Table 1.

Laws related to Medicare’s kidney transplant and immunosuppressive drug coverage

LawDescription
1965: Social Security Amendments of 1965 (P.L. 89–97)Established Medicare and Medicaid to guarantee federally funded health insurance for the elderly (>65 yr), people with disabilities, and poor families
1972: Social Security Amendments of 1972 (P.L. 92–603)Expanded Medicare eligibility to include patients with chronic renal disease who require hemodialysis or renal transplantation; the benefit included Medicare Parts A and B for 1 yr post-transplant but did not include immunosuppressive drug coverage
1978: ESRD Program Amendment of 1978 (P.L. 95–292)Extended Medicare eligibility from 1 to 3 yr post-transplant; it still did not include immunosuppressive drug coverage
1986: Omnibus Budget Reconciliation Act of 1986 (P.L. 99–509)Added immunosuppressive drug coverage through Part B for 1 yr after the date of the transplant procedure for individuals who received an organ transplant paid by Medicare
1993: Omnibus Budget Reconciliation Act of 1993 (P.L. 103–66)Phased in an extension of immunosuppressive drug coverage through Part B from 1 to 3 yr after the date of the transplant procedure for individuals who received an organ transplant paid by Medicare; the phased extension was completed in the end of 1997
2000: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (P.L. 106–554)Eliminated the time limitation on immunosuppressive drug coverage through Part B; immunosuppressive drug coverage became coterminous with Medicare eligibility
2003: Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.L. 108–173)Established Part D, a prescription drug benefit through Medicare, to start in 2006; this did not affect immunosuppressive drug coverage already in place through Part B but introduced immunosuppressive drug coverage for patients who received an organ paid by anyone other than Medicare
2000, 2001, 2003, 2005: Comprehensive Immunosuppressive Drug Coverage for Transplant Patients Act introduced in CongressWith each introduction, the House referred to the Subcommittee on Employer-Employee Relations (2001 and later) or the Subcommittee on Health and Environment (2000); the Senate referred to the Committee on Finance
2007, 2009, 2011, 2013, and 2016: Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act introduced in Congress With each introduction, the House referred to the Subcommittee on Health (2011 and later) or the Subcommittee on Health, Employment, Labor, and Pension (2009 and earlier); the Senate referred to the Committee on Finance