Healthcare

in committee · United States · Senate Dec 18, 2025

S 3560: Closing the Contraception Coverage Gap Act

The Closing the Contraception Coverage Gap Act requires Medicare Part B, Part C, and Part D to cover all FDA-approved contraceptive items and services at no cost-sharing starting January 1, 2027. This includes not just contraceptive methods themselves but also related clinical services like counseling, examinations, device insertion, and follow-up care. The bill ensures dual-eligible Medicare and Medicaid beneficiaries receive contraceptive coverage that matches Medicaid's comprehensiveness. It also mandates two studies on contraceptive coverage gaps, with reports to Congress within 1-2 years.

Topics ✓ HealthcareSupports HealthcareMandates comprehensive contraceptive coverage under Medicare with no cost-sharing, expanding access to essential reproductive health services and aligning with Medicaid standards.95% confidence

Sub-Topics Medicaid Medicare Women's Health

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in committee · United States · Senate Dec 17, 2025

S 3549: PBM FAIR Act

This bill reclassifies pharmacy benefit managers (PBMs) as fiduciaries under federal law, requiring them to act in the best interest of group health plans they serve. It mandates PBMs to disclose all compensation sources (including rebates and fees) and prohibits them from shielding themselves from liability for breaches of duty. The law directly affects PBMs, employers offering health plans, and health insurers that use PBM services. Key provisions include new transparency rules, clarifying that PBMs cannot be the "responsible fiduciary" for disclosure purposes, and banning contracts that exempt PBMs from accountability.

Topics ✓ HealthcareSupports HealthcareReclassifies PBMs as fiduciaries with transparency requirements, reducing conflicts of interest and lowering costs for health plans and patients.90% confidence

Sub-Topics Prescription Drugs

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in committee · United States · Senate Jun 12, 2025

S 2072: MORE Savings Act

The MORE Savings Act eliminates copays and deductibles for opioid treatment under Medicare, private health plans, and Medicaid. It requires Medicare beneficiaries to have no out-of-pocket costs for opioid treatment drugs, behavioral health services, and recovery support (like peer counseling and transportation). Private health plans must cover these services without cost-sharing starting in 2027, and Medicaid states get a 90% federal match for medication-assisted treatment. The bill directly affects Medicare beneficiaries, private insurance enrollees, and Medicaid recipients seeking opioid use disorder treatment.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill increases federal Medicaid match to 90% for medication-assisted treatment, reducing state spending on opioid programs and supporting state budget management.80% confidence ✓ Criminal JusticeSupports Criminal JusticeBill reduces financial barriers to opioid treatment, supporting rehabilitation and reducing recidivism through improved access to addiction services.75% confidence ✓ HealthcareSupports HealthcareEliminates copays/deductibles for opioid treatment services across Medicare, Medicaid, and private plans, expanding access to critical healthcare coverage and behavioral health support.95% confidence

Sub-Topics Drug Policy Insurance Medicare Substance Abuse

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in committee · United States · Senate Mar 27, 2025

S 1186: Lower Drug Costs for Families Act

This bill modifies how Medicare calculates rebates for certain drugs to potentially lower costs for beneficiaries. It changes the reference year for rebate calculations from 2021 back to 2016 for both Medicare Part B (outpatient drugs) and Part D (prescription drug coverage) programs. The bill also adjusts how drug units are counted for rebates, excluding units paid for through state Medicaid programs or other existing rebate programs. These changes apply to Part B rebates starting January 2026 and Part D rebates starting October 2025. The policy directly affects drug manufacturers who pay Medicare rebates and impacts Medicare beneficiaries through potential cost reductions in covered drugs.

Topics ✓ HealthcareSupports HealthcareReduces Medicare drug costs for beneficiaries, improving affordability and access to medications under public health programs.95% confidence

Sub-Topics Insurance Medicare Prescription Drugs

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in committee · United States · House Dec 10, 2025

HR 6575: CommonGround for Affordable Health Care Act

HR 6575, the CommonGround for Affordable Health Care Act, extends enhanced premium tax credits for health insurance through 2026, directly benefiting millions of lower and middle-income Americans purchasing coverage through the ACA marketplace. The bill modifies income thresholds for premium subsidies, creating new income tiers that maintain or increase financial assistance for households earning up to 1,000% of the poverty level. It includes provisions to prevent fraud in health insurance exchanges by imposing civil penalties on agents and brokers who provide false information, and requires transparency in pharmacy benefit manager contracts to improve drug pricing accountability. The legislation also extends the annual open enrollment period for health insurance exchanges for the 2026 plan year, allowing more time for people to enroll or change coverage.

