The Elder Justice Reauthorization and Modernization Act of 2026 extends federal funding through 2030 to prevent and investigate elder abuse, neglect, and exploitation. The bill primarily affects states, Indian tribes, and community organizations by providing grants to train nursing home workers and improve retention through wage subsidies, tuition assistance, and childcare support. It also allocates money to expand adult protective services, strengthen long-term care ombudsman programs, and address social isolation among older adults. Additionally, the legislation authorizes medical-legal partnerships to help older adults resolve legal barriers to healthcare and requires regular reporting on program effectiveness.
Ensuring Seniors' Access to Quality Care Act This bill repeals certain restrictions under Medicare and Medicaid that prohibit the approval of nurse-aide training and competency evaluation programs in skilled nursing facilities that have been subject to specified regulatory actions (e.g., civil penalties) for substandard quality of care. The Centers for Medicare & Medicaid Services (CMS) must still disapprove such programs for up to two years; however, the CMS must rescind the disapproval upon completion of corrective action and may require additional oversight of the program for purposes of rescission. The bill also allows Medicaid and Medicare providers (e.g., skilled nursing facilities) to access, through the National Practitioner Data Bank, disciplinary information for affiliated physicians and other health care practitioners, as reported by state licensing authorities.
This House Resolution recognizes the vital roles and contributions of care workers in the United States, including those in childcare and home care, and expresses support for designating April 2026 as "Care Worker Recognition Month." It aims to acknowledge the importance of these professionals who support children, older adults, and people with disabilities, and their impact on families and the economy.
The Hospice CARE Act of 2026 introduces stricter oversight and payment reforms for Medicare hospice programs. It temporarily halts enrollment of new hospice programs for five years, with exceptions for areas lacking adequate care access. The bill increases survey frequency for certain hospices, requires more independent physician certifications for terminal illness, and mandates face-to-face encounters before recertifying patients. Payment reforms include adjusting reimbursement rates for specific services like palliative chemotherapy and dialysis, while also implementing stricter reporting requirements and ownership change notifications.
This bill, the PrEP Access and Coverage Act of 2026, requires most health insurance plans to cover HIV prevention medication without charging patients any cost-sharing fees. It directly affects people enrolled in private insurance, Medicare, Medicaid, and other government health programs by mandating that these plans cover the medication, related lab tests, and follow-up care without requiring prior approval. The law also prohibits insurance companies from denying life, disability, or long-term care insurance to individuals taking HIV prevention medication and requires a public education campaign to increase awareness about the medication.
This bill, titled the Take Back Our Hospitals Act of 2026, would prohibit Medicare from paying hospitals or skilled nursing facilities owned or controlled by private equity funds, real estate investment trusts, or corporations owned by those funds. The law defines control as owning 10 percent or more of voting securities or having the power to direct management and policies through contracts or other means. Facilities currently owned by these firms would have a three-year transition period before the prohibition takes full effect. The bill also establishes joint and several liability, meaning the owning firm would be responsible for any penalties if the facility violates the rule, and provides for notice, hearings, and judicial review for affected facilities.
This bill, titled the Combating Deceptive Practices in Assistance Programs Act of 2026, modifies Medicaid eligibility requirements for personal care services. It directly affects individuals seeking assistance with daily living activities under the Medicaid program. The key provision adds a specific eligibility criterion requiring applicants to be unable to perform at least three activities of daily living as defined in the Internal Revenue Code. These changes would take effect for medical assistance provided on or after January 12, 2027.
This bill, known as the State Veterans Homes Inspection Simplification Act, would allow certain State Veterans Homes that are already certified by the Department of Veterans Affairs to be automatically considered compliant with Medicare and Medicaid nursing home standards. Under this proposal, facilities meeting specific VA inspection and certification requirements would not need to undergo separate reviews by the Centers for Medicare & Medicaid Services, reducing duplication of effort. The legislation maintains oversight by requiring the VA to submit its inspection standards for review every two years, allowing CMS to conduct targeted surveys or complaints investigations, and mandating public reporting of inspection data on the Nursing Home Care Compare website. A Government Accountability Office report would be required three years after enactment to evaluate the bill's impact on survey efficiency, enforcement outcomes, and resident care quality.
Medicaid Personal Needs Allowance Modernization Act or the Medicaid PNA Modernization Act This bill increases the minimum monthly personal needs allowance under Medicaid for an institutionalized individual and couple from $30 to $60 and from $60 to $120, respectively. (The personal needs allowance is deducted from an individual's total income when determining the individual's contribution to the cost of institutionalized care under Medicaid.)
The Safe Staffing Saves Lives Act establishes minimum nursing staffing levels in skilled nursing facilities and nursing facilities that receive Medicare and Medicaid funding. Beginning January 1, 2029, facilities must provide a total of 4.1 hours of nursing care per resident per day, including specific hours for registered nurses, licensed practical nurses, and nurse aides, with a registered nurse available onsite 24 hours a day. Facilities that fail to meet these requirements face increased inspection frequency, potential denial of payments for new residents, and must display notices about noncompliance at their entrances. The bill also requires facilities to provide written notice of staffing noncompliance to residents and their families, and mandates periodic reports to Congress on the impact of these staffing requirements.
