Healthcare (Medicaid)

in committee · United States · House Jan 15, 2026

HR 7116: SEPSIS Act

The SEPSIS Act (HR 7116) establishes a dedicated sepsis program within the CDC to improve national sepsis response. It requires the CDC Director to lead education campaigns on hospital sepsis best practices, enhance pediatric sepsis data collection, and coordinate with Medicare/Medicaid to develop quality measures. Hospitals would be asked to report on sepsis protocol adoption, with a voluntary "honor roll" recognizing top performers in early detection and treatment. The bill authorizes $20 million annually (2026-2030) for these efforts and mandates annual congressional briefings on sepsis data and hospital progress. This directly affects hospitals, CDC operations, and federal health agencies working to reduce sepsis-related deaths and costs.

Topics ✓ HealthcareSupports HealthcareAuthorizes $20M for CDC sepsis program, mandates best practices education, data collection, and quality measures to improve patient outcomes and hospital protocols.95% confidence

Sub-Topics Children's Health Hospitals Medicaid

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in committee · United States · House Sep 10, 2025

HR 5256: 340B ACCESS Act

The 340B ACCESS Act strengthens oversight of the 340B Drug Pricing Program, which allows safety-net hospitals and clinics to purchase outpatient drugs at discounted prices. The bill clarifies who qualifies as a "patient" for 340B discounts, establishes new requirements for hospital child sites and contract pharmacies, and mandates that covered entities implement sliding fee scales to ensure patient affordability based on income. It creates a claims data clearinghouse to prevent duplicate Medicaid discounts and requires covered entities to report detailed data about drug dispensing. These changes aim to ensure 340B discounts reach intended patients while preventing program misuse and ensuring transparency.

Topics ✓ HealthcareSupports HealthcareStrengthens 340B program oversight, mandates sliding fee scales for income-based affordability, improving patient access to discounted drugs for safety-net providers.95% confidence

Sub-Topics Hospitals Medicaid Prescription Drugs

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in committee · United States · House Jun 26, 2025

HR 4184: To amend the Internal Revenue Code of 1986 to exclude from gross income certain compensation to clinical trial participants, and for other purposes.

This bill makes payments to clinical trial participants tax-free and ensures those payments won't count toward income limits for federal programs like Medicaid or food assistance. It covers both compensation for participation and reimbursement of reasonable expenses (like travel) related to approved clinical trials for life-threatening conditions. The exclusion applies to payments made after December 31, 2025, and is defined in the bill using existing IRS and Public Health Service Act terms.

Topics ✓ Budget & TaxesSupports Budget & TaxesExcludes clinical trial participant payments from gross income, providing tax relief and preventing income limits from affecting Medicaid/food assistance eligibility.95% confidence ✓ HealthcareSupports HealthcareExcludes clinical trial participant compensation from taxable income and Medicaid income limits, improving access to life-saving research without jeopardizing public health benefits.90% confidence

Sub-Topics Medicaid Public Health

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in committee · United States · House Mar 24, 2025

HR 2309: Medicare and Medicaid Fraud Prevention Act

This bill requires states to verify that Medicaid providers and suppliers are not deceased during enrollment and at least quarterly while enrolled. Starting January 1, 2027, states must check the federal Death Master File (a government database of deceased individuals) as part of provider onboarding and revalidation. The law directly affects all entities billing Medicaid for services, aiming to prevent fraud where deceased individuals' identities might be used. It creates a concrete, ongoing screening mechanism to ensure only active providers participate in the program.

Topics ✓ HealthcareSupports HealthcarePrevents Medicaid fraud through provider eligibility verification, protecting program integrity and taxpayer funds in healthcare services.85% confidence

Sub-Topics Medicaid Medicare

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in committee · United States · House May 9, 2025

HR 3320: Strengthening Medicaid for Serious Mental Illness Act

This bill increases federal Medicaid funding for states that provide specific community-based mental health services to eligible adults. It directly affects adults aged 21+ with serious mental illness who earn under 150% of the poverty line. States qualify for higher federal funding (3-25 percentage points) based on offering at least three of seven defined services, including assertive community treatment, supported employment, peer support, and mobile crisis intervention. The bill requires services to be provided in the most integrated setting possible, meets quality standards to prevent hospitalization, and mandates states to collect and report demographic and outcome data every two years.

Topics ✓ HealthcareSupports HealthcareIncreases federal Medicaid funding for community-based mental health services targeting eligible adults with serious mental illness, expanding access and support for mental health care.95% confidence

Sub-Topics Medicaid Mental Health

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in committee · United States · House Sep 11, 2025

HR 5319: LINE Act

The LINE Act (HR 5319) prohibits the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (HHS) from sharing Medicaid health data with U.S. Immigration and Customs Enforcement (ICE). Specifically, it blocks the disclosure of individually identifiable health information from Medicaid enrollment records (under Title XIX of the Social Security Act) to ICE for immigration enforcement purposes. This directly affects Medicaid enrollees, particularly those who may be immigrants, by preventing their health data from being used in immigration proceedings. The law creates a clear barrier between Medicaid health records and immigration enforcement efforts.

