Medicare lets health plans share savings from stopping kidney disease.
H.R. 9891 — PREVENT ESRD Act · Filed by Joe Wilson (R-SC) · Introduced Jul 22, 2026 · Referred to committee
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What it does
The bill sets up a 10-year test program. Health insurance plans can earn money by helping people with kidney disease stay healthy. Plans that screen patients, give FDA-approved drugs, and manage disease can get 25% of Medicare savings. The money comes from Medicare trust funds.
Who it affects
People with kidney disease may get screening, drugs, nutrition help, and disease management at lower cost. Health insurance plans can earn extra money if they stop kidney disease from getting worse. The program is voluntary, so plans choose whether to join.
One thing to notice
Plans might focus on easier patients to treat, which could leave sicker patients with fewer services. The program costs $5 million per year to run, but total payments to plans are not capped.
From the analysis of the bill text, linked under Primary records below.
Where it stands
- Jul 22, 2026 — Introduced · Congress.gov: “Introduced in House”
- Jul 22, 2026 — Referred to House Committee on Ways and Means and House Committee on Energy and Commerce · Congress.gov: “Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a…”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Words to know
- screening — Tests to find out if someone has a disease or health problem.
- disease management — Help and services to keep a disease from getting worse.
- FDA-approved drugs — Medicines the government has checked and said are safe and work.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (16,770 characters) on Aug 12, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 14,707 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
As of — page rendered 2026-09-23.
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