1. Short title This Act may be cited as the Improving Access to Home Dialysis Act of 2024 . 2. Providing for staff-assisted home dialysis for certain hemodialysis and peritoneal dialysis patients (a) In general Section 1881(b)(14) of the Social Security Act ( 42 U.S.C. 1395rr(b)(14) ) is amended by adding at the end the following new subparagraph: (J) (i) With respect to staff-assisted home dialysis (as defined in clause (iv)(IV)) furnished on or after the date that is 1 year after the date of the enactment of this subparagraph, subject to the succeeding provisions of this subparagraph, the Secretary shall increase the single payment that would otherwise apply under this paragraph for renal dialysis services by the add-on payment amount established pursuant to clause (iii). (ii) (I) Subject to subclause (II), staff-assisted home dialysis may only be furnished— (aa) with respect to an initializing patient (as defined in clause (iv)(I)) or a returning patient (as defined in clause (iv)(III)), for a period of up to 90 days, referred to as the initial period , which may be extended as determined necessary by the care team of the individual in not more than 2 intervals of up to 30 days each, each of which is referred to as an extended interval ; and (bb) with respect to a temporary assistance patient (as defined in clause (iv)(V)), for any 30-day period as determined necessary by the care team of the individual, notwithstanding whether such an individual receives any routine dialysis respite care during such period. (II) Notwithstanding subclause (I), staff-assisted home dialysis may be furnished for as long as the Secretary determines appropriate to an individual who— (aa) is blind; (bb) has a cognitive or neurological impairment (including a stroke, Alzheimer’s, dementia, amyotrophic lateral sclerosis, or any other impairment determined by the Secretary)