Healthcare

The Health Insurance Transparency for Patients Act requires health insurance companies and Medicare Advantage organizations to publicly report detailed data on how they handle coverage requests. Starting with plan years after the law is passed, these providers must annually submit and display online information about the number and percentage of claims denied versus approved, along with the specific reasons for denials. The report must also break down data by the review method used, such as automated systems or human reviewers, and include the time it took to reach a decision. Additionally, the bill mandates that these organizations list all services requiring prior authorization and publish this information in a simple, easy-to-understand format. The Department of Health and Human Services will also make this data available on its own website to ensure public access.

The SMASH 2.0 Act reauthorizes and updates the federal Mosquito Abatement for Safety and Health program, which provides funding to state and local health departments to control mosquito populations. Key provisions allow the use of innovative technologies for prevention, allocate funds for technical training and education for public health workers, and increase the program's funding level to $100 million annually for fiscal years 2027 through 2031. Additionally, the bill requires the creation of a strategic plan to stockpile emergency supplies for controlling vector-borne diseases and establishes a mechanism for coordination with the Strategic National Stockpile. These changes aim to enhance the capacity of health agencies to manage mosquito-related health risks through better planning, training, and resource availability.

The Protecting Our Kids from Harmful Research Act prohibits the use of federal funds to support research or publications regarding gender transition for individuals under the age of 18. This restriction specifically targets studies that aim to affirm a minor's perception or identity when it differs from their sex assigned at birth, as defined by their reproductive biology and genetics. The bill directly affects federal agencies and institutions that might otherwise receive funding to conduct such observational studies on hormonal treatments or surgical procedures for minors. By limiting financial support, the legislation seeks to prevent government resources from being used for research that challenges the biological definition of sex at birth.

The Green New Deal for Health Act establishes a comprehensive federal framework to address the health impacts of climate change by creating new offices, expanding funding, and mandating specific actions across the health care sector. It directly affects hospitals, medical facilities, health care workers, and communities, with a specific focus on protecting environmental justice and low-income populations from climate-related health risks. Key provisions include the creation of an Office of Climate Change and Health Equity to develop a national strategic plan, requirements for hospitals to provide extended notice before closing or reducing essential services, and significant grants to upgrade medical facilities for climate resilience. The bill also mandates that the health care sector reduce its own carbon emissions through new disclosure rules for medical supplies and grants for green manufacturing, while simultaneously funding education to train health professionals on climate-related health threats. Additionally, the legislation authorizes Medicare coverage for home resiliency services, such as heat pumps and solar batteries, for individuals at risk during climate disasters, and allocates billions of dollars to expand the community health workforce and support mental health resilience programs.

The Veterans Medicare Premium Transparency Act requires Medicare to clearly explain how a veteran's enrollment in the Department of Veterans Affairs patient enrollment system affects their monthly insurance premiums. Under this bill, annual notices sent to Medicare beneficiaries will explicitly state that time spent in the VA system counts toward premium calculations and qualifies as valid prescription drug coverage. Additionally, the Secretary of Health and Human Services must post this explanation on the Medicare website and submit a report to Congress within 180 days detailing the updates and estimating how many veterans were previously paying higher premiums due to this lack of clarity.

The Increasing Mental Health Options Act of 2026 expands Medicare coverage for clinical psychologists by introducing financial incentives and removing certain administrative barriers. Starting in 2028, clinical psychologists working in designated rural and underserved areas will receive an additional 10 percent payment for services provided to Medicare beneficiaries. The bill also allows clinical psychologists to provide care or supervision in various settings, including outpatient rehabilitation, skilled nursing facilities, and home health services, as long as state laws permit it. These changes aim to increase access to mental health services by formally recognizing the role of clinical psychologists in Medicare-covered care.

This resolution expresses support for designating the first week of August as National Community Health Center Week to honor the contributions of these facilities. It encourages all Americans to visit their local health centers during this time to celebrate the partnership between these organizations and the communities they serve. The bill highlights how community health centers provide affordable, comprehensive care to millions of people, particularly in rural and underserved areas, while integrating services like dental care, behavioral health, and pharmacy support. By recognizing these centers, the resolution aims to raise awareness of their role in improving public health outcomes and supporting local economies.

The No Surprise Bills for New Moms Act updates federal health laws to ensure newborns receive immediate coverage for medical services within 30 days of birth. This legislation directly affects parents enrolled in group health plans, individual insurance policies, or employer-sponsored plans by mandating that these providers cover their newborns without requiring prior enrollment. The bill also requires insurers to offer a special enrollment period lasting at least 60 days after the initial coverage window and to notify parents immediately if a newborn is not enrolled when medical claims are submitted. By amending the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code, the law standardizes these protections across different types of health insurance coverage.

The Compassionate Care Act aims to improve how patients and their families plan for future medical decisions by promoting advance care planning, which involves discussing treatment preferences while a person is still able to participate. The bill directs the federal government to launch a public education campaign and create a dedicated website to help healthcare providers understand and integrate these planning tools into patient care. It also mandates the development of standardized quality measures for end-of-life care and requires medical schools to include specific training on palliative care and advance directives in their curricula. Additionally, the legislation makes permanent the use of telehealth for certain hospice recertifications and removes geographic restrictions on telehealth services used for advance care planning. Finally, the act authorizes several studies to evaluate barriers to a national uniform policy for advance directives and to explore the feasibility of a national registry for these documents.

The Expanding Capacity for Health Outcomes Act of 2026 authorizes the Secretary of Health and Human Services to award grants to networks of organizations that use technology to improve health outcomes. These networks must consist of at least three entities with experience in collaborative learning and capacity building models. Recipients are required to use a shared dataset at the end of the grant period to demonstrate the impact of their work on significant public health issues such as infectious or chronic diseases. Additionally, the act extends the funding period for these grants from 2022 through 2026 to 2027 through 2031.