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HR 8528
Introduced Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.

PI Post Acute Access Act

To amend title XVIII of the Social Security Act to improve access to skilled nursing facilities for primary immunodeficiency patients.

Introduced Apr 27, 2026

Latest action (Apr 27, 2026) 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.

Referred to
Energy and Commerce Committee Ways and Means Committee
Policy area
Health
Issues
Healthcare

Summary
  • Amends Medicare to cover intravenous immune globulin treatment for primary immunodeficiency disease in skilled nursing facilities.
  • Covers the immune globulin medication and items and services related to furnishing the treatment.
  • Takes effect October 1, 2026.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)
3 cosponsors

Money behind the sponsor

Top reported contributors to Adrian Smith’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • SANDHILLS PUBLISHING $19,800
  • TREGO/DUGAN AVIATION OF GRAND ISLAND $6,600
  • HUB INTERNATIONAL $6,600
  • ALLEGIS $6,600
  • BAXTER AUTOMOTIVE GROUP $6,600

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Adrian Smith → · Outside spending →

Actions (2)
  1. Apr 27, 2026 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. · house
  2. Apr 27, 2026 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 1143 — Medicare IVIG Access Enhancement Act of 2025 · Introduced Feb 7, 2025 · Cong. 119 75%
  • HR 5467 — PAAT Act · Introduced Sep 18, 2025 · Cong. 119 65%
  • HR 9192 — Prior Authorization Reform for Autoimmune and Blood Disorders Act · Introduced Jun 8, 2026 · Cong. 119 65%
  • HR 3954 — Improving Access to Medicare Coverage Act of 2025 · Introduced Jun 12, 2025 · Cong. 119 65%
  • HJRES 58 — Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies". · Introduced Feb 12, 2025 · Cong. 119 64%
  • S 4924 — Preserving Patient Access Act · Introduced Jun 24, 2026 · Cong. 119 61%

Text versions (1)
  • Introduced in House · Apr 27, 2026

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

April 27, 2026

Mr. Smith of Nebraska (for himself and Ms. Matsui) introduced the following bill; which was 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

A BILL

To amend title XVIII of the Social Security Act to improve access to skilled nursing facilities for primary immunodeficiency patients.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “PI Post Acute Access Act”.

SEC. 2. IMPROVING ACCESS TO SKILLED NURSING FACILITY SERVICES FOR PRIMARY IMMUNODEFICIENCY PATIENTS.

(a) In General.—Section 1888(e)(2)(A)(iii) of the Social Security Act (42 U.S.C. 1395yy(e)(2)(A)(iii)) is amended by adding at the end the following new subclause:

“(VII) Intravenous immune globulin indicated for the treatment of primary immune deficiency disease (identified as of January 1, 2026, by HCPCS codes J1561, J1569, J1576, J1568, J1459, J1554, J1557, J1566, and as subsequently modified by the Secretary) and items and services related to the furnishing of such globulin.”.

(b) Effective Date.—The amendment made by subsection (a) shall apply to items and services furnished on or after October 1, 2026. <all>

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