The LIFT the BAR Act removes barriers preventing lawfully present noncitizens from accessing federal benefits like food assistance, Medicaid, and school meals. It repeals specific 1996 welfare law provisions that excluded noncitizens and updates terminology to replace "alien" with "noncitizen" throughout federal law. The bill expands eligibility to include noncitizens in categories such as Deferred Action for Childhood Arrivals (DACA) recipients, individuals with special immigrant juvenile status, and those with pending U-visa applications. This change ensures more noncitizens lawfully present in the U.S. can access essential services without being denied based on immigration status.
HR 3926, the Protecting Our Widows and Widowers in Retirement Act (POWR Act), increases Social Security benefits for surviving spouses in households where both spouses earned retirement benefits. It changes the calculation so widows and widowers who worked and earned their own benefits will receive 75% of the sum of their own retirement benefit plus the deceased spouse’s primary benefit amount, rather than a fixed percentage. The bill also ensures Supplemental Security Income (SSI) eligibility and benefit amounts remain unaffected by these changes. The provisions apply to benefits payable after December 2023.
HR 3875, the Expanded Telehealth Access Act, expands Medicare coverage for telehealth services by adding new healthcare professionals to the list of providers eligible for payment. It specifically includes licensed audiologists, occupational therapists (and their assistants under supervision), physical therapists (and their assistants under supervision), and speech-language pathologists. The bill ensures these providers are paid the same rate for telehealth services as they would be for in-person care under Medicare. This change directly affects Medicare beneficiaries seeking remote therapy services and the new provider types who can now offer these services via telehealth.
HR 3851, the Access to Breast Cancer Diagnosis Act of 2023, requires most health insurance plans (including group and individual coverage) to cover diagnostic and supplemental breast exams without any out-of-pocket costs like copays or deductibles. This applies to medically necessary exams used to evaluate abnormalities detected during screening (diagnostic) or to screen high-risk individuals without abnormalities (supplemental), following National Comprehensive Cancer Network guidelines. Plans may still require prior authorization for these exams, and state laws providing stronger protections remain in effect. The law takes effect for plan years beginning January 1, 2024.
HR 3842, the Expanding Access to Diabetes Self-Management Training Act of 2023, would improve Medicare coverage for diabetes self-management training (DSMT) services for beneficiaries with diabetes. The bill expands provider eligibility to include nonphysician practitioners (like nurse practitioners), increases available training hours (initial 10 hours plus up to 2 hours annually), and requires 100% Medicare coverage with no out-of-pocket costs for beneficiaries. It also mandates a new demonstration project starting in 2025 to test virtual DSMT services, evaluating impacts on health outcomes (like A1c levels), hospitalizations, and program costs. This legislation directly affects Medicare beneficiaries with diabetes and healthcare providers offering DSMT services.
This bill requires Medicare to cover genetic counseling services provided by licensed genetic counselors at 85% of the physician payment rate. It defines "genetic counselor" as a state-licensed professional (or meeting federal criteria in non-licensing states) and mandates a new billing modifier for these services starting January 1, 2024. Medicare beneficiaries seeking genetic counseling would gain expanded access to these services under this coverage. The policy change applies to services furnished on or after the effective date, with implementation via interim rule.
HR 3729, the Social Security Caregiver Credit Act of 2023, would allow unpaid family caregivers to count their caregiving hours toward Social Security retirement credits. It defines "qualifying months" as 80+ hours monthly providing unpaid care to a dependent child under 12 or a chronically dependent adult (requiring daily help with basic activities like bathing or meal prep). For these months, caregivers would be deemed to have earned 50% of the national average wage index (or the difference if they had some income), boosting their future Social Security benefits. This applies only to the last 60 qualifying months before retirement, excludes caregivers after retirement age, and requires medical documentation for non-child dependents.
The Menstrual Equity For All Act of 2023 requires free menstrual products to be available at no cost in public schools, colleges, correctional facilities, and federal buildings. It makes menstrual products covered by Medicaid, prohibits taxes on these products, and provides funding through social services programs to help low-income individuals access menstrual products. The bill directly affects students (K-12 and college), incarcerated people, homeless individuals, employees (in businesses with 100+ workers), Medicaid beneficiaries, and people receiving Temporary Assistance for Needy Families (TANF). Key provisions include amending school funding to require free products, creating college grant programs for menstrual product distribution, and adding menstrual products to Medicaid coverage and social services programs.
HR 3589, the Affordability is Access Act of 2023, requires health insurance plans to cover FDA-approved over-the-counter birth control without cost-sharing (like copays or deductibles). It directly affects millions of people who use contraception, particularly low-income individuals and those in areas with limited access to reproductive health services ("contraceptive deserts"). The bill clarifies that existing insurance coverage rules under the Affordable Care Act apply to over-the-counter contraceptives, and directs the FDA to expedite reviews for over-the-counter status. Retailers must not block access to these products but may refuse sales if payment isn’t provided.
The FAMILY Act (HR 3481) would establish a national paid family and medical leave insurance program administered by the Social Security Administration. Eligible workers would receive wage replacement benefits (up to 85% of average earnings, with a maximum of $4,000 monthly) for up to 60 caregiving days per 12-month benefit period for qualifying reasons like caring for a sick family member, personal serious health conditions, or responding to domestic violence. The program would be funded through 0.2% payroll taxes from employees and employers (with self-employed individuals paying 0.4%), with benefits coordinated with existing state programs. The law includes protections against employer retaliation for taking leave and requires employers to maintain health coverage during leave periods.
The Medicare for All Act would establish a single-payer national health insurance program providing comprehensive coverage to all U.S. residents without cost-sharing. It would replace current private insurance and government programs like Medicare and Medicaid with a unified system covering all medically necessary services including hospital care, prescription drugs, mental health services, reproductive care, long-term care, and preventive services. The bill prohibits private insurers from offering duplicate coverage and requires providers to participate without charging patients for covered services. Implementation would occur over a two-year transition period, with a "Medicare Transition Buy-In" option allowing people to enroll before full implementation.
The Strengthening Social Security Act of 2023 makes several key changes to Social Security taxation and benefit calculations. It gradually reduces the percentage of high earners' income subject to Social Security taxes, starting with 80% in 2025 and decreasing to 0% by 2029. The bill also increases the first bend point factor for calculating benefits from 90% to 95%, with a phased implementation starting in 2029, and creates a new Consumer Price Index for Elderly Consumers to determine cost-of-living adjustments. These changes will directly affect Social Security beneficiaries, high earners, and widows and widowers in two-income households.
