Healthcare (Insurance)

in committee · United States · House Apr 14, 2026

HR 8260: Cardiovascular Disease Early Detection and Prevention Act of 2026

The Cardiovascular Disease Early Detection and Prevention Act of 2026 mandates that private health insurance plans, Medicare, and Medicaid cover specific cardiovascular disease screenings. The bill requires coverage for testing of lipoprotein(a) (Lp(a)) and apolipoprotein B (ApoB) levels. This coverage applies to individuals with a family history of premature cardiovascular disease, a personal history of heart attack or stroke, elevated LDL cholesterol, diabetes, obesity, or other recognized cardiovascular risk factors. For eligible individuals, these tests must be provided without any cost sharing, such as co-pays or deductibles.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for cardiovascular disease screenings, expanding access to preventive healthcare services and protecting patient health outcomes.95% confidence

Sub-Topics Insurance Medicaid Medicare

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in committee · United States · House Apr 14, 2026

HR 8270: Every Dollar Counts Act of 2026

The Every Dollar Counts Act of 2026 requires health insurance plans and issuers to count money spent by individuals on prescription drugs purchased directly, without applying their insurance benefits, towards their annual deductible and out-of-pocket maximums. This means that if an individual pays cash for a drug or uses a discount card instead of their insurance benefits, those expenditures will still contribute to reaching their yearly healthcare spending limits. This change directly affects individuals enrolled in group or individual health insurance coverage. The new rules will take effect for plan years beginning on or after January 1, 2027.

Topics ✓ HealthcareSupports HealthcareBill allows cash purchases to count toward deductibles, improving patient financial flexibility and access to medications.85% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · United States · House Mar 12, 2026

HR 7909: Medicare Expansion and Lowering Costs Now Act

This bill creates a Medicare buy-in option for individuals aged 50 to 64 who would qualify for Medicare at age 65 but are not yet eligible, allowing them to enroll in Medicare Parts A, B, and D with premiums based on average costs and geographic adjustments. It also establishes a new voluntary supplemental insurance program for current Medicare beneficiaries to help cover deductibles and copayments, starting in 2027, and requires the government to negotiate lower drug prices for Medicare Part D plans beginning in 2029. The legislation creates a reinsurance fund to stabilize health insurance premiums in the individual market for high-cost enrollees starting in 2025 and extends risk corridor reauthorization through 2031. Additionally, the bill increases eligibility for premium tax credits to cover individuals with household incomes up to 400% of the poverty line and repeals certain reconciliation provisions from a previous law.

Topics ✓ HealthcareSupports HealthcareBill expands Medicare coverage to ages 50-64 and creates supplemental insurance, directly advancing healthcare access and reducing costs.95% confidence

Sub-Topics Insurance Medicaid Medicare

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in committee · United States · Senate Mar 26, 2026

S 4225: DOULA for VA Act of 2026

This bill establishes a five-year pilot program to provide doula support services to pregnant and postpartum women veterans enrolled in the Department of Veterans Affairs. The program aims to improve maternal, mental health, and infant care outcomes by training doulas to advocate for veterans alongside medical teams, with sessions occurring before, during, and after labor and delivery. The pilot will operate in specific Veterans Integrated Service Networks selected based on female veteran enrollment rates and will include targeted support for populations facing higher health risks, such as American Indian or Alaska Native veterans. Funding is authorized through fiscal year 2032, and the VA Secretary must submit annual reports on the program's impact to Congress, including recommendations on whether to expand the initiative.

Topics ✓ HealthcareSupports HealthcareBill establishes pilot program to provide doula support services to veterans, improving maternal and mental health outcomes through expanded healthcare access and support.95% confidence ✓ VeteransSupports VeteransBill establishes pilot program to provide doula support services to pregnant and postpartum women veterans, improving maternal and mental health outcomes through funded healthcare services.95% confidence

Sub-Topics Insurance Mental Health Military Families Veteran Employment Veteran Healthcare

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in committee · United States · House Mar 30, 2026

HR 8164: Ensuring Child Health Coverage Compensation in Divorce Act of 2026

This bill requires health insurance plans, including those for federal employees and federal health programs, to allow custodial parents to manage medical claims for children covered under a noncustodial parent's policy. Under the new rules, insurance companies must provide necessary information to custodial parents and permit them to submit and receive payments for covered medical services without needing approval from the noncustodial parent. These changes apply to plans and programs starting on or after January 1, 2026, and are designed to simplify the process for divorced or separated parents managing children's healthcare.

