Healthcare (Medicare)

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 Sep 10, 2025

HR 5278: Affordable Inhalers and Nebulizers Act of 2025

HR 5278, the Affordable Inhalers and Nebulizers Act of 2025, limits out-of-pocket costs for patients using prescription inhalers and nebulizers to treat asthma and chronic obstructive pulmonary disease (COPD). The bill requires private health insurance plans, Medicare Part B and Part D, and new payment programs to cover these products with no deductible and a maximum cost of $15 per 30-day supply. It directly affects patients with asthma or COPD who rely on covered inhalers, nebulizers, and related equipment like spacers. The law applies to all specified inhaler products (including medications and administration equipment) and takes effect for plan years beginning January 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates no deductible and $15 max cost for inhalers/nebulizers, expanding coverage and reducing patient costs for asthma/COPD treatments.90% confidence

Sub-Topics Insurance Medicare Prescription Drugs

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in committee · United States · House Jan 22, 2025

HR 609: Assuring Medicare’s Promise Act of 2025

HR 609, the Assuring Medicare's Promise Act of 2025, directs revenue from the net investment income tax (currently applied to investment income) into the Medicare Hospital Insurance Trust Fund. It expands the tax base to include certain business income for high-income individuals with modified adjusted gross income exceeding $400,000 ($500,000 for joint filers), with a phase-in to limit the tax increase. The bill ensures this tax revenue directly supports Medicare's hospital insurance program, applying to taxable years beginning after December 31, 2025. The changes do not alter the tax rate but broaden the income types subject to the tax for high earners.

Topics ✓ Budget & TaxesSupports Budget & TaxesExpands tax base on high-income earners ($400k+) to fund Medicare Hospital Insurance Trust Fund, directly increasing revenue for essential healthcare program.95% confidence ✓ HealthcareSupports HealthcareDirects tax revenue to Medicare Hospital Insurance Trust Fund, strengthening funding for Medicare services and preventing potential shortfalls.95% confidence

Sub-Topics Income Tax Revenue Hospitals Medicare

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in committee · United States · House Jun 12, 2025

HR 3996: Medicare Transaction Fraud Prevention Act

The Medicare Transaction Fraud Prevention Act establishes a two-year pilot program (starting January 1, 2026) to test predictive risk-scoring algorithms that identify potentially fraudulent claims for durable medical equipment and clinical lab tests under Medicare. It applies only to Medicare beneficiaries who voluntarily opt in to electronic Medicare Summary Notices and participate in the pilot. The program would score transactions (1-99 risk level) using factors like billing patterns or provider ownership changes, triggering human reviews for high-risk cases before suspending payments. Beneficiaries would receive notifications and opportunities to correct errors, with safeguards requiring algorithm testing per federal guidelines and prohibiting automatic suspensions without human oversight.

Topics ✓ HealthcareSupports HealthcarePrevents Medicare fraud via algorithmic risk scoring, protecting program integrity and ensuring funds reach legitimate healthcare services.90% confidence

Sub-Topics Medicare

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in committee · United States · House Apr 30, 2025

HR 3092: Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act of 2025

This bill requires Medicare to only cover nerve conduction studies and needle electromyography tests at facilities meeting specific quality standards. To qualify, facilities must be accredited by an organization that verifies they have a quality program, use approved equipment, ensure staff have proper training, and interpret results on-site during procedures. Starting 3-4 years after enactment, Medicare will not pay for these services at non-compliant facilities. The bill also establishes an advisory committee to help develop and update these standards, aiming to improve care quality and reduce fraud.

Topics ✗ HealthcareOpposes HealthcareRestricts Medicare coverage to accredited facilities, limiting access at non-compliant sites, aligning with 'oppose' indicators of restricting health coverage.85% confidence

Sub-Topics Medicaid Medicare

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in committee · United States · House Jan 16, 2025

HR 539: Chiropractic Medicare Coverage Modernization Act of 2025

Chiropractic Medicare Coverage Modernization Act of 2025 This bill expands Medicare coverage of chiropractic services to include all services provided by chiropractors, rather than only subluxation corrections through manual manipulation of the spine.

Topics ✓ HealthcareSupports HealthcareExpands Medicare coverage to include all chiropractic services, increasing patient access to non-manipulative care under Medicare.95% confidence

Sub-Topics Medicare

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in committee · United States · House Mar 18, 2025

HR 2232: Protecting Access to Ground Ambulance Medical Services Act of 2025

This bill delays two Medicare billing deadlines for ground ambulance services from 2025 to 2028. It amends the Social Security Act to extend the timeline for implementing specific billing rules under Section 1834(l). The change directly affects Medicare ambulance providers by postponing compliance deadlines for billing requirements. No new services or funding are created - only a technical extension of existing timelines.

Topics ✓ HealthcareSupports HealthcareDelays Medicare billing deadlines for ambulance services to prevent provider disruptions, protecting continued access to ambulance care without defunding or restricting services.95% confidence

Sub-Topics Hospitals Medicare

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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 Dec 17, 2025

HR 6799: BRIDGE for Young-Onset Alzheimer’s Disease Act of 2025

This bill eliminates waiting periods for Social Security disability benefits and Medicare coverage for individuals diagnosed with young-onset Alzheimer's disease. It amends the Social Security Act to add "young-onset Alzheimer's" (as defined by the Social Security Commissioner) to the list of conditions qualifying for immediate disability benefits, removing a 5-month waiting period for applications filed after its enactment date. It also waives the standard 24-month waiting period for Medicare coverage when young-onset Alzheimer's is diagnosed, effective for benefits starting after the bill's enactment. These changes directly affect people with young-onset Alzheimer's seeking timely access to critical financial and health coverage.

Topics ✓ HealthcareSupports HealthcareEliminates 5-month disability waiting period and 24-month Medicare waiver for young-onset Alzheimer's, improving immediate healthcare access and coverage for patients.95% confidence

Sub-Topics Medicare

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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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