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.
This bill modifies the Medicare program to update how rural emergency hospitals qualify for a specific designation. It changes the eligibility criteria to include facilities that operated at any time between January 1, 2015, and the present, even if they have changed ownership since then. The amendment ensures that a hospital's national provider identification number does not disqualify it from this status due to a change in ownership. Directly affecting rural emergency hospitals, the measure simplifies the requirements for maintaining their designated status under Medicare.
This bill allows rural hospitals serving military and tribal families to be designated as critical access hospitals even if they do not currently meet standard financial criteria. Starting in October 2026, facilities can qualify for this status if they serve at least three specific conditions, such as deriving a significant portion of their revenue from TRICARE-covered patients or being located on an Indian reservation. The legislation also permits these hospitals to establish psychiatric and rehabilitation units without being limited by the usual bed count restrictions. These changes aim to improve healthcare availability for service members, their dependents, and veterans living in rural areas by expanding the number of eligible facilities.
The Rural Hospital Revitalization Act of 2026 provides zero-interest loans to specific rural hospitals for building new facilities or renovating existing ones. To qualify, a hospital must be located in a county with fewer than 20,000 people, be at least 35 miles from the nearest hospital, have operated for at least 30 years, and demonstrate financial stability. The loans are initially interest-free for five years and can be refinanced later at standard rates if the hospital's financial situation improves, or renewed once under strict conditions if the hospital struggles financially. Additionally, receiving hospitals become eligible for technical assistance grants designed to help improve their operations and financial health.
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 Our Doctors First Act of 2026 prohibits Medicare from providing federal funding for the graduate medical education of doctors who are not U.S. citizens or nationals. This change applies to hospitals and non-hospital training providers, requiring them to stop counting non-citizen residents and interns toward their Medicare payments starting one year after the law is enacted. To enforce this rule, the bill imposes escalating financial penalties on facilities that knowingly count ineligible trainees, ranging from a percentage of the payment amount for a first offense to a five-year ban on receiving Medicare education funds for repeated violations.
The Bereaved Parents Rights Act requires hospitals and birth centers to notify parents of miscarriages or stillbirths about their options for burial, cremation, or hospital disposal. This notification must occur within six hours of the event or the parent's discharge, using a standardized form provided by the government. If parents choose burial or cremation within 72 hours, the facility must follow the same state laws that apply to other fetal deaths. The bill also allows parents to sue in federal court if these notification requirements are not met.
The Neonatal Care Transparency Act of 2026 requires hospitals and obstetricians to publicly disclose their policies on providing life-saving care to premature infants, including specific details on gestational age limits and transfer procedures. This information must be made available to the public and shared with patients during their first prenatal visit to ensure families are aware of potential treatment limitations at their chosen facilities. To enforce compliance, the bill prohibits the federal government from providing Medicaid or CHIP funding to any hospital or obstetric provider that fails to meet these new disclosure standards. These measures aim to increase transparency in neonatal care decisions by mandating clear communication about medical capabilities before a baby is born.
The Transparency in Billing Act of 2026 requires hospitals to include a unique identifier for off-campus outpatient departments on health insurance claims. This rule applies to group health plans and health insurance issuers, ensuring that billing for services provided at locations outside a hospital's main campus clearly distinguishes the specific department involved. Effective January 1, 2027, hospitals must obtain and submit this separate identifier to avoid holding patients liable for these services, with a new reporting process established for suspected violations. The law also authorizes the Secretary of Labor to impose daily civil monetary penalties on hospitals that fail to comply with these billing requirements.
This bill amends the Title X family planning program to prohibit the use of federal funds for entities that perform or financially support abortions. It allows exceptions for cases involving rape, incest, or life-threatening medical conditions, while also permitting hospitals to receive funding as long as they do not give those funds to non-hospital abortion providers. To enforce these rules, the bill requires the Secretary of Health and Human Services to submit annual reports detailing which organizations receive grants and the specific number of abortions performed under the medical and criminal exceptions.
