The THRIVE Act of 2025 establishes a new interagency task force within the Department of Veterans Affairs (VA) to evaluate and improve access to complementary and integrative health therapies for veterans. The task force, composed of VA leaders, clinicians, researchers, veterans' advocates, and community program representatives, will assess current access to therapies like acupuncture, yoga, peer support, and mental health coaching at VA facilities. Its key responsibilities include analyzing the effectiveness of these therapies for conditions like PTSD, depression, and anxiety; identifying gaps in research and service availability; and recommending how the VA can better integrate these approaches into veterans' care. The task force must submit its findings and recommendations to the VA Secretary within one year, followed by reports to Congress detailing implementation plans. This bill directly affects VA medical facilities and veterans receiving care there, focusing on enhancing mental health treatment options through evidence-based evaluation.
The Jobs and Opportunities for Medicaid Act would require most Medicaid recipients aged 18 to 65 to work or volunteer at least 20 hours per week (averaged monthly) to maintain health coverage, starting January 1, 2026. Exemptions include individuals who are pregnant, primary caregivers for children under 6, medically unable to work, or enrolled in substance abuse treatment programs. States would need to verify each month whether recipients meet this work requirement to continue receiving Medicaid benefits.
The Healthy Competition for Better Care Act (HR 6248) prohibits health plans and insurers from including restrictive terms in contracts with healthcare providers that limit patient choice or price competition. Specifically, it bans agreements that prevent plans from steering patients to other providers, offering cost-saving incentives, or restricting other plans from paying lower rates for the same services. The law includes exceptions for health maintenance organizations (HMOs) and value-based networks like accountable care organizations. Regulations to implement these changes must be issued within one year by health, labor, and treasury departments, with the rules taking effect 18 months after enactment.
This bill increases the age limit for children to remain eligible for medical care under the CHAMPVA program from 21 to 26 years old, regardless of marital status. It directly affects the children of veterans who qualify for CHAMPVA benefits. The key provision amends Section 1781(c) of Title 38, U.S. Code, to extend coverage until a child's 26th birthday. This change applies to medical care provided on or after the bill's enactment date. It does not affect children already covered under specific existing provisions of the law.
HR 4120, the *Supporting the Mental Health of Educators and Staff Act of 2025*, provides federal funding to improve mental health support for school staff. It allocates $35 million annually (2026-2028) for grants to schools, colleges, and state agencies to create or expand proven programs - like peer support networks, suicide prevention training, and telehealth access - to address mental health and substance use concerns among educators. The bill also authorizes $10 million for a national awareness campaign to reduce stigma and encourage staff to seek care. It requires annual reporting on program outcomes and a federal review of mental health barriers, but does not directly affect students or parents.
The Catastrophic Specialty Hospital Act of 2025 establishes a new Medicare payment designation for long-term care hospitals specializing in spinal cord injury and acquired brain injury rehabilitation. To qualify, hospitals must meet strict criteria over three years, including 80% of discharges for these conditions, a full continuum of inpatient/outpatient care, minimum annual discharge thresholds (175+ for each condition), 30% out-of-state patients, and demonstrated neurorehabilitation research commitments. Designated hospitals would receive Medicare payments outside the standard long-term care hospital payment system, exempting them from existing billing rules. This directly affects eligible specialized hospitals and modifies Medicare’s payment structure for these specific facilities.
This bill requires Medicare Advantage (MA) plans to report detailed, individual-level data on supplemental benefits (like dental or vision coverage) starting in 2029. Plans must submit information on eligibility, benefit types, utilization, and costs per enrollee to the Centers for Medicare & Medicaid Services (CMS). Beginning in 2030, CMS must publish this data annually on its website for public research and program evaluation, while protecting individual privacy. The law aims to improve transparency around supplemental benefits without changing the benefits themselves.
The GUARD Veterans' Health Care Act (S 2145) requires Medicare Advantage plans and prescription drug plans to reimburse the Department of Veterans Affairs (VA) for health care services provided to veterans enrolled in those plans. The bill establishes a clear reimbursement process with a 45-day payment timeline, interest for late payments, and penalties for noncompliance, including triple damages for willful failures to pay. It also modifies VA's authority to recover costs for care provided to veterans with non-service-connected disabilities from third parties like insurance companies. These provisions apply to Medicare Advantage and prescription drug plan years beginning on or after January 1, 2026.
The MOSSA Act (HR 4878) directs federal agencies to prioritize funding for local governments enforcing laws against public drug use, camping, and loitering, while requiring homelessness programs to link participants with mental health/substance use treatment as a condition of aid. It mandates that federal grant programs for homelessness services end support for "housing first" approaches and "harm reduction" initiatives, instead requiring evidence-based treatment programs and stricter accountability for service providers. The bill also directs agencies to address sex offenders in homeless programs by restricting their housing with children and to review funding recipients operating drug injection sites for legal violations. These provisions collectively shift federal funding toward enforcement-focused and treatment-oriented homelessness strategies, affecting state/local governments, homeless service providers, and individuals accessing federal housing assistance.
HR 6210, the Senior Savings Protection Act, extends mandatory annual funding for key senior assistance programs through fiscal year 2030. It allocates $15 million each year for State Health Insurance Assistance Programs, $15 million for Area Agencies on Aging, $5 million for Aging and Disability Resource Centers, and $15 million for outreach coordination efforts. These funds directly support low-income seniors by expanding access to counseling, benefits enrollment help, and program information through state and local agencies. The bill makes no new eligibility rules but ensures sustained financial support for existing services that help seniors navigate healthcare and social programs.