Topics ✓ Budget & TaxesSupports Budget & TaxesExtends enhanced premium tax credits for ACA marketplace, increasing subsidies for lower/middle-income households (up to 1000% poverty level), directly providing tax relief.95% confidence ✓ HealthcareSupports HealthcareExtends enhanced premium tax credits through 2026, modifies income thresholds to maintain/increase subsidies for ACA marketplace coverage, directly expanding access for lower/middle-income Americans.95% confidence

Sub-Topics Procurement Insurance Prescription Drugs

Track

in committee · United States · House Sep 18, 2025

HR 5496: HEALTH Act of 2025

This bill permanently expands Medicare telehealth coverage for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). It allows audio-only telehealth visits (not requiring video) to be covered under Medicare and removes the previous rule requiring patients to be at specific locations (like clinics) to access these services. As a result, Medicare beneficiaries in rural or underserved areas served by FQHCs/RHCs can now receive covered telehealth care from any location, including their homes, without location restrictions. The bill also ensures these clinics receive standard reimbursement rates for telehealth services, treating them the same as in-person visits for payment purposes.

Topics ✓ HealthcareSupports HealthcareBill permanently expands Medicare telehealth coverage for FQHCs/RHCs, allowing audio-only visits and removing location restrictions, improving access for rural/underserved patients.95% confidence

Sub-Topics Medicare Primary Care Telehealth

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in committee · United States · House Feb 26, 2025

HR 1627: TREATS Act

This bill changes rules for prescribing certain medications used to treat substance use disorders. It allows healthcare providers to use telehealth for the initial patient evaluation instead of requiring an in-person visit, but only for drugs approved by the FDA for addiction treatment (schedules III-V). The telehealth must meet specific standards, including real-time audio/video communication. This affects doctors and other practitioners who prescribe these medications for substance use disorders.

Topics ✓ HealthcareSupports HealthcareEnables telehealth for initial substance use disorder evaluations, expanding patient access to treatment without in-person visits.95% confidence

Sub-Topics Substance Abuse Telehealth

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in committee · United States · Senate Apr 29, 2026

S 3706: Produce Prescriptions for Veterans Act

This bill adds "produce prescriptions" as a covered medical service under the VA healthcare system. It directly affects veterans with diet-related chronic conditions (like diabetes or heart disease) who are also food-insecure. The key provision requires the VA to provide veterans with vouchers or debit cards for purchasing fruits and vegetables to improve their health, rather than just offering standard medical treatment. This creates a concrete policy change where nutritional support becomes part of VA care for eligible veterans.

Topics ✓ HealthcareSupports HealthcareBill expands VA healthcare coverage to include produce prescriptions, providing nutritional support for veterans with diet-related chronic conditions, thus advancing healthcare access and outcomes.95% confidence ✓ VeteransSupports VeteransAdds produce prescriptions as VA-covered service, providing nutritional support for veterans with diet-related conditions and food insecurity, expanding healthcare benefits.95% confidence

Sub-Topics Veteran Benefits Veteran Education Veteran Healthcare

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in committee · United States · Senate Jan 24, 2025

S 249: Access to Pediatric Technologies Act of 2025

This bill requires Medicare to establish national payment rates for qualifying pediatric medical devices when manufacturers request it. It directly affects device manufacturers and Medicare by creating a formal process to set these rates, which are used to reimburse doctors for using these devices. Key provisions include a timeline for requests (by May 1 annually), requiring manufacturers to submit data like pricing and claims information, and defining qualifying devices as those approved for pediatric use in procedures predominantly for children or specifically designed for them. The bill does not change Medicare coverage requirements but streamlines payment rate establishment for existing approved devices.

Topics ✓ HealthcareSupports HealthcareCreates Medicare payment rates for pediatric devices, improving reimbursement for doctors and enhancing patient access to essential medical technology.95% confidence

Sub-Topics Children's Health Medicaid Medicare

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in committee · United States · House Dec 4, 2025

HR 6445: Fast Track Healthcare Apprenticeships Act

The Fast Track Healthcare Apprenticeships Act streamlines the registration process for healthcare apprenticeship programs under the National Apprenticeship Act. It requires the Secretary of Labor to decide on program applications within 45 days or provide a written explanation with a 90-day timeline for a decision if delayed. The bill also mandates digitizing all apprenticeship forms, including employer agreements and disability disclosures, for healthcare programs. This applies to healthcare occupations as defined by the Bureau of Labor Statistics, such as nurses, medical technicians, and support roles.

Topics ✓ HealthcareSupports HealthcareStreamlines healthcare apprenticeship registration, facilitating workforce development for medical professionals, directly supporting healthcare system capacity and access.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentStreamlines healthcare apprenticeship registration and digitizes forms, improving access to training and employment opportunities for workers in healthcare.90% confidence

Sub-Topics Healthcare Workforce Apprenticeships

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