HR 716, the Fair COLA for Seniors Act of 2023, changes how cost-of-living adjustments (COLAs) are calculated for Social Security and related benefits by using the Consumer Price Index for Elderly Consumers (CPI-E) instead of the standard Consumer Price Index. This affects Social Security beneficiaries, veterans receiving disability compensation or survivor benefits, and federal retirees under the Civil Service and Military Retirement Systems. The bill requires that any COLA increase for Social Security also applies to these other benefits using the CPI-E, which better reflects inflation experienced by seniors. The change takes effect for benefit determinations starting September 2023.
HR 549, the Metastatic Breast Cancer Access to Care Act, removes waiting periods for disability and Medicare coverage for people diagnosed with metastatic breast cancer. Specifically, it amends Social Security Act sections to allow immediate eligibility for disability insurance benefits (eliminating the standard waiting period) and immediate Medicare coverage (waiving the 24-month waiting period) for these patients. The bill directly affects individuals with metastatic breast cancer who would otherwise face delays in accessing critical benefits. These changes apply to applications filed or benefits beginning after the bill's enactment date. The law makes no other policy changes beyond these specific eligibility adjustments.
The EACH Act of 2023 would require federal health programs - including Medicaid, Medicare, the Indian Health Service, and TRICARE - to cover abortion services without restrictions. It repeals a provision in the Affordable Care Act that allowed states to limit abortion coverage in health insurance plans sold through state marketplaces. The bill also prohibits the federal government from restricting abortion coverage in private health insurance plans. This would directly affect millions of people, particularly low-income individuals and people of color, who are disproportionately enrolled in Medicaid and currently face barriers to abortion care due to coverage restrictions.
The Assuring Medicare’s Promise Act of 2023 directs that taxes collected under the net investment income tax (a tax on investment income for high earners) be added to the Medicare Hospital Insurance Trust Fund, which helps finance Medicare Part A benefits. It modifies the tax code to include certain business income of high-income individuals (with modified adjusted gross income over $400,000 for single filers or $500,000 for joint filers) in the tax base, but includes a phase-in mechanism to limit immediate tax increases. This bill primarily affects high-income taxpayers and aims to strengthen Medicare’s financial stability by increasing trust fund revenue.
HR 33 would expand Medicare to cover dental, vision, and hearing services for beneficiaries, which are currently not covered under Medicare. The bill provides 100% coverage for preventive dental services in 2024, with basic dental services gradually increasing to 80% coverage by 2027. Vision coverage would include routine eye exams and corrective lenses at 80% coverage, while hearing services would cover hearing exams and hearing aids at 80% coverage. The bill includes specific limitations, such as two dental cleanings per year and one pair of glasses every 24 months, with the Secretary of Health and Human Services having authority to apply additional limitations or modify coverage based on medical recommendations. The changes would take effect on January 1, 2024.
The FDA Modernization Act 3.0 requires the FDA to issue a final rule within 180 days of enactment to implement regulations for nonclinical testing methods used in drug development. This affects pharmaceutical companies developing new drugs by establishing standardized requirements for preclinical safety testing before human trials. The bill also makes a technical amendment to renumber a subsection related to clinical trial diversity plans, clarifying existing provisions without changing their substance. The key change is the FDA's obligation to finalize these testing regulations, aiming to modernize the drug approval process.
This bill requires Medicare to separately reimburse for the software and algorithms that power automated insulin delivery systems (like continuous glucose monitors and insulin pumps), which it currently does not cover. It creates a certification process for healthcare providers to ensure continuous access to covered diabetes technologies during the first 12 months of Medicare Part B enrollment, with new requirements for Medicare administrative contractors by 2026. The bill also establishes new billing codes for insulin pump training and education services and mandates a federal report assessing barriers to diabetes care access across government health programs. These changes directly affect Medicare beneficiaries with diabetes (26% of Medicare enrollees have diabetes) and healthcare providers offering diabetes management services.
The FAIR Act of 2024 (S 5512) fundamentally changes civil forfeiture by requiring all property seizures to go through judicial process rather than allowing government agencies to seize property without court involvement. It raises the government's burden of proof from "preponderance of the evidence" to "clear and convincing evidence" to establish a property connection to criminal activity. The bill establishes new timelines for notifying property owners and requires courts to consider factors like hardship to property owners when making forfeiture decisions. These changes directly affect individuals whose property is seized by federal agencies in connection with alleged criminal activity.
This bill authorizes the posthumous award of a Congressional Gold Medal to Shirley Chisholm, the first African-American woman elected to Congress (1968-1982) and the first African American to seek a major party's presidential nomination (1972). The bill directs the Secretary of the Treasury to design and strike a gold medal featuring Chisholm's image and name, which will be presented to her family by congressional leaders. After presentation, the medal will be displayed at the Smithsonian Institution for public viewing and research. The bill also authorizes the production and sale of bronze duplicates to cover costs. This is a commemorative measure honoring Chisholm's historic contributions to American politics and civil rights.
SRES 74 is a Senate resolution condemning Iran's state-sponsored persecution of the Baha'i minority, which directly affects Baha'is in Iran facing systemic discrimination. The resolution calls on Iran to immediately release imprisoned Baha'is, end hate propaganda against them, and reverse policies denying equal access to education, jobs, and religious practice. It also urges the U.S. President and Secretary of State to demand Iran's compliance with international human rights treaties and use existing sanctions authority against Iranian officials responsible for abuses. As a symbolic resolution, it does not create new laws but formally expresses congressional condemnation of Iran's violations of the Universal Declaration of Human Rights and International Covenant on Civil and Political Rights.
The End the Threat of Default Act of 2024 would repeal the statutory debt ceiling, a legal limit on how much the U.S. government can borrow. This change would eliminate the need for Congress to vote on raising the debt ceiling to avoid defaulting on government obligations like Social Security payments or military salaries. The bill also includes technical updates to other laws to remove references to the debt ceiling. The repeal would take effect 7 days after the bill is enacted.
The Older Americans Act Reauthorization Act of 2024 updates and expands federal programs that support older Americans across the country. It would improve mental health services for older individuals, enhance nutrition programs with medically tailored meals, strengthen family caregiver support through better assessments, and improve elder abuse prevention efforts. The bill also includes provisions to increase access to assistive technology, improve services for Native American elders, and provide new funding levels for these programs through fiscal year 2029. These changes would directly affect millions of older Americans and their caregivers, as well as the state and community organizations that deliver these services.
