Statement From Jesse Roach, MD, SVP of Government Relations National Kidney Foundation On Introduction of a Home Dialysis Bill H.R. 8875
(Washington DC – May 20, 2026) - “More than a half million Americans rely on dialysis to stay alive, yet many patients who could benefit from home dialysis face significant barriers. The National Kidney Foundation welcomes this important first step towards making this critical treatment option more accessible.
We commend Rep. Carol Miller and the Ways and Means Committee for their leadership on this issue. This legislation also builds on the bipartisan foundation laid by the first Trump Administration’s Advancing American Kidney Health Initiative, which set an ambitious national goal to increase home dialysis — a commitment we are glad to see carried forward.
By helping provide limited in-home clinical assistance during dialysis initiation and periods of temporary illness or injury, as well as expanded access to mental health services during the transition to home dialysis, this legislation recognizes the real-world challenges patients and caregivers face while adapting to home-based care.
These types of targeted supports can help more patients successfully remain at home, reduce unnecessary disruptions in care, and improve confidence for patients and families navigating kidney failure treatment decisions. While more can still be done, this bill represents a needed step in the right direction.
We thank Rep. Miller and the Ways and Means Committee for their leadership in advancing policies that expand patient choice and modernize kidney care. We look forward to continued bipartisan discussions to further strengthen and advance solutions that make home dialysis more accessible, sustainable, and patient-centered for people living with kidney failure.”
Additional Resources:
Bill text: https://www.congress.gov/bill/119th-congress/house-bill/8875?hl=home+dialysis&s=1&r=1
Ways & Means Views & Estimates Letter: https://waysandmeans.house.gov/event/markup-of-h-r-3164-h-r-8163-h-r-8875-h-r-8883-h-r-8871-h-r-8884-h-r-8873-h-r-8872-and-views-and-estimates-letter-to-the-committee-on-the-budget/
About Kidney Disease:
In the United States, CKD remains an under-recognized public health burden that impacts 1 in 7 adults, and 90 percent of those affected are unaware of their condition. Approximately 1 in 3 U.S. adults are at risk for CKD, but less than 20% are assessed with guideline-recommended testing, eGFR and uACR. Risk factors for kidney disease include diabetes, high blood pressure, heart disease, obesity, and family history. People of Black or African American, Hispanic or Latino, American Indian or Alaska Native, Asian American, or Native Hawaiian or Other Pacific Islander descent are at increased risk for developing the disease. Black or African American people are about four times as likely as White people to develop kidney failure. Hispanic and Native American people experience kidney failure at approximately double the rate of White people.
About the National Kidney Foundation:
The National Kidney Foundation is revolutionizing the fight to save lives by eliminating preventable kidney disease, accelerating innovation for the dignity of the patient experience, and dismantling structural inequities in kidney care, dialysis, and transplantation. For more information about NKF, visit www.kidney.org.
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For Media Inquiries:
Paul McGee (716) 523-6874 or paul.mcgee@kidney.org