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Home Dialysis Accessibility Act

IntroducedSenate
Jim BurginRepublican

Re-ref Com On Appropriations/Base Budget2026-04-29

No floor votes recorded.

This bill requires health insurance plans in North Carolina to cover home dialysis services for all patients who need dialysis treatment. It specifically mandates coverage of staff-assisted home dialysis for people who are blind, visually impaired, cognitively impaired, neurologically impaired, or have mobility limitations. The bill allocates $100,000 to implement these coverage requirements starting in 2026.

  • Supporters argue that home dialysis improves quality of life by allowing patients to receive treatment in their own homes rather than traveling to dialysis centers multiple times per week.
  • They contend that patients with disabilities or mobility issues particularly benefit from home-based care, which reduces burden on patients and caregivers while potentially improving health outcomes.
  • Proponents also note that home dialysis can reduce strain on dialysis facility capacity and may lower overall healthcare costs.
  • Opponents may argue that mandating home dialysis coverage increases insurance costs, which could lead to higher premiums for all consumers.
  • They may express concerns that home dialysis requires significant patient education and commitment, and that not all patients are suitable candidates regardless of their disability status.
  • Some may question whether the $100,000 appropriation is sufficient to cover implementation costs, potentially creating unfunded mandates on insurers and the state health plan.

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