Healthcare

Rebuild America’s Health Care Schools Act of 2025 This bill allows hospitals to receive reimbursement under Medicare for certain costs associated with training nursing and allied health students in settings other than the hospital itself.  Currently, hospitals may receive reimbursement under Medicare for the reasonable costs associated with training nursing and allied health students if certain conditions are met; the criteria vary depending on whether the students are enrolled in an educational program that is operated by the hospital or another entity. If the students are part of a program that is operated by another entity, the training must occur at the hospital itself or in areas immediately surrounding the hospital in order to qualify for reimbursement (among other requirements). The bill allows hospitals to receive reimbursement for these costs if the training is conducted at an entity that is related to the hospital (i.e., common ownership or control). The bill requires the Centers for Medicare & Medicaid Services (CMS) to update regulations to reflect these changes. Additionally, the CMS may not recoup or reduce payments to hospitals with respect to costs that are allowed under the bill and must refund any such recoupments or reductions that occurred during the six-year period prior to the bill's enactment.

This bill strengthens enforcement of the No Surprises Act by increasing penalties for health insurance plans and providers that violate balance billing rules, raising fines from $100 to $10,000 per violation. It also adds new penalties for late payments after Independent Dispute Resolution (IDR) decisions, requiring plans to pay three times the difference plus interest for failing to make timely payments. The bill requires regular reporting to Congress about audits, enforcement actions, and penalties related to surprise billing violations. These changes directly affect health insurance companies, group health plans, and medical providers who don't participate in insurance networks.

This bill changes Medicare billing rules for remote monitoring services, allowing providers to bill for a minimum of 2 days of patient data collected over a 30-day period instead of the current 16 days. It directly affects Medicare patients with chronic conditions (like diabetes, heart failure, or post-surgery recovery) and healthcare providers who use remote monitoring tools. The key provision eliminates the 16-day requirement for all patients - not just during the pandemic - based on clinical evidence showing shorter monitoring periods are sufficient for many conditions. The bill also requires a report to Congress within one year analyzing the impact and recommending future reimbursement models. This aims to reduce administrative barriers while maintaining coverage for clinically appropriate remote monitoring.

This bill expands transportation assistance for rural veterans by updating a Department of Veterans Affairs grant program. It allows grants to be awarded to county veterans service organizations and tribal organizations, in addition to existing recipients, and increases the maximum grant amount to $80,000 for organizations needing to purchase ADA-compliant vehicles. The bill defines "rural" using the USDA's Rural-Urban Commuting Areas (RUCA) system and removes fixed annual funding limits, allowing for flexible budgeting. It directly affects rural veterans who need transportation to healthcare facilities and the organizations that provide this service.

HR 1107, the *Protecting Veteran Access to Telemedicine Services Act of 2025*, allows Department of Veterans Affairs (VA) health professionals to prescribe and dispense medications regulated under federal law (like opioids or stimulants) via telemedicine without requiring an in-person medical exam first. This directly affects veterans receiving VA care and VA-employed health professionals who provide telemedicine services. The bill requires providers to hold a valid state license, act within their professional scope, and ensure prescriptions serve a legitimate medical purpose. It does not change existing federal drug laws but streamlines access to controlled medications for veterans through telehealth, particularly benefiting those in rural or remote areas.

The COVER Now Act allows cities, counties, or other local governments in states that have not expanded Medicaid to provide health coverage to Medicaid-eligible residents. Local governments in non-expansion states can apply for a federal demonstration project to cover these residents, with the federal government paying 90-100% of costs over seven years (starting at 100% for the first three years). The bill prohibits states from retaliating against localities that participate, such as by shifting costs, reducing funding, or blocking healthcare provider participation. This directly affects uninsured residents in non-expansion states and local governments seeking to fill coverage gaps.

S 3143 (HOPE Act) allows the U.S. Secretary of Homeland Security to temporarily permit certain veterans outside the United States to enter for medical care. It specifically targets veterans who were ordered removed or voluntarily departed the U.S. and need healthcare covered under the VA's Chapter 17 (38 U.S.C. § 1701-1730). The Secretary may grant case-by-case, temporary entry under specific conditions - requiring the veteran to be a qualified veteran seeking VA care and not subject to certain criminal exclusions (e.g., violent crimes with 5+ years imprisonment). Parole does not count as immigration admission, and veterans must return after receiving care. This bill directly affects eligible veterans outside the U.S. seeking VA healthcare access.

This bill requires Medicare to provide beneficiaries with a clear explanation of benefits within 30 days after receiving care or a service. It amends Medicare rules to mandate that the Health and Human Services Secretary send this summary not later than 30 days following payment (or expected payment) for covered items. The law directly affects Medicare beneficiaries, who will receive timely, transparent information about their coverage and costs. This change aims to simplify understanding of Medicare billing without altering benefit eligibility or coverage rules.

S 3400, the Ally’s Act, requires most private health insurance plans and group health plans to cover hearing implants and related services for eligible individuals. It mandates coverage for cochlear implants, bone conduction devices, maintenance, repairs, upgrades every five years, hearing assessments, pre- and post-surgery care, and aural rehabilitation. Insurers cannot impose stricter cost-sharing or treatment limits for these services than for other medical care, and cannot deny coverage based on medical necessity determinations by a physician or audiologist. The law applies to plans covering individuals with hearing loss (including unilateral or bilateral) who meet medical criteria, effective for plan years starting January 1, 2026.

This bill creates Medicare payment incentives for primary care providers who integrate behavioral health services into their practice. It boosts payments for specific behavioral health services (using HCPCS codes like 99484, 99492, and 99493) to 125-175% of standard rates during 2027-2029, waiving budget neutrality rules to allow these higher payments. The bill also requires the Health and Human Services Secretary to provide technical assistance to primary care practices adopting integration models by 2026, using new funding for fiscal years 2025-2029. It directly affects Medicare providers delivering these integrated care services and aims to expand access to combined mental and physical health care.