The MOMMIES Act expands Medicaid and CHIP coverage for low-income pregnant individuals by extending postpartum benefits from 60 days to one year and mandating full coverage of oral health services during this period. To support these changes, the bill includes a maintenance of effort provision that prevents states from reducing eligibility standards or benefit levels for pregnant individuals until 2027, alongside a 100 percent federal funding match for states that increase spending on this population. A major component is a five-year demonstration project that provides grants to states to implement maternity care home models, which coordinate comprehensive medical and social support services like housing assistance and mental health care to improve birth equity and outcomes. The legislation also requires the Centers for Medicare & Medicaid Services to issue guidance on covering doula services and directs the Government Accountability Office to study the use of telehealth and gaps in coverage for pregnant and postpartum people.
The Credit for Prior Learning Act allows students to use federal financial aid to pay for assessments that evaluate their existing knowledge and skills for college credit. It specifically allocates up to $2,000 per year to cover reasonable costs like test fees for these evaluations, provided the assessments meet specific criteria regarding skills rather than just experience. The law also requires colleges to have clear, expert-reviewed standards for granting credit and mandates that institutions publicly report data on how many students receive this credit, broken down by race, income, and Pell Grant status. These changes are designed to make it easier for individuals to earn academic credit for what they already know while increasing transparency in higher education. The provisions will take effect on July 1, 2027.
The Child Care Innovation Advancement Act of 2026 creates a five-year pilot program to help non-home-based child care providers, such as those in commercial spaces or community centers, purchase nutritious meals for children. Under this initiative, eligible and licensed programs can receive federal reimbursements for food costs at the same rate currently given to family day care homes. To ensure proper use of funds, the bill mandates regular audits by the Department of Agriculture, requiring the exclusion of programs with unresolved audit findings for two years. Additionally, the program includes measures to prevent duplicate payments and requires a final evaluation report to Congress after the pilot period ends.
The Supporting Our Direct Care Workforce and Family Caregivers Act establishes a national technical assistance center and provides $1 billion in grants to help recruit, train, and retain workers who assist older adults and people with disabilities. These funds will support projects run by states, community colleges, and other organizations to create career pathways, offer apprenticeships, and provide educational resources for both direct care professionals and family caregivers. A key requirement is that at least 30% of the funded projects must focus on advancing the careers of direct care workers through professional development and clear career ladders. The bill also mandates that grant recipients include people with disabilities, older individuals, and caregivers in planning and advisory roles to ensure programs meet community needs. Additionally, the legislation allocates $2 million annually for the technical assistance center to develop training curricula and address data gaps in the workforce.
The Right to Vote Act establishes federal protections ensuring that citizens can vote in elections for federal office without undue burdens or substantial impairments. It prohibits governments from making voting more difficult unless they can prove that such restrictions are the least restrictive way to achieve an important government interest. The bill creates a specific legal pathway for voters to challenge voting rules in court, requiring officials to provide strong evidence justifying any limitations on the voting process. Additionally, it mandates that courts handle these cases quickly and allows for the recovery of attorney fees for successful plaintiffs. These measures apply to all U.S. states, territories, and the District of Columbia for elections occurring on or after September 1, 2026.
The Let Doctors Provide Reproductive Health Care Act prohibits states and their officials from restricting or penalizing health care providers who offer reproductive health services that are legal in the state where they are performed. This includes banning laws that stop doctors, nurses, pharmacists, or their staff from providing abortion, contraception, or other reproductive care, as well as preventing the denial of professional liability insurance based on these services. The bill establishes a private right of action allowing providers to sue in federal court to challenge such restrictions and mandates that the federal government cannot use funds to support legal cases against providers acting within state law. Additionally, the legislation appropriates $80 million in grants to support legal defense funds for providers facing lawsuits and to improve physical and cybersecurity measures at health care facilities.
The Federal Workforce Reproductive Rights Protection Act prevents federal agencies from relocating headquarters or major operations to states with laws restricting or banning abortion, while also barring the use of funds to build or lease facilities in those locations. To support federal employees who need to access reproductive health care, the bill allows workers to decline transfers to restrictive states, grants up to 21 days of paid leave for travel to obtain such services, and provides reimbursement for travel costs without requiring disclosure of the specific medical procedure. Additionally, the legislation prohibits government agencies from investigating an employee's use of abortion services when reviewing security clearances or making personnel decisions and protects workers from retaliation if they exercise these new rights.
The Let Doctors Provide Reproductive Health Care Act prohibits states and officials from restricting or penalizing health care providers and their staff for offering reproductive health services that are legal within the state where they are performed. It establishes a federal right for providers to assist patients regardless of where those patients live and allows attorneys general to sue states that enforce such restrictions, including stripping states of legal immunity in these cases. To support this framework, the bill appropriates $40 million each for legal defense grants to help providers navigate lawsuits and $40 million for security grants to improve physical and cyber safety at medical facilities. Additionally, the legislation requires insurance companies to offer professional liability coverage to providers without discrimination based on the reproductive services they provide.
The SAFE Training for OB-GYNs Act creates a new federal grant program to help medical residents who must leave their home states to receive training in reproductive health care due to local abortion restrictions. Funded with up to $10 million annually from 2027 to 2031, these grants support residency programs that offer specialized training in sexual and reproductive health, including abortion care. The funding can be used to expand existing programs or establish new ones specifically for out-of-state residents and to cover their travel expenses. This legislation directly affects health care professionals seeking specialized training and the medical residency programs that provide it.
This bill creates a federal grant program to help states and tribal governments improve their licensing systems for firearms dealers. To qualify for funding, a state must have laws requiring dealers to hold licenses valid for no more than three years, complete an application process, and allow for inspections with penalties for noncompliance. The Attorney General will award up to $2.5 million per year on a competitive basis to eligible applicants who submit detailed plans for developing or improving their programs. Recipients must provide annual reports on inspection numbers, violations, and license status, while the Attorney General must report grant details and denial reasons to Congress.
The Right to Vote Act establishes legal protections against government actions that make it more difficult for citizens to vote in federal elections. It prohibits any rule or practice that diminishes voting ability unless the government proves it is the least restrictive way to achieve an important interest, and it similarly blocks substantial impairments unless they significantly further a specific government goal. The bill creates a new legal pathway for voters to challenge these restrictions in federal court, requiring judges to expedite these cases and shifting the burden of proof to the government to justify any voting barriers. These protections apply to all U.S. states, territories, and the District of Columbia for elections occurring on or after September 1, 2026.
The EXCLAVE Act of 2026 requires federal agencies to hold special public meetings exclusively for residents of pene-exclaves when proposed rules might uniquely burden them. A pene-exclave is defined as a U.S. region accessible by land only by traveling through a foreign country, and unique burdens include difficulties crossing borders, accessing emergency services, or obtaining necessities like food and healthcare. If an agency identifies such a potential issue or receives a complaint from a resident, it must organize an accessible meeting, notify local officials, and publish all comments and minutes in the Federal Register within 60 days. Additionally, the Office of Management and Budget must create an official list of these regions and their local government contacts within 90 days of the bill's enactment.
