This bill restricts health savings accounts (HSAs), Archer MSAs, health flexible spending accounts, and health reimbursement arrangements from covering most abortion expenses. It allows exceptions only for abortions resulting from rape or incest, or when a pregnancy poses a life-endangering risk to the woman (as certified by a physician). The law amends tax code provisions to exclude non-exempt abortion costs from being treated as qualified medical expenses for tax purposes. These changes take effect for taxable years beginning after December 31, 2025, directly affecting individuals using these specific tax-advantaged health accounts.
The PHIT Act of 2025 allows taxpayers to deduct certain fitness-related expenses as medical costs on their federal tax returns. It directly affects individuals and families who pay for qualifying physical activity programs, such as gym memberships, fitness classes, or approved equipment. Key provisions include setting annual limits ($1,000 per person or $2,000 for joint returns), defining eligible fitness facilities (excluding golf courses or private clubs), and specifying that equipment must be used exclusively for physical activity. The bill amends the Internal Revenue Code to treat these expenses as deductible medical costs, effective for taxable years after its enactment.
This bill establishes a 5-year pilot program at five Department of Veterans Affairs (VA) medical centers to reduce veteran suicides through evidence-based suicide care improvements. The program requires participating VA staff to complete 10 weeks of training on suicide screening, assessment, safety planning, and care transitions, using the Zero Suicide Institute's curriculum. The VA must annually report on key metrics like suicide screenings, referrals, and outcomes compared to other VA centers, with a final evaluation determining if the program should expand or become permanent. The pilot directly affects veterans receiving care at the selected sites and VA staff implementing these new protocols.
This bill requires public schools receiving federal education funds to implement concussion safety protocols. Schools must develop plans including staff training, visible posting of evidence-based concussion information, immediate removal from activities if a concussion is suspected, and written medical clearance before returning to sports. It also mandates academic accommodations like modified assignments and cognitive rest during recovery, applying to all students regardless of where a concussion occurred. States failing to comply face reduced federal education funding (5% the first year, 10% thereafter). The law directly affects public school students, athletes, and school staff across all grade levels.
This bill reauthorizes federal funding for tick-borne disease programs under the Public Health Service Act. It reduces annual funding levels for two key programs: $8 million per year (from $10 million) for the National Strategy and Regional Centers of Excellence (2026-2030), and $19 million per year (from $20 million) for health department support programs (2026-2030). These changes extend existing programs through 2030 with adjusted funding amounts. The bill directly affects public health programs and state/local health departments addressing tick-borne diseases like Lyme disease.
The Title VIII Nursing Workforce Reauthorization Act of 2025 reauthorizes federal funding for nursing education programs through 2030, increasing annual appropriations to support nurse training and workforce development. It expands grant eligibility to include nurse practitioner, nurse-midwifery, nurse anesthesia, and clinical nurse specialist programs, while requiring funds to cover clinical education costs like preceptor fees. The bill directs grants toward technology such as simulation labs, telehealth, and virtual training to modernize nursing education, and mandates partnerships with healthcare facilities to create clinical training opportunities. Additionally, it updates program requirements to include support for survivors of sexual assault and focuses on increasing nursing faculty and student enrollment to address nationwide nursing shortages.
This bill blocks the implementation of a new federal staffing rule for nursing homes, specifically halting the May 2024 rule requiring minimum staffing levels in long-term care facilities. It directly affects rural nursing facilities and their workforce by preventing a regulation that could increase operational demands. The bill creates a 17-member advisory panel with mandatory rural representation to study nursing home staffing shortages, analyze regulatory impacts, and recommend solutions to strengthen the workforce. The panel must submit annual reports to Congress and the public, focusing on barriers to care access in rural and underserved areas. This is a procedural measure stopping a specific rule while establishing a review mechanism, not a direct funding or service change.
This bill amends Medicare payment rules for long-term care hospitals to ensure they receive full payments for treating seniors in critical condition. It adds a new "high acuity criterion" requiring discharges to be assigned to a specific Medicare payment category (MS-LTC-DRG) with a relative weight of at least 0.8, effective October 1, 2026. Hospitals meeting this criterion for eligible discharges will avoid reduced payments ("site-neutral payments") that would otherwise apply. The change directly affects long-term care hospitals treating Medicare patients with high-acuity conditions and ensures these facilities receive full reimbursement for critical care services.
HR 729, the Teleabortion Prevention Act of 2025, prohibits healthcare providers from administering chemical abortions (using drugs to terminate pregnancy) via telehealth or remote means without being physically present during the procedure. It requires providers to physically examine the patient, be present at the location of the abortion, and schedule a follow-up visit within 14 days. The bill directly affects healthcare providers offering telemedicine abortion services, imposing fines up to $1,000 or up to 2 years in prison for violations. Exceptions apply for life-threatening medical emergencies, and the law explicitly excludes treatment for verified ectopic pregnancies. This bill targets the remote provision of abortion drugs, making in-person provider presence mandatory for such procedures.
S 1989, the Helping Communities with Better Support Act, expands Medicaid home and community-based services (HCBS) waivers to cover more people with disabilities who previously lacked eligibility under existing rules. It allows states to approve waivers covering HCBS for individuals meeting disability definitions under the ADA or Rehabilitation Act, provided states demonstrate no impact on wait times for current beneficiaries and report detailed data on applicant waitlists and service delivery. Key provisions require states to publicly share transparency metrics starting in 2028, including average wait times for services, fulfillment rates of authorized hours, and how services differ for newly covered individuals. The bill directly affects states administering Medicaid waivers and people with disabilities seeking home care services, aiming to improve access while increasing accountability through standardized reporting.
