Healthcare (Medicaid)

in committee · United States · House May 23, 2025

HR 3580: Oversight of Medicare Billing Code Cost Act

HR 3580, the Oversight of Medicare Billing Code Cost Act, requires the HHS Inspector General to study how Medicare adds, modifies, and removes billing codes, including analyzing the data used and trends in code changes. The Inspector General must submit a report to Congress within one year, including recommendations to improve transparency in this process. Additionally, the bill mandates annual public reports starting in 2025 from the Secretary of Health and Human Services, listing new Medicare billing codes and their associated costs and usage. This directly affects Medicare billing oversight by increasing transparency and accountability for code changes.

Topics ✓ HealthcareSupports HealthcareMandates HHS IG study Medicare billing code changes for transparency, improving accountability in healthcare administration.85% confidence

Sub-Topics Medicaid Medicare

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in committee · United States · House Apr 17, 2025

HR 2943: Gabriel Rosenberg Dyspraxia/DCD Coverage Act

HR 2943, the Gabriel Rosenberg Dyspraxia/DCD Coverage Act, requires the U.S. Comptroller General to study insurance coverage for dyspraxia/developmental coordination disorder (DCD), a condition affecting movement and coordination. The study, to be completed within one year of enactment, will examine coverage under Medicare, Medicaid, group health plans, and other federal health programs across all states. It will specifically investigate current coverage availability, age limits, barriers like provider shortages, compliance with existing insurance rules, and whether adults lose coverage after diagnosis. The resulting report will provide recommendations for improving coverage, but the bill itself does not change insurance requirements or create new benefits. This is a procedural study bill focused on gathering data about current coverage gaps for people with DCD.

Topics ✓ HealthcareSupports HealthcareBill mandates study of insurance coverage barriers for dyspraxia/DCD under Medicare/Medicaid, aiming to identify gaps in healthcare access and coverage availability, aligning with support indicators.85% confidence

Sub-Topics Insurance Medicaid Medicare

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in committee · United States · House Jun 23, 2025

HR 4086: Autism Family Caregivers Act of 2025

The Autism Family Caregivers Act of 2025 creates a 5-year pilot program funding grants to community organizations for free, evidence-based skills training for family caregivers of children (ages 0-9) with autism spectrum disorder or other developmental disabilities or delays. The program requires training in communication, social engagement, daily living skills, and caregiver self-care strategies, with emphasis on cultural competence and coordination with local health, education, and community services. Grants must support at least 25 organizations across 15+ states, using $10 million annually (2026-2030), and mandate stakeholder committees including caregivers and local providers. It directly affects families caring for young children with these conditions by expanding access to structured support, while requiring programs to supplement - rather than replace - existing Medicaid, education, or insurance-covered services.

Topics ✓ HealthcareSupports HealthcareFunds evidence-based caregiver training for children with developmental disabilities, improving access to support services under healthcare framework92% confidence

Sub-Topics Medicaid

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in committee · United States · House Jul 23, 2025

HR 4722: Urban Indian Health Parity Act

The Urban Indian Health Parity Act (HR 4722) would amend the Social Security Act to extend full federal medical assistance to urban Indian health organizations. Currently, only tribal organizations receive this full federal funding level under Medicaid, but urban Indian organizations are excluded. The bill adds urban Indian organizations - defined under the Indian Health Care Improvement Act - to the list of entities eligible for full federal medical assistance when operating under a grant or contract with the Indian Health Service. This change would ensure urban Indian health organizations receive the same federal funding as tribal organizations for Medicaid services.

Topics ✓ HealthcareSupports HealthcareExtends full federal medical funding to urban Indian health organizations, expanding Medicaid coverage and access under the Indian Health Care Improvement Act.95% confidence

Sub-Topics Medicaid Tags Tribal Nations

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in committee · United States · House Jun 12, 2025

HR 3942: Keeping Obstetrics Local Act

The Keeping Obstetrics Local Act aims to improve access to maternity care, particularly in rural and underserved communities, by requiring states to study the costs of obstetric services and ensuring hospitals receive adequate Medicaid payments. It establishes "anchor payments" for low-volume obstetric hospitals to prevent closures, mandates 12-month continuous coverage for pregnant individuals under Medicaid and CHIP, and creates health homes for coordinated maternal care. The bill also requires hospitals to notify communities 180 days before closing obstetric units and collect detailed data on labor and delivery services. This legislation directly affects rural and safety net hospitals, pregnant individuals, and maternal health providers across the country.

