The Cancer Drug Parity Act of 2026 requires group health plans and insurance coverage to treat the cost-sharing for oral cancer medications no less favorably than that for intravenously administered cancer drugs. This rule applies to FDA-approved oral cancer treatments that a treating physician deems medically necessary and clinically appropriate, ensuring that deductibles, copayments, and coinsurance rates are not higher for oral options. The legislation also prohibits plans from making changes that would increase out-of-pocket costs or impose stricter limitations on oral cancer drugs compared to injected ones, while still allowing for standard utilization controls like prior authorization. Additionally, the bill mandates a Government Accountability Office study within two years to assess the impact of these changes on patient costs and access.
The Medicare-X Choice Act of 2026 creates a new public health plan called the Medicare Exchange health plan, which would be available to individuals and small groups starting in 2028. The bill establishes two dedicated funds to finance the plan's creation and technology updates, appropriating $1 billion each for fiscal year 2027. Under the plan, the government would set premiums to cover full costs, and reimbursement rates for doctors and hospitals would generally match current Medicare rates, with potential increases for rural areas. The legislation also requires health care providers who participate in traditional Medicare to also accept patients in this new plan, while prohibiting insurers from placing additional restrictions on enrollees. Additionally, the bill expands tax credits for people buying insurance, fixes the "family glitch" that currently limits subsidy eligibility for some workers, and authorizes the government to negotiate prices for prescription drugs.
The Drug Deal Disclosure Act requires the Department of Health and Human Services to publicly release records of specific agreements between the federal government and major drug manufacturers starting in 2025. These agreements must include provisions such as offering lower drug prices based on international rates, providing discounts through government platforms like TrumpRx, or receiving special exemptions from import duties and regulatory reviews. While the bill mandates that most documents be made available in a searchable format, it allows the government to withhold only specific confidential pricing details if legally required by foreign laws or court orders, provided a justification is published. Additionally, the law directs the Congressional Budget Office and the Government Accountability Office to analyze the economic and budgetary impacts of these deals, including effects on Medicare, Medicaid, and drug competition.
The Patients First Act of 2026 modifies how Medicare reimburses physicians and primary care providers to improve access and stabilize payments. It establishes a new hybrid payment model for primary care services from 2027 to 2031, which pays a monthly fee per patient to eligible independent practices while covering specific services like care management and telehealth without cost-sharing for patients. The bill also updates the formula for calculating reimbursement rates to account for high inflation years and requires more frequent updates to the costs used in calculating payments. Additionally, the legislation reforms the performance-based payment system by adding care efficiency measures, creating a task force to recommend new quality metrics, and adjusting penalties for providers who fail to report on certain data.
The Essential Caregivers Act of 2026 requires nursing homes, long-term care hospitals, rehabilitation facilities, and intermediate care facilities to allow two chosen family members or friends to visit residents during times when regular visitation is suspended. These essential caregivers must agree to follow the facility's existing safety and infection control rules, which are no more restrictive than those applied to staff. While facilities can limit access for the first seven days of a suspension or deny entry if a caregiver shows symptoms of a serious infectious disease, they cannot block visits for end-of-life care. Additionally, the bill mandates that complaints about denied access to essential caregivers be investigated and resolved within three days.
HR 7651, the Chloe Cole Act of 2026, prohibits healthcare providers from performing certain medical interventions on minors under 18 aimed at altering physical development to align with gender identity. These "covered interventions" include puberty blockers, hormone treatments, and specific surgeries, but exclude medically necessary care for conditions like disorders of sexual development or traumatic injuries. The bill creates a federal civil lawsuit right for affected minors or their parents against providers who perform such interventions, allowing claims for damages including emotional distress and punitive awards, with strict liability for providers after the law's enactment. It explicitly allows exceptions for legitimate medical treatments and requires providers to prove such exceptions apply if challenged.
HR 4090, the Critical Mineral Dominance Act, aims to boost U.S. production of hardrock minerals (like rare earths, base metals, and gemstones) to strengthen domestic supply chains and national security. It requires the Secretary of the Interior to submit a 90-day report analyzing the economic impact of mineral import reliance, prioritize expedited permitting for mining projects on federal land, and review regulations to remove barriers to mineral development. The bill also mandates annual reports identifying federal lands with mineral potential and accelerates geologic mapping to locate new deposits. These provisions directly affect mining companies, federal land managers, and supply chain security efforts, focusing on concrete policy actions rather than outcomes.
This bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.
Protecting Privacy in Purchases Act This bill prohibits payment card networks from using merchant codes that distinguish firearms retailers from general-merchandise retailers or sporting-goods retailers. The Department of Justice must enforce this bill and report annually on the resulting investigations and cases.
The Good Jobs for Good Airports Act establishes new federal standards to ensure that workers at small, medium, and large hub airports receive a living wage and adequate health benefits. It defines "covered service workers" to include employees in roles such as baggage handling, passenger assistance, security, ticketing, and concession services, regardless of whether they are directly hired by the airport or work for a contractor. Under the bill, employers must pay these workers at least the higher of the federal Service Contract Act wage rates or applicable state and local minimum wages, and they must provide similar fringe benefits. To enforce these rules, the Secretary of Labor and the Secretary of Transportation will have the authority to investigate violations, issue penalties, and require employers to submit monthly compliance certifications. Additionally, the law allows private individuals to file lawsuits against non-compliant employers and mandates annual reports to Congress on the implementation of these labor standards.
This bill directs the U.S. Secretary of State to create and execute a plan to end the operations of the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) across the Middle East. The legislation requires a detailed strategy that assesses current programs like education and healthcare, identifies new organizations to take over these services, and outlines how to fund and oversee the transition without interrupting aid. Once the plan is submitted to Congress, the State Department must begin implementing it within a year while coordinating with host countries and international partners. The bill emphasizes maintaining service continuity and ensuring that any successor groups meet strict standards for transparency and accountability.
The Diesel Engine Flexibility Act establishes a ten-year regulatory stability period for diesel engines used in on-road vehicles, non-road equipment, and heavy-duty trucks. During this time, the Environmental Protection Agency is prohibited from issuing new or stricter emission standards beyond the 2007 and 2010 rules for on-road vehicles, or the Tier 4 rules for non-road engines, unless specific exceptions for repairs or fraud enforcement apply. After the decade concludes, any new regulations must include a five-year delay before taking effect and must consider the financial and operational impacts on vehicle owners and manufacturers. The bill also provides legal protection for manufacturers using specific guidance documents to manage engine performance and monitor fluid quality without facing penalties.
