Full Text of SR1741 99th General Assembly
SR1741 99TH GENERAL ASSEMBLY |
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| 1 | | SENATE RESOLUTION
| 2 | | WHEREAS, End Stage Renal Disease (ESRD), also known as | 3 | | kidney failure, currently impacts 661,000 Americans,
and more | 4 | | than 89,000 Americans die from ESRD annually; and
| 5 | | WHEREAS, More than 115,000 new ESRD cases are diagnosed | 6 | | each year and more than 5,100 of those live in Illinois; and | 7 | | WHEREAS, Dialysis or a kidney transplant are the only | 8 | | treatments for ESRD; 70% of ESRD patients are on dialysis; and
| 9 | | WHEREAS, When dialysis is the method of treatment, a | 10 | | patient can obtain treatment in their home with either home
| 11 | | hemodialysis (HHD) or peritoneal dialysis (PD); transportation | 12 | | to a dialysis center 3 times a week for hemodialysis is also an | 13 | | option; and | 14 | | WHEREAS, Home dialysis provides significant economic and | 15 | | lifestyle advantages such as greater autonomy and
flexibility | 16 | | over when a patient dialyzes; it reduces dependence on | 17 | | transportation, as there is no travel to a clinic for | 18 | | treatments,
and is therefore more conducive for work, which is | 19 | | demonstrated by higher rates of employment among home dialysis | 20 | | patients; and |
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| 1 | | WHEREAS, The first three months of dialysis cost, on | 2 | | average, upwards of $43,000 per patient; and | 3 | | WHEREAS, Access to a home dialysis training program allows | 4 | | for Medicaid patients to move to Medicare as their primary
| 5 | | payer on day one of treatment, not at month four, which is | 6 | | called the "Medicare waiting period" and therefore saves the
| 7 | | State of Illinois significant costs; and | 8 | | WHEREAS, The three-month Medicare waiting period creates | 9 | | significant costs for states; if there are 1,000 new
Medicaid | 10 | | cases of ESRD in Illinois, this could mean as much as $43 | 11 | | million in annual Medicaid costs during the
waiting period; and | 12 | | WHEREAS, Only 10% of dialysis patients receive treatment at | 13 | | home; and | 14 | | WHEREAS, ESRD disproportionately affects minority | 15 | | Americans; incidence among African
Americans are 3.7 times | 16 | | greater than in caucasians; and | 17 | | WHEREAS, Hispanic patients are 13% less likely to receive | 18 | | PD and 37% less likely to receive HHD, while
African American | 19 | | patients are 29% less likely to receive PD and 17% less likely | 20 | | to receive HHD; and
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| 1 | | WHEREAS, There is less home hemodialysis and home training | 2 | | in poorer counties, and counties with fewer minorities offer
| 3 | | greater access to home hemodialysis; and
| 4 | | WHEREAS, There are other barriers that preclude many | 5 | | patients from accessing home dialysis which include the lack of
| 6 | | sufficient provider education about home dialysis, | 7 | | insufficient reimbursement for home dialysis, limited patient | 8 | | awareness
of the home modality, and potentially burdensome | 9 | | requirements for care partner support; most of these barriers | 10 | | were also
noted in a report by the U.S. Government | 11 | | Accountability Office issued in the fall of 2015; and
| 12 | | WHEREAS, Policymakers can alleviate these burdens by | 13 | | focusing on telehealth, medical waste laws, and reimbursement; | 14 | | they can enable and encourage providers to offer more home | 15 | | dialysis to more of their patients and to provide a pathway for | 16 | | staff-assisted
home hemodialysis; therefore, be it
| 17 | | RESOLVED, BY THE SENATE OF THE NINETY-NINTH GENERAL | 18 | | ASSEMBLY OF THE STATE OF ILLINOIS, that we recognize the | 19 | | importance of equal access to all
dialysis modalities for End | 20 | | Stage Renal Disease to preserve State funds by enabling more | 21 | | patients who can benefit from home dialysis to receive
access; | 22 | | and be it further |
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| 1 | | RESOLVED, That we urge State agencies and policymakers to | 2 | | implement
policies to decrease the lack of access to home | 3 | | dialysis
modalities, which disproportionately affects | 4 | | African-Americans and other minorities, by improving access to | 5 | | home dialysis; and be it further
| 6 | | RESOLVED, That suitable copies of this resolution be | 7 | | delivered to Governor Rauner, Senate President James | 8 | | Cullerton, Speaker of the House of Representatives Michael | 9 | | Madigan, Senate Minority Leader Christine Radogno, and House of | 10 | | Representatives Minority Leader Jim Durkin.
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