Executive Order 13879: Advancing American Kidney Health
President: Donald J. Trump
Directed HHS to develop kidney-disease awareness, payment models, transplantation measures and home-dialysis options. Specific payment obligations depended on later CMS rules.
Status: In effect. Is Executive Order 13879 still in effect? Yes. Executive Order 13879 remains in effect. See Federal Register record.
What does Executive Order 13879 do?
CMS launched the Kidney Care Choices payment model with its first performance year starting in January 2022.
Evidence review, September 23, 2026: CMS developed the Kidney Care Choices model as part of the later kidney-care work associated with the order.
Before and after
Before the order
Kidney care commonly relied on in-center dialysis, while federal payment and transplant policies could influence access to home dialysis and transplantation.
After the order
CMS launched the Kidney Care Choices payment model with its first performance year starting in January 2022.
The directive proposed care and payment reforms, but model participation and payment terms derive from later CMS authority. The launch alone cannot establish improved clinical outcomes.
Who had to do what
| Agency / official | What the signed order directed | Deadline / timing |
|---|---|---|
| HHS Secretary | Launch kidney-disease education and awareness; select early-care and home-dialysis/transplant payment models; announce artificial-kidney regulatory consideration and KidneyX innovation strategy; propose organ-procurement performance rules and living-donor reimbursement expansion; streamline kidney matching and delivery. | Payment models within 30 days of July 10, 2019; organ-procurement and donor-reimbursement proposals within 90 days; awareness and artificial-kidney/KidneyX actions within 120 days; matching/delivery action within 180 days. |
Source: Signed Federal Register text.
Later developments
Later authority: CMS launched the Kidney Care Choices payment model with its first performance year starting in January 2022. (January 1, 2022)
What happened next
EO 13879 signed.
CMS launched the Kidney Care Choices payment model with its first performance year starting in January 2022.
Guide checked against signed order and later official evidence.
Legal and source detail
How it works legally
The directive proposed care and payment reforms, but model participation and payment terms derive from later CMS authority. The launch alone cannot establish improved clinical outcomes.
Sources by type
If a source is unavailable, first check the cited publisher or another official repository. The cited publisher remains the authority.
Primary and official sources
Orders, laws, court records and official implementation material.
- CMS — Kidney Care Choices model (opens in a new tab) Official record
How we checked this
Last checked against the sources above on September 26, 2026. How we research →