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.
work to expand Medicare access to onsite IVIG treatment in skilled nursing facilities
Occurrences
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.
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 Congressional Record Index for the 119th Congress, 2nd Session lists "PI POST ACUTE ACCESS ACT" and identifies the related bill as H.R. 8528. The index entry confirms the measure remained formally recorded during the lookback window, but it does not show enactment or implementation.
U.S. Representatives Adrian Smith and Doris Matsui introduced the PI Post Acute Access Act. The release says the bill would create a dedicated Medicare payment for skilled nursing facilities to provide IVIG treatments onsite.
The Congressional Record Index for the 119th Congress, 2nd Session lists the PI Post Acute Access Act and identifies the related bill as H.R. 8528.
Assessments
Smith introduced the PI Post Acute Access Act in the same federal House term, and the bill directly targets Medicare payment for onsite IVIG treatment in skilled nursing facilities. However, the evidence shows introduction and congressional indexing only, with no enactment, implementation, or actual expansion of Medicare access. This is a serious legislative effort but not a delivered policy outcome.
The claim is framed as an effort promise: Smith would work to expand Medicare access to onsite IVIG treatment in skilled nursing facilities. The evidence shows he took a direct, material step during the same term by introducing the bipartisan PI Post Acute Access Act, which specifically would create a Medicare payment mechanism for SNFs to provide onsite IVIG. There is no evidence in the record provided that the bill was enacted, so the underlying policy outcome was not completed, but because the promise was to work toward that expansion rather than guarantee final passage, this counts as delivered on an effort basis.
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.