Topics ✓ HealthcareSupports HealthcareMandates 12-month Medicaid/CHIP coverage, ensures hospital payments, prevents closures - directly expands access and funding for maternal care services.95% confidence

Sub-Topics Hospitals Medicaid Women's Health

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in committee · United States · House Jul 23, 2025

HR 4644: ABLE Employment Flexibility Act

This bill allows employers to contribute directly to an employee's ABLE account (a savings account for people with disabilities) instead of a retirement plan, without violating retirement plan rules. It specifically ensures that when employers make these ABLE contributions, they are treated as valid contributions for retirement plan compliance purposes and do not disqualify the employee from federal benefits like Medicaid. The law requires employers to offer this option universally to all eligible ABLE account holders who participate in their retirement plans. It also clarifies that these employer contributions to ABLE accounts won't count toward income limits for means-tested federal programs. This directly affects working individuals with disabilities who use ABLE accounts to save without losing government benefits.

Topics ✓ HealthcareSupports HealthcareEnsures ABLE account contributions don't disqualify employees from Medicaid, protecting healthcare access for disabled individuals without restricting benefits.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill expands worker benefits by enabling employer ABLE contributions without disqualifying employees from Medicaid, directly enhancing financial security for workers with disabilities.95% confidence

Sub-Topics Medicaid Retirement Benefits Tags People with Disabilities

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in committee · United States · House Nov 18, 2025

HR 6108: To amend title XI of the Social Security Act to require the Secretary to exclude certain individuals and entities who commit fraud from participation in any Federal health care program.

HR 6108 requires the federal government to automatically exclude from all federal health care programs anyone convicted of specific fraud-related crimes after a one-year implementation period. It targets convictions for health care fraud, theft, or financial misconduct in health care delivery or government programs (including non-health care programs funded by government). The bill mandates this exclusion without requiring additional administrative action by the Secretary. This directly affects health care providers and organizations found guilty of such offenses, barring them from participating in programs like Medicare or Medicaid.

Topics ✓ HealthcareSupports HealthcareExcludes healthcare fraudsters from federal programs, protecting program integrity and preventing misuse of funds, directly strengthening healthcare system safeguards.95% confidence

Sub-Topics Medicaid Medicare

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in committee · United States · House Jun 10, 2025

HR 3866: Maternal and Infant Syphilis Prevention Act

HR 3866, the Maternal and Infant Syphilis Prevention Act, requires the U.S. Department of Health and Human Services to issue federal guidance to states within 12 months. This guidance directs state Medicaid programs, Children's Health Insurance Programs (CHIP), and tribal health programs on improving syphilis screening for pregnant women - specifically emphasizing third-trimester and delivery testing - and expanding access to treatment. It also mandates best practices for provider education, telehealth integration, multilingual resources, and patient outreach to prevent congenital syphilis. The bill directly affects pregnant women, newborns, and healthcare providers operating under state health programs, aiming to reduce preventable infant deaths and health complications linked to untreated syphilis during pregnancy.

Topics ✓ HealthcareSupports HealthcareMandates improved syphilis screening/treatment access via Medicaid/CHIP, expanding preventive healthcare services for maternal/infant health.95% confidence

Sub-Topics Children's Health Insurance Medicaid

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in committee · United States · House Aug 15, 2025

HR 4977: Connected MOM Act

HR 4977, the Connected MOM Act, requires the U.S. Department of Health and Human Services (HHS) to study Medicaid coverage of remote health monitoring devices (like blood pressure cuffs and pulse oximeters) for pregnant and postpartum women. Within 18 months of enactment, HHS must report to Congress on current state practices, barriers to coverage, and how these affect maternal and child health outcomes. Six months after the report, HHS must update state Medicaid resources, such as telehealth toolkits, to align with the report's recommendations. The bill directly affects pregnant and postpartum women enrolled in state Medicaid programs by aiming to improve access to these monitoring tools. It does not change Medicaid rules immediately but sets a process for future policy adjustments based on the findings.

Topics ✓ HealthcareSupports HealthcareBill mandates HHS study Medicaid coverage barriers for maternal health devices, aiming to improve access and outcomes per healthcare support indicators.85% confidence

Sub-Topics Medicaid Telehealth Women's Health

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in committee · United States · House Sep 18, 2025

HR 5450: Continuing Appropriations and Extensions and Other Matters Act, 2026

This bill, the Continuing Appropriations and Extensions and Other Matters Act, 2026, would continue government funding for fiscal year 2026 by extending existing appropriations for programs that would otherwise expire. It allocates specific funding amounts for various programs, including $8.2 billion for the WIC program, $30 million for courthouse security, and $23 million for Federal judicial security missions. The bill extends deadlines for Medicare programs, veterans' benefits, community health centers, and telehealth services through October 31, 2025, ensuring continuity for these services. It maintains current funding levels for these programs without making new policy changes, preventing interruptions to government operations and critical services.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates $8.2B for WIC, $30M for courthouse security, and $23M for judicial security, extending existing funding without cuts to essential programs.92% confidence ✓ HealthcareSupports HealthcareAllocates $8.2B for WIC, extends Medicare/veterans' healthcare deadlines - maintains existing funding without cuts to key health programs.90% confidence

Sub-Topics Procurement Tax Credits Insurance Medicaid Medicare

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