Topics ✓ HealthcareSupports HealthcareBill improves patient access to healthcare by allowing custodial parents to manage children's medical claims without noncustodial parent approval, removing barriers to care.85% confidence

Sub-Topics Children's Health Insurance

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in committee · United States · House Apr 9, 2026

HR 8242: Health Coverage Tax Credit Reauthorization Act of 2026

This bill extends the Health Coverage Tax Credit program through January 1, 2030, allowing eligible individuals and small businesses to receive tax credits for purchasing health insurance. The program directly affects people who buy health insurance outside of government marketplaces and small businesses that provide coverage to their employees. Under this legislation, qualified taxpayers can claim a tax credit to help pay for their monthly health insurance premiums, with the credit amount based on their income and the cost of coverage. The change is administrative, simply updating the expiration date in the tax code rather than altering how the credit is calculated or who qualifies for it.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill extends tax credit program providing financial relief to individuals and small businesses for health insurance premiums, advancing tax relief and fiscal support.85% confidence ✓ HealthcareSupports HealthcareBill extends Health Coverage Tax Credit program, providing tax credits to help pay for health insurance premiums, expanding access to healthcare coverage for eligible individuals and small businesses.95% confidence

Sub-Topics Procurement Tax Credits Insurance

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in committee · United States · Senate Aug 7, 2026

S 4189: INSULIN Act of 2026

The INSULIN Act of 2026 requires health insurance plans to limit insulin copayments to $35 per 30-day supply starting in 2027, with plans choosing to cap costs at 25% of the negotiated price after 2028. The bill also mandates that pharmacy benefit managers pass all rebates and discounts related to insulin directly to health plans rather than retaining them. Additional provisions include measures to speed up the approval process for generic and biosimilar insulin products, establish a pilot program to provide affordable insulin to uninsured individuals in 10 states, and create a resource center and hotline to help uninsured people access assistance programs.

Topics ✓ HealthcareSupports HealthcareBill limits insulin copayments and mandates rebate passthrough, improving patient access to essential medication.95% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · United States · House Mar 9, 2026

HR 7860: Stop ACA Enrollment Fraud Act of 2026

This bill aims to prevent fraudulent enrollments in health insurance exchanges by requiring the government to check for duplicate social security numbers before issuing premium tax credits. It also mandates that agents and brokers must obtain direct consent from individuals or employers before completing enrollments, rather than accepting third-party attestations of consent. These measures directly affect insurance brokers, agents, and individuals seeking health coverage through federal exchanges. The changes would take effect for plan years beginning on or after January 1, 2027.

Topics ✓ HealthcareSupports HealthcareBill prevents fraudulent enrollments to protect healthcare system integrity and ensure accurate premium tax credit distribution, strengthening the Affordable Care Act's fraud prevention measures.85% confidence

Sub-Topics Insurance

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in committee · United States · House Mar 30, 2026

HR 8159: Gynecologic Pain Management Study Act

This bill directs the Secretary of Health and Human Services to conduct a study on barriers that prevent patients from accessing pain management during gynecologic procedures. The study will examine factors such as insurance coverage, provider training, and resource availability, and will include input from patients, medical professionals, and health equity experts. Within 24 months of enactment, the Secretary must submit a report with findings and recommendations to relevant congressional committees. The bill does not change current laws or funding but establishes a research requirement to inform future policy decisions.

Topics ✓ HealthcareSupports HealthcareBill directs study on barriers to pain management access, examining insurance coverage and provider training to improve patient care and equity.85% confidence

Sub-Topics Insurance Women's Health

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in committee · United States · Senate Mar 12, 2026

S 4070: Diabetes Foot Health Access and Modernization Act of 2026

This bill, known as the Diabetes Foot Health Access and Modernization Act of 2026, makes two main changes to federal health insurance programs. First, it allows podiatric physicians to provide covered physician services under Medicaid, ensuring patients have access to specialized foot and ankle care. Second, it updates Medicare rules to clarify documentation requirements for diabetic shoes, specifying that a physician must confirm a patient has diabetes and related foot conditions before these shoes are covered. The changes take effect on January 1, 2026 for Medicaid podiatry services and January 1, 2028 for Medicare diabetic shoe documentation.

Topics ✓ HealthcareSupports HealthcareBill expands Medicaid coverage for podiatric services and clarifies Medicare diabetic shoe requirements, improving patient access to specialized care.95% confidence

Sub-Topics Insurance Medicaid Medicare

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