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Trump administration launches national kidney care plan

Click in for more news from The Hill {beacon} Healthcare Healthcare The Big Story Trump launches national kidney care plan The Trump administration launched the Kidney Care National Plan Tuesday, aiming to improve structural kidney care deficiencies the Health and Human Services (HHS) Department says lead to higher costs and lower quality. © Rich Pedroncelli,…

· 739 words· updated October 20, 2026 at 07:13 PM
FILE – A patient undergoes kidney dialysis at a clinic in Sacramento, Calif., on Sept. 24, 2018. A state ballot measure would require a doctor, nurse practitioner or physicians’ assistant to be present during treatment at an outpatient kidney dialysis clinic. This will be the third consecutive general election where voters have been asked this question. The two previous measures failed. This measure is backed again by labor unions who represent health care workers. And again, kidney dialysis companies are opposing it. Some have suggested the subtext of these ballot initiatives is a broader battle of labor unions attempting to organize workers at the state’s more than 600 kidney dialysis clinics.
FILE – A patient undergoes kidney dialysis at a clinic in Sacramento, Calif., on Sept. 24, 2018. A state ballot measure would require a doctor, nurse practitioner or physicians’ assistant to be present during treatment at an outpatient kidney dialysis clinic. This will be the third consecutive general election where voters have been asked this question. The two previous measures failed. This measure is backed again by labor unions who represent health care workers. And again, kidney dialysis companies are opposing it. Some have suggested the subtext of these ballot initiatives is a broader battle of labor unions attempting to organize workers at the state’s more than 600 kidney dialysis clinics.

Trump launches national kidney care plan

The Trump administration launched the Kidney Care National Plan Tuesday, aiming to improve structural kidney care deficiencies the Health and Human Services (HHS) Department says lead to higher costs and lower quality.

The new plan calls for more competition in treatment markets that have been dominated by companies DaVita Inc. and Fresenius Medical Care, which collectively constitute roughly 74 percent of the market.

The initiative will also seek to reform the transplant system. Roughly 90,000 Americans remain on the kidney transplant waiting list, with many waiting three to five years for a donor kidney.

HHS said it will advance a National Transplant Expansion Strategy that builds on the foundation established by a 2019 executive order, during President Trump’s first term. The strategy will make living donation easier and more accessible, so more patients can receive the transplants they need, the department said.

The plan will also focus on preventive care : detecting kidney disease earlier, intervening sooner and advancing treatments that can slow or stop disease progression.

Kidney disease is one of the nation’s most common chronic diseases, affecting an estimated 37 million American adults . However, most of those affected by kidney disease do not know they have it, so too often, treatment begins only after significant damage has occurred.

HHS indicated the systemic failures are at least partly the result of government overreach. A primary barrier to better prevention, for instance, is the federal government’s role in paying for end-stage renal disease care.

“In many cases, government should do less, focusing its efforts on promoting accountability, competition, and innovation,” the plan recommends. “An affirmative federal role is warranted in the narrow circumstances where a specific, identifiable market failure prevents private actors from serving the public interest.”

Welcome to The Hill’s Healthcare newsletter , we’re Nathaniel Weixel and Joseph Choi — every week we follow the latest moves on how Washington impacts your health.

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How policy will be impacting the healthcare sector this week and beyond:

The Centers for Disease Control and ​Prevention (CDC) has added a third U.S. measles death to its national tracker as total cases for 2026 surpass 4,400. The Department of Health and Human Services (HHS) told Reuters the CDC updated its count after the National Center for Health Statistics received ​a report of a measles-related death and verified the disease was the underlying cause, the Department of Health and Human Services …

A member of the National Guard was shot in the leg late Sunday while attempting to break up a fight in Southeast Washington, police said Monday. The injured guard member and the suspected shooter were hospitalized, and their injuries were not deemed life-threatening. The shooting occurred around 11:10 p.m. EDT in the 400 block of 8th Street SE, according to interim Metropolitan Police Department (MPD) Chief Jeffery Carroll. …

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Health news we’ve flagged from other outlets:

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Opinions related to health submitted to The Hill:

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Tuesday, October 20, 2026

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