This bill allocates $30 million annually (2026-2030) for research on family caregivers under the Older Americans Act. It defines "family caregiver" to include adults providing in-home care to older adults or those with Alzheimer's, and specifically creates a new "older relative caregiver" category for adults 55+ caring for children or disabled relatives. The bill updates the National Family Caregiver Support Program to focus exclusively on family caregivers (removing prior references to "older relative caregivers" in program descriptions) and requires new definitions to align with the updated terminology. These changes directly affect millions of unpaid caregivers by expanding research funding and clarifying eligibility for support services.
HR 3333, the MORE Nurses Act, mandates a federal study to address the nursing shortage. It requires the National Advisory Council on Nurse Education to examine nursing workforce trends, education capacity, causes of the shortage, and existing federal policies - like support for nursing programs and diversity efforts - within one year. The Council must then submit a public report with specific recommendations to policymakers on solutions, including potential legislative or regulatory changes. This bill does not directly fund programs or change current laws but sets the stage for future policy decisions affecting nurses, healthcare systems, and underserved communities.
This bill, the Veterans First Act of 2025, redirects $2 billion from unobligated funds originally allocated to the U.S. Agency for International Development (USAID) to the Department of Veterans Affairs (VA). The funds are specifically appropriated to provide grants to states for constructing, acquiring, remodeling, or modifying state-run nursing homes, domiciliary facilities, and hospitals that serve veterans. These grants will support facilities operating under existing VA authorization (38 U.S.C. §§ 8131-8138) to provide care for veterans. The bill directly affects state facilities and the VA’s ability to fund infrastructure improvements for veteran care.
HR 7486, the Protecting Hospitals from Disaster Act of 2026, requires Quality Improvement Organizations (QIOs) to help hospitals and specific healthcare facilities prepare for and respond to extreme weather events. The bill allocates $50 million from Medicare funds in fiscal year 2026 to support this QIO assistance. It directly affects hospitals, psychiatric hospitals, skilled nursing facilities, critical access hospitals, long-term care hospitals, rural emergency hospitals, and inpatient rehabilitation facilities. The key mechanism is mandating QIOs to provide preparedness support to these facilities using the dedicated funding.
S 2628, the Catastrophic Specialty Hospital Act of 2025, creates a new Medicare payment designation for long-term care hospitals specializing in spinal cord injury and acquired brain injury rehabilitation. Hospitals meeting strict criteria - such as having at least 80% of discharges for these conditions over three years, 175+ annual discharges per condition, 30% out-of-state patients, and research commitments - will receive special Medicare payments instead of standard rates. This directly affects qualifying specialized hospitals, changing how Medicare reimburses them for care. The designation lasts three years and requires annual renewal based on continued compliance with the criteria.
HR 668 establishes a 3-year pilot program to coordinate healthcare between the Department of Veterans Affairs (VA) and Medicare for veterans enrolled in both systems (called "covered veterans"). It assigns each participating veteran a VA case manager to create personalized care plans, navigate VA and Medicare services, and coordinate medical records to improve access, outcomes, and cost efficiency. The program tracks specific metrics like care costs, patient satisfaction, and service gaps, and requires quarterly reports to Congress on its implementation and results. The pilot will operate across 3-5 VA facilities in diverse settings (rural, urban, medically underserved areas) to test coordination models before potentially expanding the approach.
HR 7106, the Enhancing Skilled Nursing Facilities Act, modifies Medicare and Medicaid rules to expand which healthcare providers can deliver services in skilled nursing facilities (SNFs) without direct physician supervision. The bill updates existing law to allow nurse practitioners, physician assistants, and clinical nurse specialists (working under state law) to perform roles previously restricted to physicians, such as certifying care, supervising residents, and maintaining clinical records. This directly affects SNFs, Medicaid/Medicare providers, and state licensing authorities, as it changes certification and supervision requirements for facility services. The key mechanism is replacing "physician" with broader provider categories in multiple sections of the Social Security Act, while requiring compliance with state practice laws.
HR 2437, the EASE Act of 2025, requires hospitals to provide specific information about available care options to Medicare patients upon discharge. The bill amends the Social Security Act to mandate that hospitals inform patients likely to need home health services, post-hospital extended care, or hospice care about the availability of those services through participating providers in their area. This applies to Medicare discharges occurring on or after January 1, 2026. The law directly affects Medicare beneficiaries discharged from hospitals who may require these specific post-discharge care services.
The Care for Military Kids Act of 2025 requires states to treat military-connected children and dependents as residents of their new state for Medicaid eligibility when relocating due to active duty service, effective January 1, 2028. It ensures these families maintain their place on home care service waiting lists after relocation without needing to restart eligibility processes. The bill mandates states to cover medical assistance for these families in their new state and preserves their waiting list status until a service slot becomes available or they opt out. Implementation funding of $1 million annually (2026-2030) supports this policy change.
This bill allows seniors to use tax-free health savings account (HSA) funds for qualified home care services. It defines "qualified home care" as contracts providing three or more specific personal care services (like assistance with bathing, dressing, or medication) from state-licensed providers. The policy change directly affects seniors needing home care who use HSAs, excluding family-provided care and requiring state licensing compliance. A public awareness campaign will also inform seniors about eligible services.