The purpose of this legislation, known as the Improving Home Dialysis Act of 2026, is to enhance support for patients undergoing home dialysis by expanding the types of services covered under Medicare. The main goal is to improve the quality of care for individuals who manage their dialysis treatment at home. Key provisions of the legislation include the addition of two specific types of services to the list of covered self-care home dialysis support services. Starting January 1, 2028, Medicare will cover staff-assisted home dialysis respite care and renal mental health services.