Healthcare (Insurance)

in committee · United States · House Jan 3, 2025

HR 111: To amend the Internal Revenue Code of 1986 to allow an above-the-line deduction for health insurance premiums.

HR 111 would create a new tax deduction allowing individuals to subtract health insurance premiums paid for themselves, their spouse, and dependents directly from their gross income (an "above-the-line" deduction), rather than requiring itemized deductions. This change would apply to premiums paid for insurance covering medical care as defined by tax law, and the deduction would not affect other tax deductions or credits. The bill directly affects self-employed individuals, those without employer-sponsored coverage, and others purchasing individual health insurance. It would take effect for tax years beginning after December 31, 2024, simplifying tax filing for eligible taxpayers.

Topics ✓ Budget & TaxesSupports Budget & TaxesProvides tax relief for self-employed by creating an above-the-line health insurance deduction, reducing taxable income.95% confidence ✓ HealthcareSupports HealthcareEnables tax savings on health insurance premiums, increasing affordability and access to coverage for individuals and families.95% confidence

Sub-Topics Income Tax Procurement Insurance

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in committee · United States · Senate Oct 15, 2025

S 3011: Prohibiting Abortion & Transgender Procedures on the Exchanges Act

This bill prohibits health insurance plans sold through the American Health Benefits Exchanges (the ACA marketplace) from covering abortion (except in cases of life endangerment, rape, or incest) or gender-transition procedures for minors. It defines "gender-transition procedures" to include puberty blockers, hormone therapy, or surgeries for minors seeking to align their bodies with their gender identity, with limited medical exceptions. The law directly affects health plans on the ACA marketplace and their enrollees, particularly minors seeking gender-affirming care and individuals seeking abortions outside the specified exceptions. The changes would take effect for plan years starting January 1, 2026.

Topics ✗ HealthcareOpposes HealthcareRestricts ACA marketplace coverage for abortion (except life/rape/incest) and transgender care for minors, limiting patient access to specific health services.95% confidence

Sub-Topics Insurance Women's Health

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in committee · United States · House Sep 17, 2025

HJRES 123: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability".

HJRES 123 is a congressional disapproval resolution targeting a specific rule by the Centers for Medicare & Medicaid Services (CMS). It seeks to nullify CMS's June 2025 rule titled "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability," which was published in the Federal Register (90 Fed. Reg. 27074). If passed, the resolution would block this rule from taking effect under procedures outlined in Title 5, U.S. Code. The bill directly affects the CMS regulation governing the Affordable Care Act's health insurance marketplace, not the broader law itself.

Topics ✗ HealthcareOpposes HealthcareBill targets disapproval of CMS rule under ACA addressing marketplace affordability, directly opposing healthcare coverage expansion provisions of the rule.95% confidence

Sub-Topics Insurance Medicaid Medicare

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in committee · United States · Senate Feb 26, 2025

S 752: Accelerating Kids’ Access to Care Act

This bill creates a streamlined process for out-of-state healthcare providers to enroll in Medicaid or CHIP (Children's Health Insurance Program) in a state. It directly affects children under 21 enrolled in these programs and healthcare providers located in other states who already meet low fraud risk standards. The key provision requires states to adopt a simplified enrollment process using only basic provider information (like name and National Provider Identifier), granting eligible providers a 5-year enrollment period without repeated screening. This reduces administrative barriers for providers serving out-of-state children under 21 who qualify for Medicaid or CHIP coverage.

Topics ✓ HealthcareSupports HealthcareStreamlines Medicaid/CHIP provider enrollment, improving access for children under 21 through simplified process for out-of-state providers.95% confidence

Sub-Topics Children's Health Insurance Medicaid Tags Children

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in committee · United States · Senate Jul 29, 2025

SRES 343: A resolution recognizing the important work of the United States Preventive Services Task Force.

This resolution (SRES 343) is a non-binding Senate recognition of the U.S. Preventive Services Task Force (USPSTF), which develops evidence-based recommendations for preventive health services. It specifically calls on the Department of Health and Human Services to reconvene the Task Force after a scheduled meeting was canceled, emphasizing that its work - covering preventive services like cancer screenings and chronic disease prevention - must continue without interruption or funding disruption. The resolution affirms the Task Force’s role in guiding insurance coverage of recommended preventive care under the Affordable Care Act. As a procedural resolution, it does not create new laws or alter policies.

