This bill amends Medicare rules to improve payment for air ambulance services. It requires air ambulance providers to submit detailed cost and revenue data every three years (including fixed costs per base, utilization rates, and revenue) to the Medicare Secretary. The Secretary must then revise fee schedules based on this data and stakeholder input, aiming to better align payments with actual costs. A separate provision mandates the GAO to study average operating costs, payment adequacy, geographic variations, and make recommendations within one year of data collection starting. The bill directly affects Medicare beneficiaries using air ambulances and the providers operating those services.
This bill expands benefits for National Guard members injured during State active duty (like responding to disasters). It adds "State active duty" to the definition of qualifying service for retirement pay based on disability, and requires the military to adjust retirement pay if it duplicates other federal or state disability benefits. It also creates new eligibility for VA healthcare to treat disabilities incurred during State active duty, with rules requiring exhaustion of other insurance claims before VA coverage applies. These changes directly affect National Guard members who become disabled while serving under state authority, not federal deployment.
HR 3019, the Holding Nonprofit Hospitals Accountable Act, requires nonprofit hospitals receiving tax exemptions to meet new community benefit standards. It mandates these hospitals to have community-elected boards, treat patients using public programs (like Medicare/Medicaid) without limiting numbers, and spend at least 100% of their annual tax exemptions on specific community services - including patient care training, facility upgrades, and free/discounted care. The bill also requires hospitals to follow Medicare billing rates for financial assistance and establishes annual reviews by the Treasury Inspector General and GAO to monitor compliance and enforcement. These changes apply to taxable years beginning after December 31, 2025, directly affecting nonprofit hospitals that operate under IRS 501(c)(3) status.
HR 7199, the Gerald’s Law Act, expands burial benefits for veterans who die at home while receiving VA hospice care. It adds a new eligibility category allowing burial allowances for veterans who were in VA hospice care at home *only if* they previously received VA hospital or nursing home care. The bill amends existing law to include this scenario under the veterans' burial allowance program. This change directly affects veterans receiving VA hospice care at home after prior VA facility-based care, ensuring they qualify for burial benefits similar to those who die in VA facilities. The policy change takes effect as if included in the 2020 Veterans Health Care Act.
The Streamline Emergency Care Act provides federal grants to nonprofit health care providers operating emergency departments (EDs) to improve their efficiency and patient care. Grants of up to $500,000 per recipient can fund hiring staff, modernizing facilities (like renovating spaces or buying equipment), or training existing staff to improve patient flow through the ED. The program, funded at $20 million annually from 2026 to 2030, directly affects hospitals that already run EDs and are nonprofit. It aims to reduce wait times and enhance care capacity by supporting practical operational upgrades.
This bill (HR 4345) expands Medicare's definition of "critical access hospitals" to include certain hospitals located on Indian reservations, effective August 1, 2025. It directly affects these reservation hospitals by allowing states to designate them as critical access hospitals without needing to meet the usual distance requirement from other hospitals. Key provisions include waiving the distance rule for reservation facilities and permitting them to establish psychiatric or rehabilitation units without being limited by the standard bed count restrictions. This change aims to improve access to Medicare-covered services for patients at these reservation hospitals.
HR 4258 would expand Medicare's critical access hospital (CAH) program to include certain hospitals located on Indian reservations. Starting August 1, 2025, states could designate qualifying reservation hospitals as CAHs if they are more than 35 miles (or 15 miles in mountainous areas) from another reservation hospital or an Indian Health Service/tribal facility. This change would allow these hospitals to receive Medicare reimbursement under CAH rules, which provide higher payment rates for rural facilities. The bill also permits such hospitals to establish psychiatric or rehabilitation units without being restricted by the usual bed count limits for CAHs. This directly affects hospitals on tribal lands seeking improved Medicare funding access.
The BABIES Act (HR 5202) provides federal grants and Medicaid demonstration programs to expand access to freestanding birth centers, primarily benefiting low-risk pregnant women in underserved areas who rely on Medicaid. It allocates $5 million (2026-2030) for grants up to $500,000 per birth center to cover facility upgrades, equipment, and accreditation costs, with priority for centers in maternity care deserts or areas with poor outcomes. Additionally, it creates a 4-year Medicaid demonstration program testing new payment models for birth centers that meet strict standards (like accreditation, licensure, and emergency capabilities), requiring states to develop prospective payment systems covering services from pregnancy through postpartum care. The program aims to improve access and quality of low-risk maternity care while collecting data on clinical outcomes and costs compared to traditional hospital services.
HR 6509, the SAFE Drugs Act of 2025, limits how often pharmacies and healthcare providers can create custom drug formulations that copy standard medications. It restricts compounding any drug essentially identical to a commercially available product to no more than 20 times per month for individual patients. The bill also requires pharmacies compounding such drugs for out-of-state patients more than 20 times monthly to report details to the FDA, while exempting hospital pharmacies. These changes aim to improve safety oversight of non-standard drug compounding by setting clear limits and reporting rules.
This bill allows seniors over 65 who only have Medicare Part A hospital insurance (and no other Medicare coverage) to contribute to Health Savings Accounts (HSAs). Currently, Medicare beneficiaries cannot contribute to HSAs, but this bill removes that restriction for seniors enrolled solely in Part A. The change amends the tax code to exclude these individuals from the existing HSA contribution ban during periods they have only Part A coverage. The provision takes effect for tax years beginning after December 31, 2024.
