The Patients First Act of 2026 modifies how Medicare reimburses physicians and primary care providers to improve access and stabilize payments. It establishes a new hybrid payment model for primary care services from 2027 to 2031, which pays a monthly fee per patient to eligible independent practices while covering specific services like care management and telehealth without cost-sharing for patients. The bill also updates the formula for calculating reimbursement rates to account for high inflation years and requires more frequent updates to the costs used in calculating payments. Additionally, the legislation reforms the performance-based payment system by adding care efficiency measures, creating a task force to recommend new quality metrics, and adjusting penalties for providers who fail to report on certain data.
The Essential Caregivers Act of 2026 requires nursing homes, long-term care hospitals, rehabilitation facilities, and intermediate care facilities to allow two chosen family members or friends to visit residents during times when regular visitation is suspended. These essential caregivers must agree to follow the facility's existing safety and infection control rules, which are no more restrictive than those applied to staff. While facilities can limit access for the first seven days of a suspension or deny entry if a caregiver shows symptoms of a serious infectious disease, they cannot block visits for end-of-life care. Additionally, the bill mandates that complaints about denied access to essential caregivers be investigated and resolved within three days.
HR 7651, the Chloe Cole Act of 2026, prohibits healthcare providers from performing certain medical interventions on minors under 18 aimed at altering physical development to align with gender identity. These "covered interventions" include puberty blockers, hormone treatments, and specific surgeries, but exclude medically necessary care for conditions like disorders of sexual development or traumatic injuries. The bill creates a federal civil lawsuit right for affected minors or their parents against providers who perform such interventions, allowing claims for damages including emotional distress and punitive awards, with strict liability for providers after the law's enactment. It explicitly allows exceptions for legitimate medical treatments and requires providers to prove such exceptions apply if challenged.
This bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.
Protecting Privacy in Purchases Act This bill prohibits payment card networks from using merchant codes that distinguish firearms retailers from general-merchandise retailers or sporting-goods retailers. The Department of Justice must enforce this bill and report annually on the resulting investigations and cases.
The Good Jobs for Good Airports Act establishes new federal standards to ensure that workers at small, medium, and large hub airports receive a living wage and adequate health benefits. It defines "covered service workers" to include employees in roles such as baggage handling, passenger assistance, security, ticketing, and concession services, regardless of whether they are directly hired by the airport or work for a contractor. Under the bill, employers must pay these workers at least the higher of the federal Service Contract Act wage rates or applicable state and local minimum wages, and they must provide similar fringe benefits. To enforce these rules, the Secretary of Labor and the Secretary of Transportation will have the authority to investigate violations, issue penalties, and require employers to submit monthly compliance certifications. Additionally, the law allows private individuals to file lawsuits against non-compliant employers and mandates annual reports to Congress on the implementation of these labor standards.
The TOTAL Screen Time Act directs the National Institute of Standards and Technology to create a voluntary technical standard that allows parents and guardians to set screen time limits across various devices like phones, tablets, and computers. This standard must protect the privacy of minors by avoiding centralized data collection and unnecessary data sharing between devices while maintaining device cybersecurity. The bill requires the NIST Director to consult with government agencies, device developers, medical professionals, and advocacy groups before establishing the standard. Additionally, the Director must submit regular reports to Congress and the public detailing the progress of developing and adopting this standard until 2032.
The High Court Gift Ban Act prohibits federal judicial officers from accepting gifts from sources likely to appear before them, unless the gift is under $50, the total annual value from that source remains $100 or less, or it falls under specific exceptions like gifts from relatives or public events. The law defines a "gift" broadly to include items, services, and reimbursements, while allowing exceptions for personal hospitality within IRS limits and certain professional benefits available to the general public. Enforcement mechanisms include referrals to the Attorney General for violations, which can result in civil or criminal penalties similar to those for other federal ethics breaches. The bill requires the Supreme Court and the Judicial Conference to create implementing regulations within 180 days of enactment to ensure compliance.
This bill creates a five-year pilot program to provide grants to states and local governments for expanding Forensic Assertive Community Treatment teams. These specialized teams offer intensive, round-the-clock support including mental health care, addiction treatment, and housing assistance to individuals with serious mental illness who are involved with the criminal justice system. The program requires teams to include a mix of psychiatrists, employment specialists, criminal justice partners, and peer specialists with lived experience. Additionally, the legislation authorizes funding for a study by the National Academies to evaluate the program's effectiveness and develop guidelines for scaling it up.
This joint resolution seeks to formally disapprove a specific rule issued by the Centers for Medicare & Medicaid Services regarding the Affordable Care Act and the Basic Health Program for 2027. If passed, the measure would nullify the rule, preventing it from taking legal effect. The bill directly impacts the administration of healthcare benefits and payment parameters for the upcoming year. It is sponsored by a group of Democratic senators and is intended to halt the implementation of the agency's proposed changes.
This joint resolution directs the President to remove United States Armed Forces from ongoing hostilities with Iran that were not previously authorized by Congress. The bill relies on the War Powers Resolution, asserting that military actions since February 2026 constitute unauthorized hostilities because no formal declaration of war or specific statutory authorization exists. While ordering a withdrawal, the measure explicitly allows the U.S. to continue defending against attacks on American personnel, sharing intelligence, assisting partner nations, and evacuating U.S. citizens. It applies expedited legislative procedures to ensure the directive is considered quickly by both the House and Senate.
This resolution expresses support for designating July 10th as Journeyman Lineworkers Recognition Day to honor the workers who maintain the nation's electrical grid. The bill specifically recognizes the dangerous conditions these employees face, such as working at heights near live power lines and responding to disasters like hurricanes and wildfires. It also commemorates Henry Miller, the first president of the International Brotherhood of Electrical Workers, who died on July 10, 1896, while performing his duties. Ultimately, the measure encourages the public to observe this day with reflection on the contributions of lineworkers.
