Healthcare (Medicaid)

in committee · United States · House Jun 12, 2025

HR 3990: Disaster Relief Medicaid Act

The Disaster Relief Medicaid Act creates a new Medicaid program to provide medical assistance to individuals affected by disasters. It establishes a "relief coverage period" of two years beginning when a disaster is declared, during which survivors can receive Medicaid benefits without meeting standard income requirements. The bill simplifies the application process by removing documentation requirements and provides 100% federal funding for these services. It includes special provisions for pregnant individuals, those with pending applications, and individuals requiring home and community-based services. The program applies to individuals who were residents of the disaster area or lost employment due to the disaster, with benefits available to survivors regardless of their home state.

Topics ✓ HealthcareSupports HealthcareCreates new Medicaid coverage for disaster survivors with no income requirements, simplified applications, and 100% federal funding - directly expands healthcare access.95% confidence

Sub-Topics Medicaid Medicare Public Health Tags Emergency Management

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in committee · United States · House Jul 17, 2025

HR 4484: ADAPT Act

HR 4484 (ADAPT Act) adds Medicare coverage for psychological services provided by supervised trainees - doctoral interns or postdoctoral residents in APA-accredited programs under licensed psychologists' supervision. It requires a new billing code (GC modifier) for these services and directs the Health Secretary to issue Medicaid/CHIP guidance to states on implementing similar coverage, including recommended billing codes and state examples. The bill directly affects trainees seeking licensure and their supervising psychologists by enabling federal billing for their services. States would use the guidance to adjust coverage policies for trainee services under Medicaid and CHIP programs.

Topics ✓ HealthcareSupports HealthcareAdds Medicare coverage for psychological services by supervised trainees, expanding mental health access and supporting provider training programs.95% confidence

Sub-Topics Children's Health Insurance Medicaid

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in committee · United States · House Sep 8, 2025

HR 5178: Sickle Cell Disease Comprehensive Care Act

Sickle Cell Disease Comprehensive Care Act This bill allows state Medicaid programs to establish health homes to provide coordinated care for individuals with sickle-cell disease. (Under current law, state Medicaid programs may establish health homes to provide coordinated care for individuals with specified chronic conditions.) States must ensure that such care includes dental and vision services. The Centers for Medicare & Medicaid Services must issue best practices for states on how to design and implement such health homes.

Topics ✓ HealthcareSupports HealthcareExpands Medicaid health homes for sickle-cell disease, mandates dental/vision services, and requires CMS best practices - enhancing coordinated care access and coverage.95% confidence

Sub-Topics Medicaid Medicare

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in committee · United States · House Jul 23, 2025

HR 4641: Keep Kids Covered Act

The Keep Kids Covered Act extends continuous health coverage under Medicaid and CHIP for children. It requires states to maintain coverage for children under age 6 for six years (previously one year) and for children under age 19 for two years (previously one year), without requiring reapplication. Former foster youth will now remain covered until age 26. States must also annually update contact information for enrolled children and inform them about their coverage status and remaining eligibility period.

Topics ✓ HealthcareSupports HealthcareExtends Medicaid/CHIP coverage periods (6 years for <6yo, 2 years for <19yo) without reapplication, ensuring continuous health insurance access for children and foster youth.95% confidence

Sub-Topics Children's Health Medicaid Tags Children

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in committee · United States · House Oct 3, 2025

HR 5685: PNA Modernization Act

HR 5685, the PNA Modernization Act, increases the minimum monthly cash allowance under Medicaid for people living in long-term care facilities. It raises the individual allowance from $30 to $60 per month (effective January 2026) and the couple allowance from $60 to $120 per month. The bill also includes an automatic adjustment mechanism: starting after November 2025, these allowances will increase by the same percentage as Social Security benefit adjustments. This directly affects Medicaid beneficiaries residing in nursing homes or similar institutions, providing them with higher guaranteed personal spending funds.

Topics ✓ HealthcareSupports HealthcareIncreases Medicaid long-term care allowances, expanding financial support for beneficiaries under a public healthcare program.95% confidence

Sub-Topics Long-Term Care Medicaid

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in committee · United States · House Mar 27, 2025

HR 2477: Portable Ultrasound Reimbursement Equity Act of 2025

HR 2477, the Portable Ultrasound Reimbursement Equity Act of 2025, would amend Medicare rules to require equal reimbursement for portable ultrasound transportation and setup services as is currently provided for portable X-ray services. This change directly affects Medicare beneficiaries needing portable ultrasound exams and healthcare providers (like mobile clinics) who offer these services. The bill mandates that Medicare pay separately for portable ultrasound transportation and setup in the same way and to the same extent as portable X-ray services, using similar supplier requirements as existing regulations. The policy change would take effect for services provided on or after January 1, 2027.