Topics ✓ HealthcareSupports HealthcareProhibits sharing Medicaid health data with ICE, protecting patient privacy and preventing deterrence from accessing healthcare services for vulnerable populations.90% confidence ✓ ImmigrationSupports ImmigrationBlocks Medicaid health data sharing with ICE, limiting federal immigration enforcement cooperation and protecting immigrant enrollees' privacy.95% confidence ✓ TechnologySupports TechnologyBlocks government data sharing with ICE for immigration enforcement, directly protecting Medicaid enrollee health data privacy - aligns with data privacy protections in technology policy.95% confidence

Sub-Topics Medicaid Medicare Enforcement Sanctuary Policies

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in committee · United States · House May 14, 2025

HR 3415: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025

This bill establishes minimum nurse-to-patient ratios for hospital units across the country, requiring hospitals to maintain specific staffing levels (such as 1:1 in trauma units, 2:1 in critical care units, and 3:1 in emergency rooms) to improve patient safety and quality of care. Hospitals must develop transparent staffing plans that account for patient acuity, involve direct care nurses in planning, and document actual staffing levels for each shift. The bill includes strong whistleblower protections for nurses who object to unsafe staffing levels and prohibits hospitals from retaliating against nurses who report violations. It requires hospitals to comply with these standards as a condition for receiving Medicare and Medicaid payments, with enforcement through audits and civil penalties of up to $50,000 for repeated violations. The bill also includes provisions to support nurse recruitment and retention through workforce initiatives and training programs.

Topics ✓ HealthcareSupports HealthcareBill mandates specific nurse-to-patient ratios to improve patient safety and quality of care, directly advancing healthcare delivery standards and patient protection.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates nurse-to-patient ratios to reduce burnout and improve workplace safety, directly protecting nurses' working conditions and safety standards.92% confidence

Sub-Topics Healthcare Workforce Hospitals Medicaid

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in committee · United States · House Feb 26, 2025

HR 1598: Ensuring Access to Medicaid Buy-in Programs Act

This bill removes an age restriction preventing working adults with disabilities aged 65 and older from enrolling in Medicaid buy-in programs. It amends two sections of the Social Security Act to eliminate the phrase "but less than 65" from eligibility rules, allowing these individuals to qualify for Medicaid coverage through state buy-in programs. The change directly affects working adults with disabilities who are 65 or older but previously could not access this Medicaid pathway. States must comply by January 1, 2027, but the policy change itself takes effect immediately upon enactment.

Topics ✓ HealthcareSupports HealthcareRemoves age barrier for Medicaid buy-in, expanding coverage for disabled adults 65+ who were previously excluded from this pathway.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentEnables working disabled adults 65+ to maintain Medicaid coverage while employed, supporting labor participation and stability by removing a barrier to continued work.85% confidence

Sub-Topics Long-Term Care Medicaid Tags People with Disabilities

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in committee · United States · Senate Feb 5, 2025

S 422: Right to Contraception Act

S 422, the Right to Contraception Act, establishes a federal statutory right for individuals to access contraceptives and for healthcare providers to offer contraceptive services, free from state restrictions. It directly affects all Americans seeking or providing contraception, particularly protecting historically marginalized groups like people of color, immigrants, LGBTQ+ individuals, and low-income or rural residents who face barriers to care. The bill overrides state laws that restrict access - such as bans on specific contraceptives, provider refusal policies based on personal beliefs, or Medicaid restrictions - and prohibits government actions that impede this right. Enforcement allows the Attorney General or affected individuals to challenge violations in court, with courts required to strike down restrictive laws.

Topics ✓ HealthcareSupports HealthcareEstablishes federal right to contraceptives, removes state restrictions, protects marginalized groups, improving access and protecting patient rights in healthcare services.95% confidence

Sub-Topics Medicaid Women's Health

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in committee · United States · House Feb 18, 2025

HR 1406: Lung Cancer Screening and Prevention Act of 2025

Lung Cancer Screening and Prevention Act of 2025 This bill authorizes Medicare coverage of additional types of lung cancer screening tests that are approved by the Food and Drug Administration, regardless of whether they are recommended by the United States Preventive Services Task Force. The Centers for Medicare & Medicaid Services must set coverage and payment limits for such tests. (Currently, Medicare covers screening tests for the early detection of lung cancer if they are recommended by the task force.)

Topics ✓ HealthcareSupports HealthcareExpands Medicare coverage for FDA-approved lung cancer screening tests, improving patient access to preventive care.90% confidence

Sub-Topics Medicaid Medicare

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