State Advocacy
DPC works to advance public policies with state legislators and administrative officials to enhance the quality of life and choice for dialysis patients. We also actively oppose efforts to weaken any of these hard-fought gains.
State Facts
The interactive map below provides data about Americans living with kidney disease. Simply click on your state for detailed information about the number of individuals who are on dialysis and in need of a kidney transplant. You can also download any state fact sheet to share it with your members of Congress, state legislators, or local elected officials.
Related Information
Upcoming Open Enrollment Deadlines for Nevada Dialysis Patients
In a major victory for under age 65 Nevadans living on dialysis, Senate Bill 292 became law earlier this year. SB 292 provides access for under-age 65 dialysis patients to purchase affordable Medigap insurance [...]
Dialysis Patient Citizens Applauds Texas Legislature for Passing Historic Bill Expanding Affordable Medigap Access for Dialysis and ALS Patients
Austin, TX (June 23, 2025) – House Bill 2516 has become public law, a significant victory for Texans living with End-Stage Renal Disease (ESRD), or kidney failure, and Amyotrophic Lateral Sclerosis (ALS). The legislation, [...]
Medigap Protections become Law in Nevada and Texas
Two historic bills that expand affordable access to Medicare Supplement Insurance coverage, otherwise known as Medigap, have passed with overwhelming support in the states of Nevada and Texas this legislative session. Both bills provide affordable [...]
Rhode Island Passes Birthday Rule and Evaluates Community Rating for Medigap Plans
On Friday, June 20, the Rhode Island House passed SB610, Sub B, joining the Senate in approving a birthday rule and evaluation of adopting community rating for all Medicare Supplement plans. SB 610 is awaiting [...]
Delaware Unanimously Passes Medigap Birthday Rule
With a unanimous vote in the Delaware House of Representatives on June 12, the Delaware General Assembly has unanimously passed SB 71 in both chambers. This legislation, called a birthday rule, creates a special open [...]
Dialysis Patient Citizens Applauds Nevada Governor Signing Legislation Expanding Access to Affordable Medigap Coverage for Dialysis Patients
Carson City, NV (June 9, 2025) – Governor Joe Lombardo (R-NV) and the Nevada State Legislature have taken a historic step to ensure affordable access to Medicare Supplement Insurance plans, also known as Medigap, [...]