Topics ✓ HealthcareSupports HealthcareBill mandates equal Medicare reimbursement for portable ultrasound services, improving access for beneficiaries and providers by correcting a disparity in coverage for similar medical services.95% confidence

Sub-Topics Medicaid Medicare Telehealth

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in committee · United States · Senate Jan 23, 2025

S 229: DTC Act of 2025

The DTC Act of 2025 requires pharmaceutical companies to disclose the wholesale acquisition cost (WAC) for a 30-day supply (or typical treatment course) of prescription drugs in direct-to-consumer advertisements. This applies to drugs covered by Medicare or Medicaid, excluding those with a WAC under $35 per 30-day supply. The bill mandates clear, conspicuous display of the WAC in ads, along with a note that actual patient costs may vary based on insurance coverage. It takes effect July 1, 2026, and includes penalties for noncompliance, such as civil fines up to $100,000 per violation. The law aims to increase price transparency for consumers seeing drug ads, particularly affecting patients with high-deductible plans or Medicare beneficiaries.

Topics ✓ HealthcareSupports HealthcareMandates transparency in drug pricing for Medicare/Medicaid drugs via WAC disclosure in ads, improving patient cost awareness and aligning with healthcare transparency goals.90% confidence

Sub-Topics Insurance Medicaid Medicare

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in committee · United States · House Nov 20, 2025

HR 6242: Healthy MOM Act

The Healthy MOM Act (HR 6242) would require health insurance plans to provide a special enrollment period for pregnant individuals beginning when pregnancy is reported to the insurer. It mandates that group health plans and health insurance issuers cover maternity care, including childbirth and postpartum care, for all dependents regardless of age. The bill would extend Medicaid coverage for pregnant individuals and infants to 12 months postpartum (instead of ending at 60 days postpartum) and make this 12-month coverage permanent. These provisions would directly affect pregnant individuals, women with dependent children who are pregnant, and health insurance plans and Medicaid programs.

Topics ✓ HealthcareSupports HealthcareMandates maternity coverage, extends Medicaid postpartum from 60 to 12 months, expands access for pregnant individuals and infants95% confidence

Sub-Topics Insurance Medicaid Women's Health

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in committee · United States · House Feb 4, 2025

HR 950: Saving Seniors Money on Prescriptions Act

HR 950, the Saving Seniors Money on Prescriptions Act, requires pharmacy benefit managers (PBMs) working with Medicare Part D prescription drug plans to provide detailed annual reports starting in 2028. These reports must include transparent information about drug pricing, rebates, out-of-pocket costs for beneficiaries, and how brand-name drugs compare to generic alternatives. The bill specifically targets PBMs' relationships with affiliated pharmacies and requires them to disclose how their contracts affect drug costs for Medicare beneficiaries. It also mandates an annual report from the Government Accountability Office (GAO) to assess and streamline existing reporting requirements for health plans and PBMs. The goal is to increase transparency around prescription drug pricing in Medicare plans to help seniors understand and potentially reduce their medication costs.

Topics ✓ HealthcareSupports HealthcareRequires PBMs to disclose drug pricing/rebates for Medicare Part D, improving transparency and reducing out-of-pocket costs for seniors, directly enhancing patient access to affordable prescriptions.95% confidence

Sub-Topics Medicaid Medicare Prescription Drugs

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in committee · United States · House Sep 9, 2025

HR 5228: HCBS Worker Protection Act of 2025

This bill amends the Social Security Act to remove a payment limitation for certain Medicaid Home and Community-Based Services (HCBS) waivers. Specifically, it strikes a provision (subparagraph (C) of Section 1915(c)(11)) that restricted how states could fund these waivers under Medicaid. The change directly affects state Medicaid programs that use HCBS waivers to provide home and community care for people with disabilities or elderly individuals. By removing this restriction, states gain more flexibility in allocating Medicaid funds for these services, without altering eligibility or service requirements.

Topics ✓ HealthcareSupports HealthcareRemoves Medicaid HCBS waiver payment restriction, expanding access to home/community care for disabled/elderly individuals, directly strengthening healthcare access and coverage.90% confidence

Sub-Topics Long-Term Care Medicaid Tags People with Disabilities

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