Healthcare (Medicaid)

Further Additional Continuing Appropriations and Other Extensions Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies through April 11, 2025. It also extends various expiring programs and authorities, including several public health programs. Specifically, the bill provides continuing FY2025 appropriations to federal agencies through the earlier of April 11, 2025, or the enactment of the applicable appropriations act. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2025 appropriations bills have not been enacted when the existing CR expires on March 14, 2025. The CR funds most programs and activities at the FY2024 levels with some exceptions that provide funding flexibility and additional appropriations for various programs. For example, the CR provides additional emergency funding for the Federal Emergency Management Agency's Disaster Relief Fund, permits the Navy to apportion funds at the rate necessary to fund the Columbia-class submarine program and cost increases for certain shipbuilding programs, and provides additional funding for the Office of Navajo and Hopi Relocation. In addition, the bill extends several expiring programs and authorities, including several public health, Medicare, and Medicaid authorities and programs; authorities related to the Commodity Futures Trading Commission whistleblower program; authorities for the Department of Homeland Security and the Department of Justice to take actions to mitigate a credible threat from an unmanned aircraft system; the special assessment on nonindigent persons or entities convicted of certain offenses involving sexual abuse or human trafficking; and the National Cybersecurity Protection System.

Freedom from Mandates Act This bill nullifies certain executive orders regarding COVID-19 safety and prohibits the Departments of Labor and Health and Human Services (HHS) from taking specified actions with respect to vaccination against COVID-19. Specifically, the bill nullifies Executive Order 14042 (relating to ensuring adequate COVID-19 safety protocols for federal contractors) and Executive Order 14043 (requiring COVID-19 vaccination for federal employees). Labor may not issue any rule requiring employers to mandate vaccination of employees against COVID-19 or requiring testing of employees who are unvaccinated. HHS may not (1) require a health care provider, as a condition of participation in the Medicare or Medicaid program, to mandate vaccination of employees against COVID-19 or require testing of employees who are unvaccinated; or (2) otherwise penalize such a provider for failure to mandate such vaccination or require such testing.

The Poverty Line Act of 2025 updates how the federal poverty line is calculated to better reflect current costs of basic needs. It requires annual revisions using a 5-year average of household spending on food, housing, childcare, and healthcare (adjusted for inflation), with regional variations based on state or county data. This change directly affects households applying for federal assistance programs like SNAP or Medicaid, as eligibility will now align with more accurate, location-specific costs. The bill also mandates a public online tool to help determine poverty line thresholds and includes safeguards to prevent sudden eligibility changes during relocations.

HR 1950, the Protect Social Security and Medicare Act, requires a two-thirds vote in both the House and Senate to consider any bill or amendment that would reduce Social Security or Medicare benefits administered by the Social Security Administration (SSA) or Centers for Medicare & Medicaid Services (CMS). This rule applies directly to lawmakers who would need supermajority support to advance proposals affecting these programs. An exception allows changes to Medicare Advantage plan payments if offset by increased payments elsewhere in Medicare. Determinations about whether a provision reduces benefits are made solely by the SSA's Office of the Chief Actuary during legislative consideration.

Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies Act or the PREVENT DIABETES Act This bill allows health care entities to provide virtual services under the Medicare Diabetes Prevention Program for an additional three years. The Medicare Diabetes Prevention Program offers Medicare beneficiaries who are at risk of developing Type 2 diabetes specialized training and education regarding diet, exercise, and other behavioral changes. The Centers for Medicare & Medicaid Services issued temporary authorization for entities participating in the program to provide these services virtually until December 31, 2027. The bill extends the authorization for virtual services until December 31, 2030.

The America First Act (HR 746) would restrict access to numerous federal benefits and programs for certain non-citizens by requiring citizenship verification and denying eligibility to individuals with specific immigration statuses. It affects programs including Medicaid, Medicare, Head Start, WIC, school meals, housing assistance, tax credits, and community development funds by denying benefits to people granted parole, temporary protected status (TPS), deferred action (including DACA), asylum, or who are unlawfully present. The bill also reduces funding for schools in "sanctuary jurisdictions" and limits refugee resettlement for certain Haitian immigrants. It mandates that federal agencies verify immigration status before providing benefits and prohibits use of federal funds for services to certain non-citizens.

This bill would change work requirements for food stamp benefits (SNAP) and establish new work requirements for Medicaid. For SNAP, it removes exemptions for people over 60 and adds exemptions for children under 6. For Medicaid, it requires adults to work 80 hours per month, do community service, or join a work program to maintain coverage, with exemptions for pregnant people, caregivers of young children, students, and others. States could stop Medicaid benefits for individuals who fail to meet this requirement for three consecutive months.

HR 702 establishes state-specific poverty lines called "Regionally Adjusted Poverty Lines" to replace the current uniform national standard. It requires the Census Bureau to calculate these lines annually for each state based on local costs (using Regional Price Parity data), and federal agencies must use whichever measure - regional or current - results in a higher poverty rate for that state when determining eligibility for programs like Medicaid and tax credits. This change aims to better reflect regional cost-of-living differences, potentially expanding access to assistance for low-income families in expensive areas. The bill also mandates a study on the ALICE poverty measure (which includes costs like housing and childcare) but does not incorporate it directly into policy.

HR 1492 amends the Social Security Act to extend the negotiation period for standard drug manufacturers under the federal drug pricing program. Specifically, it changes the timeframe from 7 years to 11 years for small-molecule drugs (like traditional pills) to negotiate prices with the government, aligning it with the existing 12-year period for complex biologic drugs (like insulin or monoclonal antibodies). This adjustment directly affects pharmaceutical companies that produce small-molecule drugs, giving them a longer window to negotiate pricing terms. The bill makes this change effective as if it had been part of the 2022 law that established the program.

HR 3000, the Caring for Seniors Act, establishes a Senior Care Cost Reduction Program to help low-income seniors aged 70+ live in assisted living facilities instead of more expensive nursing homes. The program provides states with funds to offer eligible seniors a monthly cost reduction of $1,000 (adjusted annually for inflation), covering part of their assisted living fees. To qualify, seniors must reside in an approved facility, meet Medicaid or chronic illness criteria, have net income below 60% of their state’s median income, and possess assets under $19,000 (single) or $25,000 (married). The program is funded by redirected pandemic relief funds and aims to reduce reliance on costly institutional care while expanding access to lower-cost assisted living services.