HR 6063, the Empowering Striking Workers Act of 2023, modifies unemployment insurance rules to provide benefits for workers unable to work due to strikes or lockouts. It directs that unemployment compensation begins 14 days after a strike starts, or earlier if permanent replacements are hired, a lockout begins, or the dispute ends. The bill directly affects workers participating in labor disputes by making them eligible for benefits under these specific conditions, rather than requiring them to meet standard job search requirements. This change is implemented through amendments to the Internal Revenue Code and Social Security Act.
The Veterans HSA Access Act of 2023 changes IRS rules to allow veterans who receive certain veterans benefits (like disability compensation) but do not have a service-connected disability to contribute to health savings accounts (HSAs). This removes a current barrier preventing these veterans from using HSAs to pay for qualified medical expenses. The policy change applies to tax years starting after December 31, 2025, meaning it will take effect in 2026. It directly affects veterans with non-service-connected health issues who currently cannot use HSAs despite qualifying for other veterans' benefits.
HR 5744, the Energy Innovation and Carbon Dividend Act of 2023, would impose a carbon fee on fossil fuels (crude oil, coal, and natural gas) based on their greenhouse gas emissions, starting at $15 per metric ton of CO2 equivalent in 2023 and increasing by $10 annually. The revenue from this fee would be distributed directly to American citizens as monthly "carbon dividends" through a new trust fund, with adults receiving full payments and children under 19 receiving half payments. The bill also establishes a border fee adjustment on imported carbon-intensive products to prevent companies from moving operations to countries with weaker environmental regulations. It sets specific emissions reduction targets: 8% annual reductions from 2025-2030 and 2.5% annual reductions from 2031-2050 relative to 2005 levels. The carbon fee would be phased out once emissions drop to 10% of 2005 levels and monthly dividends fall below $20 for three consecutive years.
This bill provides continuing appropriations for federal government operations through January 11, 2024, ensuring funding for ongoing programs and activities. It includes $16 billion for disaster relief and over $21 billion in supplemental funding for Ukraine assistance, covering military aid, economic support, and humanitarian programs. The bill also extends funding for community health centers, Federal Aviation Administration programs, and the Temporary Assistance for Needy Families program through the same date. These funding measures maintain government operations and support critical domestic and international programs during the fiscal year.
This bill makes permanent Medicare coverage for telehealth services provided by Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), including audio-only visits. It directly affects Medicare beneficiaries who use these services and the FQHCs/RHCs delivering them by removing location restrictions - allowing telehealth visits to occur regardless of the patient's geographic location. Key provisions include permanently covering audio-only telehealth (previously temporary), treating telehealth visits as equivalent to in-person visits for payment, and ensuring costs for telehealth are included in FQHC/RHC payment calculations. These changes simplify access to telehealth for rural and underserved communities while maintaining consistent Medicare reimbursement for providers.
The MORE Act (HR 5601) would federally decriminalize cannabis by removing it from the Schedule I list of controlled substances under the Controlled Substances Act. It requires federal courts to expunge non-violent cannabis convictions and associated arrests, with a focus on addressing racial disparities in cannabis enforcement. The bill creates an Opportunity Trust Fund that would allocate 50% of funds to criminal justice programs, 20% to small business assistance for minority cannabis entrepreneurs, and 20% to community reinvestment grants for individuals impacted by the War on Drugs. It also prohibits federal agencies from denying benefits or security clearances based on cannabis use or past cannabis convictions, and establishes a Cannabis Justice Office to administer these programs.
HR 5371, the Choices for Increased Mobility Act of 2023, updates Medicare payment rules for manual wheelchairs. It clarifies that Medicare Part B will not cover the extra cost of titanium or carbon fiber materials in a wheelchair's base, effective January 1, 2023. This specifically affects Medicare beneficiaries who use manual wheelchairs with these materials, as payments will now be calculated without including those component costs. The bill directly changes how Medicare reimburses providers for such wheelchairs by excluding these materials from the standard payment amount. This is a technical adjustment to Medicare's fee schedule, not a new benefit or eligibility change.
HR 5183, the Cancer Care Planning and Communications Act, requires Medicare to cover "cancer care planning and coordination services" for beneficiaries diagnosed with cancer. This policy directly affects Medicare patients with cancer, particularly older adults (over half of cancer diagnoses occur in Medicare beneficiaries), by mandating written care plans developed by physicians or providers. The key mechanism adds specific coverage for these plans under Medicare, requiring them to document treatment options, coordinate care across providers, and address symptoms like pain or fatigue - furnished in culturally appropriate formats. The bill specifies payment rates matching existing transitional care management services, effective for care starting after the law's enactment.
This bill changes how Medicare counts hospital stays for coverage of skilled nursing care. It treats time spent in outpatient observation (not admitted as an inpatient) as part of the required 3-day inpatient hospital stay. This means beneficiaries who received outpatient observation services will have that time counted toward the 3-day requirement, potentially making them eligible for skilled nursing facility coverage they might otherwise have lost. The change applies to services beginning January 1, 2024, with limited retroactive appeal options for services completed before the law's enactment. It directly affects Medicare beneficiaries needing skilled nursing care after hospital treatment.
The Preserving Access to Home Health Act of 2023 repeals a 2018 payment adjustment for Medicare home health agencies, restoring prior payment rates for 2024 and subsequent years. It requires the Medicare Payment Advisory Commission (MedPAC) to analyze how home health agencies' financial performance affects access to care, including reviewing spending and utilization data across Medicare, Medicaid, and other payers. Starting in 2025, the bill mandates home health agencies to report detailed data on visit volumes and payments by payer source (Medicare, Medicaid, private insurers) through updated cost reports. This data will help MedPAC assess payment policy impacts on access to home health services for Medicare beneficiaries.
HR 5008, the HEAL for Immigrant Families Act of 2023, would remove immigration status as a barrier to health insurance coverage for immigrants in the United States. The bill would make all lawfully present immigrants, including those with Deferred Action for Childhood Arrivals (DACA) status, eligible for Medicaid, CHIP, and Affordable Care Act health insurance subsidies. It would eliminate state-level restrictions on Medicaid eligibility for immigrants and allow individuals with federally authorized presence to access premium tax credits and cost-sharing reductions. This legislation aims to address health coverage disparities that disproportionately affect immigrant communities, particularly Black, Indigenous, Latinx, and other communities of color.
The Lowering Drug Costs for American Families Act expands Medicare's drug price negotiation program from 20 to 50 drugs, allowing the government to negotiate lower prices for these medications. It requires private health insurance plans and group health coverage to apply these negotiated prices to their members' cost-sharing for covered drugs, with plans able to opt out while publicly disclosing their decision. The bill also extends these negotiated prices to drugs covered by commercial insurance markets, not just Medicare. This would directly affect Medicare beneficiaries and people with private health insurance who take the negotiated drugs.