Topics ✓ HealthcareSupports HealthcareResolution urges HHS to continue USPSTF's preventive services work (cancer screenings, chronic disease prevention) without funding disruption, directly supporting healthcare initiatives.95% confidence

Sub-Topics Insurance Primary Care Public Health

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in committee · United States · Senate Mar 19, 2026

S 297: PSA Screening for HIM Act

This bill requires health insurance plans to cover prostate cancer screenings without copays or deductibles for men aged 40+ who are at high risk of prostate cancer. It specifically applies to African-American men and men with a family history of prostate cancer (defined as having a first-degree relative diagnosed with the disease or genetic risk factors). The law amends existing coverage requirements to include these screenings as a preventive service, aiming to address disparities in late-stage diagnosis and improve early detection rates. The policy change takes effect for plan years beginning January 1, 2025.

Topics ✓ HealthcareSupports HealthcareMandates no-cost coverage for prostate cancer screenings for high-risk groups, expanding preventive care access and addressing health disparities in cancer detection.95% confidence

Sub-Topics Insurance

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in committee · United States · Senate Feb 27, 2025

S 763: Telehealth Expansion Act of 2025

This bill amends IRS rules to require health insurance plans to cover telehealth services without applying deductibles, preventing plans from being disqualified as high-deductible health plans (HDHPs) solely because they waive deductibles for telehealth. It directly affects health insurance plans and employers offering HDHPs by changing how telehealth services are treated under IRS regulations. Key provisions include creating a specific exemption for telehealth services in the Internal Revenue Code and clarifying that such coverage does not disqualify plans from HDHP status. The changes take effect for plan years starting after December 31, 2024.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage of telehealth without deductibles, expanding access to healthcare services and aligning with healthcare access support indicators.95% confidence ✓ TechnologySupports TechnologyBill removes financial barriers for telehealth coverage, promoting technology adoption in healthcare services per IRS rule changes.85% confidence

Sub-Topics Insurance Telehealth Telecommunications

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in committee · United States · Senate Mar 19, 2026

S 2903: Safe Step Act

S 2903, the Safe Step Act, requires health insurance plans and employers offering health coverage to establish a clear, timely process for patients or doctors to request exceptions when step therapy protocols (where insurers require trying cheaper drugs first) would harm a patient. It mandates approval for exceptions if prior drugs failed, delay would cause severe harm, a drug is unsafe, or a patient is stable on their current medication. Plans must respond to requests within 72 hours (or 24 hours in emergencies) and cover the requested drug without extra cost-sharing. The bill also requires annual reports to the government on exception requests, approvals, denials, and trends by medical condition or specialty. This directly affects patients on health plans with step therapy, their doctors, and the insurers managing those plans.

Topics ✓ HealthcareSupports HealthcareMandates insurer exception approvals for step therapy when patient harm occurs, improving access to necessary treatments and protecting patient rights per bill's requirements.95% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · United States · House Sep 2, 2025

HRES 671: Prioritizing mental health to the same degree as physical health to address the epidemics of suicide and drug overdose in the United States.

HRES 671 is a non-binding House resolution expressing support for treating mental health with the same priority as physical health to combat suicide and overdose epidemics. It calls for enforcing existing mental health parity laws in insurance coverage, reducing cultural stigma around mental illness, and backing the 2024 National Suicide Prevention Strategy. The resolution directs the House to advocate for increased funding and resources to expand mental health workforce capacity, improve access to medication-assisted treatment, and implement evidence-based suicide prevention programs. It specifically emphasizes supporting school-based mental health services, culturally tailored care, and digital campaigns targeting youth. As a symbolic resolution, it does not create new laws or allocate funds but urges federal and state action on these priorities.

Topics ✓ HealthcareSupports HealthcareEnforces mental health parity in insurance, advocates for increased funding, and reduces stigma to advance mental health services as part of healthcare coverage.95% confidence

Sub-Topics Insurance Mental Health Substance Abuse

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in committee · United States · Senate Jan 9, 2025

S 46: Health Care Affordability Act of 2025

This bill adjusts tax credit rules for health insurance under the Affordable Care Act to make coverage more affordable for lower-income households. It replaces a flat income threshold with a sliding scale, reducing the percentage of income people pay for premiums based on their household income relative to the poverty line (e.g., 0% for incomes up to 150% of poverty, rising to 8.5% at 400%+). The change directly affects individuals buying insurance through health insurance marketplaces who qualify for tax credits. It takes effect for tax years beginning after 2025, modifying how the IRS calculates subsidy eligibility.

Topics ✓ Budget & TaxesSupports Budget & TaxesAdjusts tax credits to reduce premiums for low-income households, providing direct tax relief under healthcare affordability framework95% confidence ✓ HealthcareSupports HealthcareAdjusts tax credits to lower premiums for low-income households via sliding scale, directly expanding affordable coverage access under ACA.95% confidence

Sub-Topics Tax Credits Insurance

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