Healthcare (Medicaid)

in committee · United States · House Mar 6, 2025

HR 1931: Access to Pediatric Technologies Act of 2025

This bill creates a process for establishing Medicare payment rates for pediatric-specific medical devices. It requires the Medicare program (via the Secretary of Health and Human Services) to set national payment rates (called "relative value units") for qualifying pediatric technologies upon manufacturer request, starting in 2026. A "qualifying pediatric technology" is defined as a covered medical device that is FDA-approved/cleared, has a temporary HCPCS code, and is either predominantly used for pediatric procedures or specifically designed for children. Manufacturers must submit detailed data with their requests, and the timeline for setting rates depends on when the request is received (by May 1 for same-year implementation). The bill does not mandate coverage but ensures payment mechanisms exist for these devices once approved.

Topics ✓ HealthcareSupports HealthcareBill establishes Medicare payment rates for pediatric devices, improving access to covered medical services under public health insurance program.95% confidence

Sub-Topics Children's Health Medicaid Medicare

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in committee · United States · House Mar 11, 2025

HR 2082: WISH Act

The WISH Act would create a federal long-term care insurance program to help seniors cover costs of long-term care services. It would provide monthly benefits to seniors who have a serious disability lasting at least a year, have met coverage requirements (6 quarters of coverage in the base period starting in 2026), and have not exhausted their savings. Benefits would be calculated based on the median cost of personal assistance care and the individual's work history. The program would be funded through an initial $12 million appropriation for each of fiscal years 2026-2028, plus $50 million for public education. This would help seniors avoid exhausting their savings or becoming dependent on Medicaid for long-term care costs.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates federal long-term care program requiring government funding for senior benefits, aligning with funding essential public services.92% confidence ✓ HealthcareSupports HealthcareCreates federal long-term care insurance program expanding coverage for seniors' care costs, directly advancing healthcare access and funding under healthcare policy.95% confidence

Sub-Topics Appropriations Long-Term Care Medicaid Tags Seniors

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in committee · United States · House Jun 25, 2026

HR 5243: To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.

This bill requires Medicare Advantage (MA) plans to report detailed, individual-level data on supplemental benefits (like dental or vision coverage) starting in 2029. Plans must submit information on eligibility, benefit types, utilization, and costs per enrollee to the Centers for Medicare & Medicaid Services (CMS). Beginning in 2030, CMS must publish this data annually on its website for public research and program evaluation, while protecting individual privacy. The law aims to improve transparency around supplemental benefits without changing the benefits themselves.

Topics ✓ HealthcareSupports HealthcareRequires Medicare Advantage plans to report supplemental benefits data for public research, improving program evaluation and transparency in healthcare services.85% confidence

Sub-Topics Medicaid Medicare

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in committee · United States · House Sep 4, 2025

HR 5152: BOP Release Card ID Act of 2025

This bill requires the Bureau of Prisons (BOP) to issue photo identification cards meeting REAL ID standards to U.S. citizen prisoners being released from federal custody within 180 days of enactment. The card is valid for 18 months and must be accepted by states for state ID purposes (through negotiated agreements) and by federal programs like Social Security, Medicare, Medicaid, food assistance, and housing programs. It directly affects federal prisoners upon release, states (through required negotiations), and federal agencies that provide services requiring ID. The law mandates annual reports to Congress on state agreement progress but does not change existing prerelease planning procedures.

Topics ✓ Criminal JusticeSupports Criminal JusticeProvides ID for released federal prisoners to access essential services (housing, healthcare, etc.), reducing reentry barriers and promoting rehabilitation, a key aspect of criminal justice reform.95% confidence ✓ HealthcareSupports HealthcareEnables Medicaid/Medicare access for released prisoners by requiring BOP-issued ID accepted by healthcare programs.85% confidence ✓ HousingSupports HousingBill mandates ID accepted by housing programs, removing access barrier for released prisoners to housing assistance programs.90% confidence

Sub-Topics Probation & Parole Medicaid Medicare

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in committee · United States · House May 13, 2025

HR 3365: HEALTH for MOM Act of 2025

This bill gives states the option to create coordinated care teams (called "maternity health homes") for pregnant and postpartum women enrolled in Medicaid. It requires states to develop individualized care plans covering medical, behavioral, and social services, with increased federal funding (15% higher for the first four years) to support this model. Eligible women include those who are pregnant or within one year of pregnancy (excluding those with limited pregnancy-only coverage), and participation is voluntary for both women and providers. States must track care quality, costs, and outcomes through data reporting but are not required to adopt the program.

