{"database": "press", "table": "releases", "rows": [["https://delbene.house.gov/news/documentsingle.aspx?DocumentID=3686", "DelBene, Miller, C\u00e1rdenas, Bucshon Urge Medicare to Expand Access to Home Dialysis", "2023-10-18", "2023", "2023-10", "Democrat", "House", "WA", "Suzan K. DelBene", "D000617", "delbene.house.gov", "delbene", "https://delbene.house.gov/news/documentquery.aspx?DocumentTypeID=27", "scraper", "Representatives Suzan DelBene (WA-01), Carol Miller (WV-01), Tony C\u00e1rdenas (CA-29), and Larry Bucshon, M.D. (IN-08) called on the Centers for Medicare & Medicaid Services (CMS) to expand access to home dialysis for Americans on Medicare.\n\nIn a letter, the lawmakers urged Medicare to expand coverage for home dialysis to Medicare patients at risk of or currently diagnosed with acute kidney injury (AKI) in the agency\u2019s final 2024 end-stage renal disease (ESRD) prospective payment system rule.\n\n\u201cWe strongly urge Medicare to do all in its power to expand access to home dialysis, including for AKI patients,\u201d the lawmakers wrote. \u201cIncreasing access and improving outcomes for AKI patients is especially important because these patients have the potential to recover kidney function and avoid permanent kidney failure requiring years of dialysis or transplant.\u201d\n\nAKI treatment often requires a hospital stay during which patients receive dialysis with the hopes of regaining kidney function. A high percentage of ICU patients, including 20-40% with COVID-19 during the peak of the pandemic, developed AKI and required emergency dialysis.\n\nWhile Medicare covers both in-center and home dialysis for people with kidney failure, AKI patients currently can only access in-center dialysis, leaving thousands without the option of dialyzing at home. Home dialysis for AKI would allow patients to receive care in a more comfortable setting, have more control over their schedules, and potentially avoid their condition worsening to kidney failure that requires permanent dialysis or transplant.", 1, "2026-03-30T01:40:41Z", "2026-04-08T00:49:26Z"]], "columns": ["url", "title", "date", "year", "month", "party", "chamber", "state", "member_name", "bioguide_id", "domain", "scraper", "source", "date_source", "text", "has_text", "collected_at", "updated_at"], "primary_keys": ["url"], "primary_key_values": ["https://delbene.house.gov/news/documentsingle.aspx?DocumentID=3686"], "units": {}, "query_ms": 0.6414866074919701, "source": "dwillis/congress-press", "source_url": "https://github.com/dwillis/congress-press", "license": "MIT", "license_url": "https://github.com/dwillis/congress-press/blob/main/LICENSE"}