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S. 4574 116th Congress Senate

Bringing Enhanced Treatments and Therapies to ESRD Recipients (BETTER) Kidney Care Act

Official title: A bill to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes.

Introduced: November 30, 2020 Introduced by: Todd Young Republican · Indiana See on congress.gov
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This bill died when the 116th Congress ended
It never became law before the 116th Congress (2019–2020) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Sep 15, 2020
Read twice and referred to the Committee on Finance.
Sep 15, 2020
Introduced in Senate
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 Latest action September 15, 2020

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

Bringing Enhanced Treatments and Therapies to ESRD Recipients (BETTER) Kidney Care Act

This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a demonstration program for Medicare beneficiaries with end-stage renal disease (ESRD).

Under the program, renal dialysis facilities, kidney disease specialists, physician practices, and other health care practitioners may form an organization that partners with certain health care entities to provide integrated care to beneficiaries with ESRD. Such care must include all covered Medicare benefits as well as transition services for transplantations, palliative care, and hospice. Each organization must have a minimum number or percentage of participating beneficiaries (350 or 60% of beneficiaries served at the organization's facilities) and must also comply with certain fiscal, governance, and quality of care requirements.

Additionally, the Government Accountability Office must study certain data that is reported to the CMS regarding pediatric dialysis care, as well as the effects of race-based corrections to a specified kidney function test on referrals of ESRD patients for transplant evaluations.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

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APA
U.S. Congress. (2026). S. 4574: Bringing Enhanced Treatments and Therapies to ESRD Recipients (BETTER) Kidney Care Act. 116th Congress. Open America. https://openamerica.io/bill/116-S-4574/
MLA
"S. 4574: Bringing Enhanced Treatments and Therapies to ESRD Recipients (BETTER) Kidney Care Act." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-S-4574/.
Bluebook (legal)
S. 4574, 116th Cong. (2026), https://openamerica.io/bill/116-S-4574/.
Markdown link
[S. 4574: Bringing Enhanced Treatments and Therapies to ESRD Recipients (BETTER) Kidney Care Act](https://openamerica.io/bill/116-S-4574/)
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