Advancing American Kidney Health: News & Updates


On July 10, 2019, President Donald Trump signed an Executive Order to launch Advancing American Kidney Health, a new initiative designed to improve the lives of Americans with kidney disease by expanding treatment options and reducing health care costs. The initiative proposes various changes, including revising rules to ensure kidneys reach patients quicker, moving more patients into home dialysis, encouraging development of artificial kidneys, increasing the number of kidneys available for transplantation, and changing reimbursement for kidney disease treatment.

As directed by the Executive Order, the U.S. Department of Health and Human Services (HHS) announced  that the Centers for Medicare & Medicaid Services (CMS), through its Center for Medicare and Medicaid Innovation (CMMI), released a proposed required payment model and four optional payment models to adjust payment incentives to encourage preventative kidney care, home dialysis, and kidney transplants. The Department’s Assistant Secretary for Planning and Evaluation (ASPE) also released a paper entitled Advancing American Kidney Health.

Executive Order

Activities & Implementation

Response from ANNA

"The Advancing American Kidney Health initiative provides an opportunity for nephrology nurses and the American Nephrology Nurses Association (ANNA) to be strategic and forward thinking about what we have to offer as a profession," said 2019 ANNA President Tamara Kear, PhD, RN, CNS, CNN, FAAN. "Successful implementation of the initiative will require the active involvement of nephrology nurses who possess the necessary education, training, and clinical skills to provide the most effective care to patients with kidney disease in all settings. Nephrology nurses must not only be at the table as the American Kidney Health initiative is implemented, we must have a leading role as full partners with the HHS and CMS, industry leaders, practitioners, and patient organizations as the initiative moves forward. ANNA and our colleagues in the kidney care community will continue to work together to share updated information and resources with our members throughout this process."

News & Updates


2020 ANNA National Symposium

Wednesday, April 22, 2020 (7:15 am - 8:15 am)
Advancing American Kidney Health: Update on the Executive Order and ANNA’s Action (1.0 CH)
Donna Bednarski, MSN, RN, ANP-BC, CNN, CNP, ANNA Liaison to Kidney Care Partners
James Twaddell, ANNA Health Policy Consultant, Senior Vice President, District Policy Group at Drinker Biddle & Reath

TThe 2019 Executive Order on Advancing American Kidney Health has opened the door for changes in the care of patients with kidney disease as well as collaboration between nephrology nurses and other key nephrology providers. Learn more about the Executive Order and potential future implications for kidney care and nephrology nursing.

Learn More / Register

2019 Nephrology Nursing Practice, Management, & Leadership Conference

The following educational session was featured at ANNA's Nephrology Nursing Practice, Management, & Leadership Conference (San Diego, CA) on October 13, 2019.

CNE contact hours are available in the ANNA Online Library.
Click here to access CNE for this session

Regular: $5 / ANNA Members: FREE

Response from Kidney Care Community

Additional Resources/News