AI match · 100%
- BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.1 report$10K reported (all issues)
- Blue Cross and Blue Shield Association1 report$1.2M reported (all issues)
- Blue Cross and Blue Shield of Florida, Inc.1 report$80K reported (all issues)
- CHRISTOPHER & DANA REEVE FOUNDATION1 report$21.6K reported (all issues)
- Corporate Health Care Coalition1 report$30K reported (all issues)
- GUIDEWELL MUTUAL HOLDING CORPORATION1 report
- Renal Healthcare Association1 report$70K reported (all issues)
- 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.