

The Supreme Court’s June 2022 Marietta ruling is a ticking fiscal bomb.
A crisis is unfolding, and it could cost taxpayers billions and jeopardize access to life-sustaining dialysis care, particularly in rural states and communities. This ruling allows employers to kick people with employer-sponsored insurance off their plans – including their entire families. This forces the dialysis patient onto Medicare prematurely.
The consequences?
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A fiscal disaster – THAT COULD COST THE GOVERNMENT BILLIONS.
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The closure of vital dialysis clinics nationwide.
AN ENDANGERED MEDICARE TRUST FUND
By taking actions that force patients off their private insurance and onto Medicare, the government will shoulder the full cost of their healthcare—not just dialysis, but all medical expenses.
This shift could add billions in unexpected costs to the Medicare Program, further jeopardizing its financial stability.
Without intervention, taxpayers will bear the burden of a problem created by exploiting the Supreme Court’s narrow reading of the Medicare statute.

Real People, Real Pain in Real America
This Court ruling endangers Americans with kidney failure who depend on dialysis to stay alive.
It’s a national problem affecting red and blue states, big cities and small towns.
In rural areas, where about 20% of dialysis clinics are located, the closure of dialysis clinics will lead to the most severe consequences for patients, including:
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Needing to travel long distances for treatment, increasing costs and physical hardship.
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Having no other option, but to depend on costlier, less efficient emergency rooms for dialysis care.
The impact will be most severe in states with significant infrastructure, including:
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Texas (927 facilities)
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Florida (634 facilities)
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Louisiana (291 facilities)
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North Carolina (409 facilities)
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Tennessee (292 facilities)
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Rust Belt States (over 1,400 facilities)
A Simple Solution That Could Save The Government Billions and Protect Patients
The RESTORE Act offers a clear fix. By restoring longstanding protections undermined by the Marietta ruling, this legislation will:
Stop shifting costs to taxpayers.
Keep dialysis clinics open, ensuring patients have access to convenient care in their communities'.
Protect Medicare from an unsustainable patient surge that could cost the government billions.
Without the Restore Act, taxpayers could face billions in new Medicare expenditures, and patients across the country, especially those in rural areas could lose access to life-saving treatment...

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