The Medicare Advantage Improvement Act of 2026 aims to speed up care decisions and increase transparency for Medicare Advantage enrollees by establishing strict time limits for insurance plan responses to requests for coverage authorization. Beginning in 2028, plans must provide real-time approvals for low-risk services, respond to other authorization requests within 72 hours, and automatically pay claims for authorized services without manual review. The bill also prohibits plans from requiring new authorizations for clinically necessary changes to already approved treatments and mandates that medical necessity standards match those used in traditional Medicare. To ensure accountability, the legislation introduces a new compliance scoring system that could reduce payments to plans failing to meet these requirements and adds a specific domain to the public star ratings based on adherence to these rules.
The Supporting Energy and Economic Development (SEED) Act extends tax credits for biodiesel and renewable diesel production through 2029. It prevents taxpayers from receiving both the production credit and the fuel use credit for the same fuel, ensuring only one benefit is claimed. These changes apply to fuel sold or used after the bill becomes law.
The Protecting American Taxpayers Act aims to reduce government waste and fraud by requiring stricter oversight of federal programs and extending legal deadlines for prosecuting pandemic-related violations. It mandates that child care payments be based on recorded attendance rather than enrollment alone and requires agencies to report when health care spending or provider numbers spike by more than 100 percent in specific areas. The bill also prohibits small businesses from receiving federal loans or grants if an owner or key employee has been convicted of financial misconduct, while simultaneously banning foreign entities controlled by agents from certain listed countries from receiving U.S. financial assistance. Additionally, the legislation seeks to increase transparency by requiring agencies to publicly report on improper payments and other transaction agreements, and it expands whistleblower protections for employees of defense and non-defense contractors who report waste or misconduct.
The Medicare Advantage Improvement Act of 2026 aims to speed up care decisions and increase transparency for Medicare Advantage enrollees and providers. Starting in 2028, the bill requires insurance plans to respond to most prior authorization requests within 72 hours and to provide real-time decisions for low-risk services, while also banning requirements for re-authorization when a treatment plan is clinically modified. The legislation introduces a new compliance scoring system that will publicly rank plans and reduce payments to those with poor performance, alongside stricter rules ensuring medical necessity standards match those of traditional Medicare.
This House Resolution proposes to formally "expunge" the two impeachments of President Donald Trump that passed the House of Representatives on December 18, 2019, and January 13, 2021. If passed, the resolution specifies that these impeachments would be treated "as if such Articles had never passed the full House of Representatives." This action directly affects President Trump by aiming to remove these impeachment proceedings from his official record and would alter the historical legislative record of the House. The resolution's text outlines several reasons for this action, including claims of wrongful accusations, lack of due process, and political bias in the original impeachment proceedings.
The Workforce Data Enhancement Act creates a new grant program to help states improve their workforce data systems by integrating information from education, labor markets, and other sources. Eligible entities, such as state agencies or groups of states, can apply for funding to build or upgrade statewide longitudinal data systems that track individual employment and earnings outcomes over time. The bill prioritizes grants for multi-state collaborations and projects that enhance data accuracy, privacy, and the ability to identify emerging job skills, including those related to artificial intelligence. Funds awarded for up to three years must be used to supplement existing state efforts rather than replace them, and recipients are required to report on how the data improvements help workers and employers make better decisions.
The Ensuring Excellence in Mental Health Act expands federal support for certified community behavioral health clinics (CCBHCs) by modifying how these facilities are funded under Medicaid and Medicare. Under the new rules, states and the federal government will use a prospective payment system to pay CCBHCs based on the cost of providing care rather than per-visit fees, while also extending coverage to additional services like primary health care. The legislation establishes a new grant program to help clinics operate and expand, creates a national data system to track clinic performance, and introduces an accreditation requirement to ensure quality standards are met. Additionally, the bill extends liability protections to clinicians working in these clinics and removes certain financial barriers for Medicare patients seeking care at CCBHCs.
This bill modernizes housing assistance programs for Native American tribes and Native Hawaiians by streamlining environmental reviews, extending funding authorization through 2032, and expanding loan guarantee options. Key provisions include consolidating environmental review requirements to reduce paperwork for tribes, allowing 99-year leasehold interests on trust lands for housing, and creating new rental assistance specifically for homeless or at-risk Native American veterans. The legislation also clarifies rent rules, waives certain housing counseling certifications for tribal entities, exempts tribal housing projects from some federal civil rights and Buy America requirements, and establishes a direct loan guarantee process for tribal housing projects.
The No Bias in the Baseline Act modifies how the federal government calculates its long-term budget projections to ensure they reflect current laws without automatic adjustments for inflation. This change primarily affects the Office of Management and Budget and Congress, which use these projections to determine if the nation is on track to meet deficit reduction goals. The bill instructs agencies to assume that all existing spending and revenue laws continue unchanged while explicitly excluding emergency funds and supplemental appropriations from the baseline. Additionally, it removes the practice of adjusting these baseline figures for inflation or other economic factors, resulting in a more static view of future federal finances.
The Homegrown Fertilizer Act directs the U.S. Department of Agriculture to provide grants and loans to domestic businesses, nonprofits, cooperatives, tribes, and local governments that manufacture, process, or store fertilizer and nutrient alternatives. To qualify, recipients must be independently owned, located within the United States, and certify that they do not hold a market share equal to or greater than the fourth-largest company in the fertilizer industry. Funds can be used for building or expanding facilities, purchasing equipment, improving production efficiency, reducing emissions, and training workers, with grants capped at $100 million requiring matching non-Federal funds. The program prioritizes projects that enhance innovation, increase domestic production capacity, and improve competition to reduce fertilizer prices and volatility for American farmers, while requiring repayment if the recipient facility is sold to a larger competitor within 10 years.
The Rural Child Care Access Act establishes a federal grant program to assist child care facilities in rural areas with fewer than 50,000 residents. The Department of Health and Human Services can award up to $4 million per facility for projects that upgrade infrastructure or improve provider recruitment and training. Congress has authorized $250 million annually for fiscal years 2027 through 2029, requiring the agency to report on project progress and ensure funds are distributed equitably across regions. Additionally, the bill mandates a study to assess the ongoing construction and renovation needs of child care facilities nationwide.
HR 5543, the Baltic Security Assessment Act of 2025, requires the U.S. State and Defense Departments to submit a report within 180 days of enactment. The report will assess emerging military, cyber, hybrid, and political threats to Estonia, Latvia, and Lithuania, including the roles of Russia, Belarus, China, Iran, and other actors. It will also evaluate U.S. and NATO military presence in the region, opportunities for defense cooperation, and recommendations to strengthen deterrence, cybersecurity, and democratic resilience in the Baltic countries. This bill directly affects U.S. foreign policy and defense planning regarding the Baltics, but does not create new programs or funding.
