S 723, the Access to Prescription Digital Therapeutics Act of 2023, requires Medicare and Medicaid to cover "prescription digital therapeutics" (PDTs) starting in 2024. PDTs are defined as FDA-cleared software-based treatments for medical conditions, such as apps for diabetes management or mental health therapy. The bill establishes new payment rules for these digital treatments, including setting payment rates based on actual market pricing and requiring manufacturers to report private payor pricing and usage data annually. This directly affects Medicare/Medicaid beneficiaries seeking digital health tools and manufacturers of PDTs, who must comply with reporting requirements and face penalties for noncompliance. The law aims to integrate evidence-based digital health solutions into mainstream coverage under federal health programs.
This bill expands the use of 529 college savings accounts to cover career training and credentialing costs. It allows funds to pay for tuition, fees, books, and testing expenses related to recognized postsecondary credential programs (like vocational certifications) that meet specific standards under the Workforce Innovation and Opportunity Act. The change directly affects workers seeking industry-recognized credentials - such as nursing certifications or IT certifications - instead of traditional degrees. It treats these expenses the same as traditional college costs for 529 account withdrawals, making it easier to save for career-focused training. The provision applies to expenses paid after the bill's enactment date.
This bill authorizes the U.S. Mint to produce and sell commemorative coins honoring the 1865 Sultana steamboat disaster, the worst maritime tragedy in U.S. history. It specifies three coin types ($5 gold, $1 silver, and half-dollar) with surcharges ($35, $10, and $5 per coin, respectively) that will fund the Sultana Historical Preservation Society. The funds must be used to build, operate, and maintain a museum in Marion, Arkansas, to preserve the disaster’s history through exhibits, artifacts, and educational programs. The coins, sold only in 2023, are legal tender but will not circulate; the surcharge revenue directly supports the museum’s development and operations.
This bill amends U.S. Treasury regulations to require the Secretary of the Treasury to consider terrorism facilitation when designating foreign financial institutions as "of primary money laundering concern." It specifically directs the Treasury to evaluate whether institutions knowingly provide banking services to entities designated under federal anti-terrorism regulations or facilitate payments for acts of terrorism defined in the Taylor Force Act (22 U.S.C. 2378c-1). The measure targets foreign banks that maintain correspondent accounts with U.S. banks while allegedly enabling terrorist financing through dollar transactions. It directly affects foreign financial institutions operating with U.S. correspondent banking relationships. The policy change focuses on strengthening anti-terrorism financial oversight by expanding the criteria used in Treasury designations.
The RESTRICT Act (S 686) gives the Secretary of Commerce authority to identify and address information and communications technology (ICTS) products or services that pose undue national security risks, particularly those involving foreign adversaries like China, Russia, Iran, and others. It targets transactions or holdings by entities from designated foreign adversary countries or their controlled entities, with special focus on technology used by over 1 million U.S. users, including telecommunications, data services, and critical infrastructure systems. The Secretary can refer "covered holdings" to the President, who may then compel divestment or other mitigation measures to protect U.S. critical infrastructure, election security, and sensitive data. The bill establishes specific review procedures while limiting judicial review of these national security decisions.
The TABS Act of 2023 would rename the Consumer Financial Protection Bureau (CFPB) to the Consumer Financial Empowerment Agency (CFEA) throughout U.S. federal law. This bill would change the agency's name in the Consumer Financial Protection Act of 2010 and over 25 other federal statutes, including the Dodd-Frank Act and Truth in Lending Act. The bill does not alter the agency's responsibilities, authority, or budget structure - only its name. This is a procedural change affecting all federal documents, regulations, and references to the agency.
HR 1388 authorizes the minting of commemorative coins to honor the 1865 Sultana steamboat disaster, the deadliest maritime tragedy in U.S. history. It specifies three coin types ($5 gold, $1 silver, and half-dollar) with defined weights and compositions, to be sold at face value plus surcharges ($35, $10, and $5 per coin, respectively). All surcharges collected will fund the Sultana Historical Preservation Society for museum development, including exhibits, artifact preservation, and facility construction. The coins are legal tender but intended for collectors, with sales limited to a one-year period starting January 2023.
This bill reauthorizes the Conrad State 30 program, which allows U.S. states to request waivers enabling foreign medical graduates (J-1 visa holders) to work in medically underserved areas without having to return to their home countries. It extends the program's expiration date, creates new mechanisms for physicians to maintain legal status after completing service requirements, and adds protections against non-compete clauses in employment contracts. The bill modifies requirements for foreign medical graduates to work in underserved areas, including clarifying the 3-year service requirement and establishing a process for states to recapture waiver slots when physicians move between states. It also requires annual reporting on program usage by state and includes provisions for academic medical centers to request waivers without geographic constraints. The bill directly affects foreign-trained physicians, U.S. states, and health care facilities in underserved areas.
This bill eliminates waiting periods for disability benefits and Medicare coverage for people diagnosed with metastatic breast cancer. It amends two sections of the Social Security Act to add "metastatic breast cancer" to the list of conditions (alongside ALS) that qualify for immediate access to disability insurance benefits and Medicare coverage, bypassing the standard 24-month waiting period. Specifically, it modifies eligibility under Section 223(a) for disability benefits and Section 226(h) for Medicare coverage. The changes apply to applications or benefits filed/beginning after the bill's enactment date.
This bill authorizes the presentation of a Congressional Gold Medal to honor Navy pilot Everett Alvarez, Jr., for his service as a Vietnam War POW and subsequent public service. It directs the Speaker of the House and Senate President pro tempore to arrange for the medal's presentation, specifying it must bear his name and image. Bronze duplicates may be sold to cover production costs, with proceeds deposited into the U.S. Mint fund. The bill is purely ceremonial, recognizing Alvarez's 8+ years as a prisoner of war and his post-military career. It does not create new policies or affect any government programs.
The Safe Step Act requires health insurance plans and employer-sponsored health coverage to create a transparent process for patients or their doctors to request exceptions to medication step therapy protocols. These protocols typically mandate trying a lower-cost drug first before covering a more expensive alternative. Exceptions must be approved if previous treatments failed, delaying coverage would cause severe harm, the required drug is unsafe, or the patient is stable on the requested drug. Health plans must respond to requests within 72 hours (or 24 hours in emergencies) and make the process details available online.
S 626, the Comprehensive Care for Alzheimer’s Act, establishes a new Medicare model to provide coordinated care management for beneficiaries with Alzheimer’s disease or related dementia. It directly affects Medicare Part A/B enrollees (not in Part C or hospice) and their unpaid caregivers by requiring eligible entities like health systems or ACOs to deliver comprehensive services including continuous monitoring, personalized care plans, medication management, and caregiver support. Key provisions include assigning patients to care pathways based on health needs, requiring zero cost-sharing for beneficiaries, and paying providers via capitated payments with quality-based bonuses. The model aims to test whether this approach improves health outcomes, caregiver experience, and reduces Medicare spending without lowering care quality.
