House bill · 119th Congress · Latest step: Committee action

Joe Fiandra Access to Home Infusion Act of 2025

H.R. 4993Introduced Aug 19, 2025Policy area: Health

Official title: To amend title XVIII of the Social Security Act to provide coverage of external infusion pumps and non-self-administrable home infusion drugs under the Medicare program.

Sponsor: Rep. Brian Fitzpatrick R-PA

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Where it went

IntroducedAug 19, 2025
Committee actionDec 10, 2025
Passed House—
Passed Senate—
To the President—
Became law—

Latest action: Dec 10, 2025 — Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 41 - 0.

Cost and committee reports

Official records Congress.gov attaches to H.R. 4993.

Constitutional authority statementThe sponsor’s statement of where the Constitution gives Congress the power to pass this bill. Statement by Mr. FITZPATRICK, as printed in the Congressional Record (Vol. 171, No. 139, August 19, 2025, Page H3703):
Article 1, Section 8, Clause 18
Source: Congress.gov, Congressional Record August 19, 2025 ↗
Evidence
Field in the Congress.gov record
constitutionalAuthorityStatementText
Statement length
31 characters
Congress.gov bill record
H.R. 4993, 119th Congress
Congress.gov API record
https://api.congress.gov/v3/bill/119/hr/4993
Record last updated by Congress.gov
July 29, 2026
PORKER copy retrieved
September 13, 2026
Stored copy, SHA-256 of the file
2afd4cdc720ae99a688317d64f16bdd4ba40c3594c6fff523d88c318d7794d0f
PORKER shows the statement exactly as printed, with the page markup removed. It is the sponsor’s claim; it is not a legal finding.
Congress.gov noteThe text of H.R.4993 is contained in the text of H.R.7148, which became Public Law 119-75.
Source: Congress.gov, record updated July 29, 2026 ↗
Evidence
Field in the Congress.gov record
notes
Congress.gov bill record
H.R. 4993, 119th Congress
Congress.gov API record
https://api.congress.gov/v3/bill/119/hr/4993
Record last updated by Congress.gov
July 29, 2026
PORKER copy retrieved
September 13, 2026
Stored copy, SHA-256 of the file
2afd4cdc720ae99a688317d64f16bdd4ba40c3594c6fff523d88c318d7794d0f

Congress.gov’s record for this bill does not list a CBO cost estimate or a committee report (as of July 29, 2026). Not every bill gets one.

Sent to: Energy and Commerce Committee, Ways and Means CommitteeBills with a CBO estimate Bills with a committee report See it in the Data Web

From the Congress.gov bill record for H.R. 4993, last updated July 29, 2026. PORKER’s copy was retrieved September 13, 2026 and is refreshed nightly. Open “Evidence” on any line for the record, field and file fingerprint.