On July 10, 2019, President Trump issued the Executive Order on Advancing American Kidney Health. The Executive Order directs the Secretary of HHS to select a payment model that encourages increased use of home dialysis and kidney transplants through creation of payment incentives based on a provider’s percentage of patients utilizing home dialysis or accepting a transplant. Additionally, CMS has proposed the End-Stage Renal Disease Treatment Choices Model (ETC) to incentivize home dialysis and transplants, reduce expenditures, and enhance patients’ quality of care. Presently, CMS has proposed that the ETC model would apply to Medicare claims from January 1, 2020 through June 30, 2026.