work to expand Medicare access to onsite IVIG treatment in skilled nursing facilities

Adrian Smith · Nebraska · Republican

policy impact 0.62 specificity 0.87 extraction confidence 96%

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Occurrences

I am proud to join Congresswoman Matsui in introducing our bipartisan PI Post Acute Access Act to cut red tape and ensure that PI patients have access to the critical care they need.

Smith says he is backing bipartisan legislation that would create a dedicated Medicare payment so skilled nursing facilities can provide IVIG onsite for patients with primary immunodeficiencies.

Smith, Matsui Introduce Bipartisan Bill to Expand Access to Life-Saving IVIG Treatment | Representative Adrian Smith
primary · press_release · model gpt-5.4-mini

Evidence

Today, U.S. Representatives Adrian Smith (R-NE-03) and Doris Matsui (D-CA-07) introduced the PI Post Acute Access Act to expand access to life-saving care for individuals with primary immunodeficiencies (PI). Their bipartisan legislation would create a dedicated payment within Medicare for Skilled Nursing Facilities (SNF) to provide intravenous immunoglobulin (IVIG) treatments onsite.

Smith took a concrete legislative step in the lookback window by introducing a bill directly aligned with the promise to expand Medicare access to onsite IVIG in skilled nursing facilities.

partial same_term A for effort

Smith, Matsui Introduce Bipartisan Bill to Expand Access to Life-Saving IVIG Treatment | Representative Adrian Smith
primary · model gpt-5.4-mini · confidence 97%

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Congressional Record Index entry for the 119th Congress, 2nd Session lists "PI POST ACUTE ACCESS ACT" and identifies the related congressional bill as H.R. 8528.

The measure remained formally recorded in the congressional record during the lookback window, but this source shows no enactment or substantive advancement beyond identification/indexing.

partial same_term A for effort

CRI2026 - PI POST ACUTE ACCESS ACT
secondary · model gpt-5.4-mini · confidence 78%

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Assessments

partial same_term A for effort

Smith introduced bipartisan legislation in the 119th Congress to create a dedicated Medicare payment for skilled nursing facilities to provide onsite IVIG treatments, which directly matches the promised policy area and shows meaningful same-term effort. The evidence does not show the bill was enacted or that Medicare access to onsite IVIG treatment in skilled nursing facilities actually expanded, so the promised outcome has not been fully delivered.

provider codex_cli · model gpt-5.5 · confidence 91%