This resolution expresses the sense of Congress that Medicaid is a vital lifeline for the health care of millions of Americans, including older adults, people with disabilities, and low-income families. It highlights concerns that recent legislation will cut funding and impose new eligibility rules and paperwork requirements, which could negatively impact access to care. While the bill itself does not change laws or allocate money, it urges the Centers for Medicare & Medicaid Services to provide immediate guidance to state agencies and enrollees regarding these upcoming changes.
The Saving Today's Acute-Care Resources Act modifies how Medicare calculates payment rates for long-term care hospitals to ensure they receive appropriate funding for treating complex patients. Starting in fiscal year 2027, the bill expands the criteria for avoiding payment reductions by adding a "high acuity" standard that considers patients transferred from acute care or critical access hospitals with severe diagnoses. It also updates existing rules to include discharges from long-term care hospitals that have undergone significant construction projects or hold state certificates of need. These changes aim to adjust reimbursement levels based on the severity of patient conditions and the specific history of the hospital treating them.
The Better Care, Better Cost Act requires states to consider how well managed care organizations perform when deciding which ones to assign Medicaid beneficiaries to. Starting in 2028, states must create a system to score these organizations based on factors like medical costs, hospital readmissions, emergency visits, and patient satisfaction. Additionally, states must publish annual reports showing how using these scores changes enrollment patterns and estimates savings. This law directly affects state Medicaid programs and the managed care companies that serve them by mandating performance-based decision-making.
The Improving Access to Medicare Coverage Act of 2026 changes how Medicare counts time spent in hospital observation toward the three-day waiting period required for skilled nursing facility coverage. Starting in 2026, individuals receiving outpatient observation services will be treated as inpatients for this purpose, and the date they stop receiving such care will count as their official hospital discharge date. This provision applies to observation periods beginning on or after January 1, 2026, with limited exceptions for appeals made within 90 days of the bill's enactment. The law also allows the Department of Health and Human Services to implement these changes through interim regulations before the official start date.
The PLAN Act of 2026 directs the Secretary of Health and Human Services to launch a public education campaign encouraging Americans to plan for future long-term care needs. This initiative will use various media channels, including television, social media, and community partnerships, to provide objective information about care options and financial planning tools. The bill specifically targets working-age adults, family caregivers, and low-to-middle-income individuals who might struggle to afford care later in life. Additionally, the legislation requires the government to submit annual reports to Congress detailing the campaign's progress and reach. Funding for these educational activities will be drawn from existing appropriations under the Older Americans Act.
This bill expands Medicaid coverage to include services in assisted living facilities for individuals who currently require hospital or nursing home care, provided they meet state income and resource limits. It also modifies the Low-Income Housing Tax Credit to give priority funding to projects that help reduce long-term medical costs for the elderly by offering care in non-institutional settings. Both changes are scheduled to take effect on January 1, 2027, allowing states time to update their laws and plans to comply with the new requirements.
The Long-Term Care Workforce Support Act aims to address the severe shortage and low wages of direct care professionals who support older adults and people with disabilities by increasing Medicaid funding, expanding training grants, and establishing new federal labor protections. To improve compensation and retention, the bill allows states to receive additional Medicaid funds if they implement specific workforce improvements, such as raising wages, providing paid leave, and ensuring stable scheduling, while also creating a national strategy to calculate fair labor costs. The legislation introduces comprehensive worker rights, including a requirement for written employment agreements, fair scheduling with advance notice, paid sick time, and a federal standard to prevent workplace violence. Furthermore, the bill establishes multiple grant programs to fund training, career advancement, and diversity initiatives, alongside a new commission to develop national training standards and a technical assistance center to address inequities within the workforce.
The ACCESS Act expands Medicaid coverage to include services in assisted living facilities for individuals who currently require nursing home-level care, provided they meet state income and resource limits. This change aims to lower costs by ensuring that the average expense for these residents does not exceed the cost of their care in a hospital or nursing facility. Additionally, the bill allows the Low-Income Housing Tax Credit to be used for projects that reduce long-term medical costs for the elderly by offering care in non-institutional settings. These provisions are scheduled to take effect on January 1, 2027, with a grace period for states needing to update their legislation to comply.
The ALERT Act of 2026 directs the Centers for Disease Control and Prevention to create a five-year program that expands the National Healthcare Safety Network to provide real-time infectious disease monitoring specifically for nursing homes. To achieve this, the bill authorizes the CDC to contract with eligible U.S.-based technology firms that are not electronic medical records companies and hold specific security certifications to build and operate the necessary surveillance infrastructure. The funded system must be capable of immediately detecting outbreaks, integrating with existing reporting tools, and notifying health authorities while strictly protecting patient privacy and prohibiting the use of collected data for regulatory enforcement. Additionally, the legislation requires a final report to Congress evaluating the system's effectiveness on patient outcomes and recommends whether to continue or expand the program through fiscal year 2031.
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).
