Legislative Action Center


Proposed Medicare changes threatened to limit dialysis patient access to more frequent hemodialysis last year. But, thousands of people like you mobilized to ask Congress and Medicare to protect patient access to more frequent dialysis.  And the good news is that they’ve listened and have not implemented their proposal yet.  Instead, they’ve been silent and that means you have their attention.     

Even if you’ve sent a message before, don’t miss what may be your last chance to help make a difference.  Remind them that this is important to dialysis patients, friends and family members – and that you’re still watching to be certain they do the right thing.  

Please click on your state on the map below to learn how your help is still needed to protect more frequent dialysis for patients who need it!  


If you prefer to send a printed letter, you can use these template letters for patients or nephrologists.


Alliance for Home Dialysis

Home dialysis, including peritoneal dialysis and home hemodialysis, are alternatives to in-center, or facilities-based, dialysis treatments given to patients with end-stage renal disease (ESRD).  Today, about 10 percent of the more than 355,000 Americans receiving dialysis do so at home.

The Alliance for Home Dialysis was launched to continue the work begun by delegates at the National Summit on Home Dialysis Policy, held March 2012 in Washington, DC.  At that landmark national forum, leaders from the patient, clinician, industry and academic communities identified a range of concerns that currently hinder, and policy opportunities that can increase, appropriate utilization of home dialysis.

Delegates to the Summit targeted three areas for policy improvements — Accessibility, Accountability and Aligning Incentives, issuing policy recommendations for improvements that garnered consensus and common interest during the forum.  The work of the Alliance will focus on these three areas, and the policy action items that leaders have identified as representing the greatest opportunity to give more patients access to home dialysis.