Healthcare (Medicare)

in committee · United States · House Apr 27, 2026

HR 8528: PI Post Acute Access Act

PI Post Acute Access Act This bill allows for separate payment under Medicare to skilled nursing facilities for items and services that are needed to administer intravenous immune globin (IVIG) to patients with primary immune deficiency diseases (rare genetic disorders that impair the immune system and increase vulnerability for other infections).

Topics ✓ HealthcareSupports HealthcareBill creates separate Medicare payment for IVIG administration in skilled nursing facilities, expanding access and funding for patients with primary immune deficiency diseases.95% confidence

Sub-Topics Long-Term Care Medicare

Track

in committee · United States · Senate Apr 16, 2026

S 4323: Ensuring Access to Lower-Cost Medicines for Seniors Act

Ensuring Access to Lower-Cost Medicines for Seniors Act This bill requires prescription drug plans under the Medicare prescription drug benefit to include generic drugs and biosimilars on their formularies. Specifically, the bill requires plans that use formularies to include generic drugs and biosimilars on the formularies and without any requirements (e.g., prior authorization requirements) that are more restrictive as compared to those for brand-name drugs and biologics. Plans that use cost-sharing tiers must also have specific tiers for generic drugs and biosimilars, in accordance with certain limitations.

Topics ✓ HealthcareSupports HealthcareBill mandates inclusion of generic drugs and biosimilars in Medicare formularies without restrictive barriers, directly improving patient access to lower-cost medicines.95% confidence

Sub-Topics Medicare Prescription Drugs Tags Seniors

Track

in committee · United States · House May 21, 2026

HR 8871: DME Scammer Prevention Act of 2026

The DME Scammer Prevention Act of 2026 aims to reduce fraud in Medicare by requiring all providers to submit electronic claims for specific medical equipment and supplies starting in 2027. A key provision mandates that claims for these items be submitted within 90 days of service, with certain exceptions for items needing prior authorization or monthly rental payments. To ensure the system works effectively, the bill requires the Comptroller General to submit a report to Congress by 2030 evaluating how the new screening technology identifies errors, waste, or potential abuse. These changes directly affect Medicare suppliers and administrative contractors by altering how and when they must file claims for covered durable medical equipment.

Topics ✓ HealthcareSupports HealthcareBill aims to reduce Medicare fraud, thereby protecting patient funds and strengthening the healthcare system's integrity.85% confidence

Sub-Topics Medicare

Track

in committee · United States · House Apr 15, 2026

HR 8310: Patient Safety and Whistleblower Protections Act

The Patient Safety and Whistleblower Protections Act aims to protect healthcare practitioners from retaliation by healthcare facilities when they report patient safety concerns. The bill prohibits facilities from taking adverse employment actions against practitioners who communicate issues such as quality of care, staffing, or equipment sufficiency to supervisors, state authorities, government officials, or, after 90 days, the news media. It allows practitioners to file individual or class action lawsuits for retaliation, seeking actual damages, attorney's fees, and punitive damages. Additionally, the bill voids contractual provisions that restrict reporting patient safety concerns and requires Medicare-participating facilities to establish anonymous reporting mechanisms and investigation processes.

Topics ✓ HealthcareSupports HealthcareBill protects healthcare practitioners from retaliation when reporting safety concerns, strengthening patient safety and professional protections within healthcare systems.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill protects healthcare workers from retaliation for reporting safety concerns, strengthening whistleblower protections and workplace safety standards.95% confidence

Sub-Topics Medicare

Track

in committee · United States · House Apr 16, 2026

HR 8319: KIDNEY Remote Monitoring Act

The KIDNEY Remote Monitoring Act (H.R. 8319) aims to ensure Medicare payment for remote physiologic monitoring services provided to individuals with end-stage renal disease (ESRD) who receive home dialysis. The bill amends the Social Security Act to direct that these monitoring services, when furnished by a physician, will be paid for under Medicare Part B. This change would take effect for services provided on or after January 1, 2028, aligning their payment with the standard fee schedule for physician services.

