H.R. 9703

H.R. 9703: To require the Center for Medicare and Medicaid Innovation to test allowing blood transfusions to be paid separately from the Medicare hospice all-inclusive per diem payment.

Introduced Debbie Dingell (D) HOUSE_BILL — 119th Congress
Plain English Summary

H.R. 9703 is a bill that aims to require the Center for Medicare and Medicaid Innovation to conduct tests on the possibility of allowing blood transfusions to be billed separately from the standard all-inclusive daily payment that Medicare provides for hospice care. This change could potentially improve access to necessary medical procedures for patients in hospice care who need blood transfusions.

Positive Media Summary

Supporters of H.R. 9703 have praised the bill for addressing a critical gap in hospice care, as allowing separate billing for blood transfusions could enhance patient care and ensure that hospice patients receive essential treatments without financial barriers. Advocates argue that this could lead to better health outcomes and a more humane approach to end-of-life care.

Negative Media Summary

Critics of H.R. 9703 have raised concerns about the potential for increased costs to the Medicare system if blood transfusions are billed separately. They argue that this could complicate the hospice payment model and lead to administrative burdens for healthcare providers. Some fear that the bill may inadvertently disrupt the holistic nature of hospice care by introducing more financial considerations.

Conflict of Interest Analysis Deep Analysis
8/10
Risk Level
High
Total Donations
$157,500,000
PAC Percentage
0%
Policy Area
Health

The bill H.R. 9703, sponsored by Debbie Dingell, seeks to change how blood transfusions are reimbursed under Medicare hospice care. A significant portion of Dingell's donations, totaling $120 million, comes from the health professionals sector, which directly overlaps with the bill's subject matter. This raises concerns about potential conflicts of interest, as the financial interests of her donors may influence her legislative priorities. The health professionals' donations could suggest that they stand to benefit from changes in reimbursement policies, which could lead to increased profits for those in the healthcare industry. Voters should be aware that the financial motivations of donors may not align with the best interests of patients or the public health system.

Industry Overlap — Follow the Money

These industries are both affected by this bill and among the sponsor's top donors.

Industry Match Type Related Subject Donations
Health Professionals (H01) Sector Health $120,000,000
Total from overlapping industries $120,000,000
Lobbying Activity — Who's Pushing?

Organizations that lobbied on issues related to this bill's policy area.

Client Lobbying Firm Amount
AMERICAN ACADEMY OF HOME CARE MEDICINE TARPLIN, DOWNS & YOUNG, LLC $70,000
MATHEMATICA, INC TARPLIN, DOWNS & YOUNG, LLC $60,000
MARSHFIELD CLINIC HEALTH SYSTEM MARSHFIELD CLINIC HEALTH SYSTEM $60,000
ACTUM ON BEHALF OF HEALTHEQUITY, INC. TARPLIN, DOWNS & YOUNG, LLC $50,000
COALITION FOR THE USE OF SAFE AND EFFICIENT REFRIGERANTS WILLIAMSON LAW + POLICY PLLC $20,000
JAMESTOWN S'KLALLAM TRIBE HOBBS, STRAUS, DEAN & WALKER, LLP $10,000
NATIONAL CONSUMER REPORTING ASSOCIATION NATIONAL CONSUMER REPORTING ASSOCIATION $5,000
ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE (AMPP) ASSOCIATION FOR MATERIALS PROTECTION AND PERFORMANCE (AMPP) undisclosed
SYSTEMS & METHODS, INC. CAPROCK STRATEGIES, LLC undisclosed
HEALING LODGE OF THE SEVEN NATIONS HOBBS, STRAUS, DEAN & WALKER, LLP undisclosed
PUEBLO OF SANTA ANA HOBBS, STRAUS, DEAN & WALKER, LLP undisclosed
TIGERSWAN ALPHA STRATEGIES, LLC undisclosed
LWRC INTERNATIONAL, LLC ALPHA STRATEGIES, LLC undisclosed
NATIVE VILLAGE OF EYAK HOBBS, STRAUS, DEAN & WALKER, LLP undisclosed
HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION undisclosed

Source: Senate Lobbying Disclosure Act (LDA) filings, 2026

Sponsor's Top Donor Industries

Top industries funding Debbie Dingell, ranked by total contributions.

Health Professionals $120,000,000
Individuals: $120,000,000 PACs: $0
Retired $37,500,000
Individuals: $37,500,000 PACs: $0

Source: OpenSecrets.org (Center for Responsive Politics)

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