Topics ✓ HealthcareSupports HealthcareIncreases Medicaid funding (15% higher) for coordinated maternity care teams, expanding coverage and services for pregnant/postpartum women through comprehensive care plans.95% confidence

Sub-Topics Children's Health Medicaid Women's Health

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in committee · United States · House Sep 18, 2025

HR 5448: Protecting Free Vaccines Act

This bill requires most health insurance plans, Medicare Part D, Medicaid, and CHIP to cover vaccines recommended by the CDC's Advisory Committee on Immunization Practices (ACIP) without cost-sharing (like copays or deductibles). It applies to vaccines recommended as of October 25, 2024, including updates through 2029, and covers all such vaccines for the period starting when the bill is enacted until December 31, 2029. The requirement excludes vaccines given within minimum recommended intervals. It directly affects patients, insurers, and government health programs by ensuring no out-of-pocket costs for covered vaccines during this timeframe.

Topics ✓ HealthcareSupports HealthcareMandates no cost-sharing for CDC-recommended vaccines, expanding insurance coverage and improving patient access to preventive healthcare services.95% confidence

Sub-Topics Children's Health Insurance Medicaid

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in committee · United States · House Sep 3, 2025

HR 5120: HANDS Act

The HANDS Act (HR 5120) requires Medicare, Medicaid, and TRICARE to cover opioid overdose reversal drugs (such as naloxone) at no cost for patients at risk of opioid overdose who are being discharged from hospitals, emergency departments, or ambulatory surgical centers. Starting January 1, 2026, these drugs must be provided at the time of discharge along with administration instructions, eliminating all cost-sharing (like deductibles or copays) for eligible patients. The bill defines "preventive opioid overdose reversal drugs" as intranasal or intramuscular medications administered by healthcare providers (e.g., doctors or nurses) to at-risk patients during discharge. This policy aims to increase access to life-saving medication at critical care transition points without mandating provider administration.

Topics ✓ HealthcareSupports HealthcareRequires Medicare/Medicaid/TRICARE to cover naloxone at no cost for high-risk patients at discharge, eliminating cost-sharing and improving access to overdose reversal treatment.95% confidence ✓ VeteransSupports VeteransBill mandates TRICARE coverage of naloxone with no cost-sharing, directly improving veterans' access to opioid overdose reversal treatment.90% confidence

Sub-Topics Medicaid Medicare Substance Abuse

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in committee · United States · House Jul 29, 2025

HR 4792: Protecting Air Ambulance Services for Americans Act of 2025

This bill amends Medicare rules to improve payment for air ambulance services. It requires air ambulance providers to submit detailed cost and revenue data every three years (including fixed costs per base, utilization rates, and revenue) to the Medicare Secretary. The Secretary must then revise fee schedules based on this data and stakeholder input, aiming to better align payments with actual costs. A separate provision mandates the GAO to study average operating costs, payment adequacy, geographic variations, and make recommendations within one year of data collection starting. The bill directly affects Medicare beneficiaries using air ambulances and the providers operating those services.

Topics ✓ Budget & TaxesSupports Budget & TaxesAmends Medicare payment rules to align fees with actual costs, promoting fiscal responsibility in government spending for essential services.85% confidence ✓ HealthcareSupports HealthcareAmends Medicare to improve air ambulance payments via data-driven fee adjustments, ensuring service viability and access to emergency healthcare services.95% confidence

Sub-Topics Hospitals Medicaid Medicare

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in committee · United States · House Apr 9, 2025

HR 2753: Hands Off Medicaid and SNAP Act of 2025

HR 2753, the Hands Off Medicaid and SNAP Act of 2025, is a procedural bill that would prevent Congress from using budget reconciliation to cut Medicaid or SNAP benefits. It amends the Congressional Budget Act to block reconciliation bills or amendments that reduce Medicaid enrollment/benefits (under Social Security Act Title XIX) or SNAP eligibility/benefits (under the Food and Nutrition Act of 2008). This rule would apply until January 20, 2029, and only affects the budget reconciliation process, not the programs themselves. The bill does not change current benefit levels or eligibility rules for Medicaid or SNAP recipients.

Topics ✓ Budget & TaxesSupports Budget & TaxesPrevents defunding of Medicaid/SNAP essential programs via budget reconciliation, protecting existing funding levels under fiscal management.95% confidence ✓ HealthcareSupports HealthcarePrevents budget cuts to Medicaid (health coverage) and SNAP (food assistance linked to health outcomes), explicitly protecting existing benefits under healthcare-related programs.95% confidence

Sub-Topics Appropriations Medicaid

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in committee · United States · Senate Jan 30, 2025

S 339: A bill to amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests.

Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act This bill allows, beginning in 2028, for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. Coverage is limited to those under a certain age (age 68 in 2028, increased by one year every year thereafter) and to one test every 11 months.

Topics ✓ HealthcareSupports HealthcareExpands Medicare coverage for multi-cancer screening tests, increasing patient access to early detection services under FDA approval.95% confidence

Sub-Topics Medicaid Medicare

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