Topics ✓ HealthcareSupports HealthcareBill ensures Medicare payment for remote monitoring services for ESRD patients, expanding coverage and improving access to care.95% confidence

Sub-Topics Medicare Telehealth

Track

in committee · United States · House Apr 14, 2026

HR 8260: Cardiovascular Disease Early Detection and Prevention Act of 2026

The Cardiovascular Disease Early Detection and Prevention Act of 2026 mandates that private health insurance plans, Medicare, and Medicaid cover specific cardiovascular disease screenings. The bill requires coverage for testing of lipoprotein(a) (Lp(a)) and apolipoprotein B (ApoB) levels. This coverage applies to individuals with a family history of premature cardiovascular disease, a personal history of heart attack or stroke, elevated LDL cholesterol, diabetes, obesity, or other recognized cardiovascular risk factors. For eligible individuals, these tests must be provided without any cost sharing, such as co-pays or deductibles.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for cardiovascular disease screenings, expanding access to preventive healthcare services and protecting patient health outcomes.95% confidence

Sub-Topics Insurance Medicaid Medicare

Track

in committee · United States · House Apr 20, 2026

HR 8391: To amend titles XVIII and XIX of the Social Security Act to require coverage of certain food and nutrition services under the Medicare and Medicaid programs.

This bill, HR 8391, proposes to expand the types of services covered under the Medicare and Medicaid programs. It directly affects Medicare beneficiaries and Medicaid recipients by requiring coverage for certain food and nutrition services. Under Medicare, these services would be covered, with Medicare paying 80% of the actual charge. For Medicaid, these services would also be covered and become a mandatory benefit that states must provide. The Secretary of Health and Human Services will specify the exact requirements for these services, and the changes would take effect 180 days after the bill's enactment.

Topics ✓ HealthcareSupports HealthcareBill expands Medicare and Medicaid coverage to include food and nutrition services, strengthening healthcare benefits and patient access.95% confidence

Sub-Topics Medicaid Medicare

Track

in committee · United States · House Apr 20, 2026

HR 8377: Stop Deadly Denials Act of 2026

This bill, the "Stop Deadly Denials Act of 2026," aims to significantly restrict prior authorization requirements for Medicare beneficiaries. It prohibits Medicare Advantage plans from imposing prior authorization for most medical services and items starting January 1, 2027, with non-compliant plans facing potential sanctions. For traditional Medicare, the bill blocks a specific prior authorization pilot program and limits future models from implementing prior authorization if they use artificial intelligence for denials without individual physician review or do not use Medicare administrative contractors for processing. Additionally, it requires public notice and comment for all future Medicare innovation models.

Topics ✓ HealthcareSupports HealthcareBill removes prior authorization barriers for Medicare, improving patient access to medical services and strengthening healthcare coverage.90% confidence

Sub-Topics Medicare

Track

in committee · United States · House Apr 20, 2026

HR 8386: RECOVER Act of 2026

The RECOVER Act of 2026 seeks to eliminate a specific payment reduction under the Medicare program, directly affecting Medicare beneficiaries who receive multiple therapy services and the providers who furnish them. Currently, Medicare applies a 50% payment reduction when certain multiple therapy services are provided to a beneficiary on the same day. This bill amends existing law to eliminate that 50% reduction, changing it to 0 percent. This change applies to therapy services billed under the physician fee schedule, as well as outpatient and comprehensive outpatient rehabilitation services, and will take effect for services furnished on or after January 1, 2027.

Topics ✓ HealthcareSupports HealthcareBill eliminates a 50% payment reduction for Medicare therapy services, increasing reimbursement rates and protecting access to care for beneficiaries.90% confidence

Sub-Topics Medicare

Track

in committee · United States · House Apr 14, 2026

HR 8261: Chronic Care Management Improvement Act of 2026

HR 8261, the Chronic Care Management Improvement Act of 2026, aims to reduce healthcare costs for Medicare Part B beneficiaries receiving chronic care management services. Effective January 1, 2027, the bill mandates that Medicare will cover 100% of the cost for these specific services. This means individuals will no longer be responsible for any copayments or deductibles for chronic care management. The change directly affects Medicare Part B enrollees who utilize these services, making them more affordable by eliminating out-of-pocket costs.

Topics ✓ HealthcareSupports HealthcareBill mandates 100% Medicare coverage for chronic care management, eliminating copays and deductibles to improve patient access and reduce costs.90% confidence

Sub-Topics Medicare Telehealth

Track