Healthcare

HRES 732 is a symbolic resolution designating September 30, 2025, as "Rare Cancer Day" to raise public awareness about rare cancers. It directly affects patients with rare cancers, healthcare providers, and advocacy groups by highlighting challenges like delayed diagnosis, lower survival rates, and limited treatment options. The resolution urges increased awareness of rare cancer symptoms to improve early detection and supports partnerships to advance research and funding for better treatments. It does not create new laws or allocate funds but formally expresses congressional support for these efforts. The resolution was introduced by Representatives Kelly, Wasserman Schultz, Fitzpatrick, and Dingell and referred to the Energy and Commerce Committee.

S 1834, the Supporting Healthy Moms and Babies Act, requires health insurance plans to cover comprehensive maternity and postpartum care without copays or deductibles. It directly affects pregnant people, new parents (including non-birthing parents), and their health insurance providers by mandating coverage for prenatal care, childbirth, neonatal care, and postpartum services - including behavioral health for conditions like diabetes or hypertension. Key provisions include adding maternity care as an essential health benefit under the Affordable Care Act and prohibiting cost-sharing for these services starting in 2024. The bill applies to all group health plans, individual insurance, and employer-sponsored coverage governed by ERISA and tax law.

This bill would deny federal tax deductions for gender transition procedures and prohibit Medicaid, Medicare, and Children's Health Insurance Program (CHIP) funding for such procedures. It defines gender transition procedures broadly to include hormonal treatments, surgeries, and cosmetic procedures intended to align physical appearance with gender identity, with limited exceptions for medically necessary treatments related to disorders of sex development or life-threatening conditions. The legislation would also require health insurance plans to exclude gender transition procedures from essential health benefits under the Affordable Care Act. This would directly affect individuals seeking gender transition care who rely on federal health programs or tax deductions for medical expenses.

Healthcare Freedom and Choice Act This bill nullifies a rule regarding short-term, limited-duration health insurance plans. The rule was promulgated by the Internal Revenue Service, Employee Benefits Security Administration, and Department of Health and Human Services; is titled  Short-Term, Limited-Duration Insurance and Independent, Noncoordinated Excepted Benefits Coverage ; and was published April 3, 2024. Short-term, limited-duration health insurance plans are plans that may only offer coverage for a limited amount of time and are exempt from the market requirements of the Patient Protection and Affordable Care Act (e.g., coverage of individuals with preexisting conditions). The rule limits the length of the initial contract period for such a plan to no more than three months and, taking into account any renewals or extensions, the maximum coverage period to no more than four months. The rule also includes within the maximum renewal period limitation a new plan sold by the same issuer, or any issuer that is a member of the same controlled group, to the same policyholder within a 12-month period. Regulations in effect prior to the rule this bill nullifies permitted short-term, limited-duration health insurance plans with an initial contract period of fewer than 12 months and a maximum coverage period of up to 36 months, including renewals and extensions.

This bill makes permanent a provision requiring health insurance plans to cover telehealth services without applying deductibles, which was previously temporary. It directly affects health insurance plans and their members who use telehealth services, ensuring no out-of-pocket cost for these visits under the plan. The key mechanism removes specific language in tax code provisions that limited this coverage to certain time periods, applying the rule permanently to all plan years starting in 2025. The bill does not create new telehealth services or infrastructure but changes how existing telehealth visits are covered by insurance.

The Healthcare Workforce Resilience Act creates 40,000 new immigrant visas for nurses and physicians by recapturing unused employment-based visas from fiscal years 1992 through 2024. It reserves 25,000 visas specifically for nurses and 15,000 for physicians, available to applicants who file petitions within three years of the bill's enactment. These visas are exempt from country-based limits, processed more quickly without additional fees, and require employers to attest that hiring foreign workers won’t displace U.S. healthcare workers.

This bill expands Medicare coverage for telehealth services by adding new healthcare professionals to the list of providers eligible for payment. It directly affects Medicare beneficiaries who use remote care and allows qualified audiologists, occupational therapists (including assistants), physical therapists (including assistants), and speech-language pathologists to bill Medicare for telehealth services. Key changes update Medicare rules to include these professionals under the definition of "practitioner" and specify that facilities can also provide telehealth services under Medicare. This policy change removes previous restrictions, making it easier for patients in rural or underserved areas to access these specialized telehealth services.

This bill modifies Medicare payment calculations for rural hospitals to provide increased funding. It directly affects "sole community hospitals" and "Medicare-dependent hospitals" by rebasing their payment formulas using a 2016 cost reporting period as the new base, effective October 1, 2025. The key mechanism replaces the previous base period with 2016 data, potentially increasing payments if this change results in higher reimbursement. The bill also extends existing payment programs for these hospitals through future fiscal years and prohibits certain payment adjustments for rebased amounts. This is a technical adjustment to Medicare reimbursement rules, not a new eligibility program.

HR 7409, the Defend Rural Health Act of 2026, prevents rural hospitals from being reclassified as urban Medicare facilities after October 1, 2029, unless they met specific criteria before October 1, 2026. The bill amends Medicare rules to block hospitals from retaining rural status beyond 2029, even if they applied for reclassification earlier. It also prohibits the Medicare Geographic Classification Review Board from approving new reclassification requests for hospitals already treated as rural under current rules for fiscal years starting after October 1, 2026. This directly affects rural hospitals that rely on higher Medicare payments tied to their geographic classification. The law aims to maintain stable funding for rural hospitals by restricting future reclassifications.

This bill removes an age restriction that previously prevented Medicaid from covering mental health care in specialized institutions for people under 65. It amends the Social Security Act to eliminate the "65 years or older" requirement, allowing all age groups to qualify for Medicaid coverage of services at these facilities. The bill also establishes new evidence-based standards for these institutions, requiring them to meet nationally recognized criteria for mental health and substance use disorder care. This change directly affects younger adults with mental health conditions who rely on Medicaid for institutional treatment.