The Preventing Stomach Cancer in Our Nation's Heroes Act directs the Secretary of Defense to submit a report within 180 days outlining a plan to test military members for H. pylori bacteria as they transition to civilian life. This report must include cost estimates and a feasibility study for implementing screening using breath and stool-based methods, potentially incorporating input from medical experts specializing in gastrointestinal health. The legislation focuses on establishing a testing program rather than mandating immediate implementation, aiming to address the link between H. pylori and stomach cancer risks among veterans.
The Health Disparity Zones Act of 2026 creates a program to designate specific geographic areas with high poverty, low life expectancy, and poor health outcomes as Health Disparity Zones. Once designated, these zones become eligible for a ten-year period of financial support, including a 10% increase in Medicare payments for services provided there, grants for community organizations, and tax credits for hiring local healthcare workers. The bill also establishes a student loan repayment program to encourage healthcare practitioners to work in these areas and requires the Department of Health and Human Services to report annually on the program's progress and effectiveness.
The Preserving Patient Access Act requires health insurance plans to grant special enrollment periods when they remove a doctor from their network or stop covering a specific prescription drug that a patient has used recently. Under this bill, Medicare Advantage and individual market plans must allow individuals to join or switch plans within the same year if their current provider becomes out-of-network after a visit within the last two years or if a covered medication is dropped from the formulary within the last six months. These protections apply to both Medicare Advantage plans and private individual market plans, ensuring that patients can maintain access to their preferred doctors and medications without waiting for the annual open enrollment window. The changes are scheduled to take effect for plan years beginning on or after January 1, 2027.
The Turn the Tide Act primarily increases federal funding for substance use disorder treatment, prevention, and recovery services, directing billions of dollars to states, tribes, and local organizations starting in fiscal year 2027. It expands access to medication-assisted treatment by prohibiting insurance companies from imposing prior authorization requirements or cost-sharing fees for these drugs and mandates that health plans cover at least one formulation of opioid overdose reversal medications without deductibles. The legislation also establishes new programs and grants to support first responder training, recovery housing, mental health care for children exposed to trauma, and workforce development in areas with the highest overdose death rates. Additionally, the bill extends existing Medicaid waivers and creates a demonstration project to test whether providing recovery housing under Medicaid can reduce emergency room visits and hospitalizations for individuals with opioid use disorders.
The Shandra Eisenga Human Cell and Tissue Product Safety Act directs the Secretary of Health and Human Services to launch a public awareness campaign educating medical professionals about organ and tissue donation processes and available screening tests. The bill increases civil penalties for violating safety regulations regarding human cell and tissue products, raising fines to $20,000 per violation with a maximum limit of $10 million per legal proceeding. Additionally, it requires the Food and Drug Administration to publish data on inspections and response times, establish a public docket for comments on regulatory modernization, and submit a report to Congress by September 2026 with recommendations on improving oversight.
This bill requires the Veterans Health Administration to publish more detailed staffing and vacancy data for the public. It mandates that information about specific job positions be released monthly rather than quarterly, while other general staffing data continues to be updated on a quarterly schedule. The changes aim to increase transparency by making it easier to track open roles and workforce status at medical facilities. This legislation directly affects the VA's reporting processes and provides the public with more frequent access to employment information.
The EBOLA Act directs the President to rejoin the World Health Organization within 30 days and immediately collaborate with the agency to address the ongoing Ebola outbreak in Central and Eastern Africa. This legislation authorizes funding to cover the financial obligations required to restore U.S. membership and to support global response efforts aimed at preventing the virus from spreading internationally. The bill is based on the finding that infectious disease outbreaks pose significant threats to national security and public health, and that participation in the WHO is essential for effective disease monitoring and coordination.
This bill strengthens the enforcement of mental health and substance use disorder parity rules under the Employee Retirement Income Security Act of 1974. It expands the scope of penalties to include plan sponsors, service providers, and administrators who fail to meet existing parity requirements, while also adding a specific category for genetic information violations. To support these enforcement efforts, the legislation appropriates $30 million annually from 2027 through 2031 to the Employee Benefits Security Administration. These changes apply to group health plans starting one year after the law is enacted.
The Save MEDICARE Act of 2026 aims to improve the Medicare Advantage program by starting in 2028 with several changes to how health plans are paid and monitored. It requires the government to exclude diagnoses from chart reviews when calculating payments to prevent plans from inflating costs based on questionable data. The bill also speeds up audits and appeals to ensure faster resolution of coding disputes and introduces a new penalty system to recover overpayments from plans. Additionally, the law allows states to enforce Medicare rules within their borders and bans financial incentives for doctors based on how they code patient records. Finally, it establishes a mechanism for the Department of Veterans Affairs to recover costs when Medicare Advantage plans cover care that should have been paid for by the VA.
The MOMMIES Act expands Medicaid and CHIP coverage for low-income pregnant individuals by extending postpartum benefits from 60 days to one year and mandating full coverage of oral health services during this period. To support these changes, the bill includes a maintenance of effort provision that prevents states from reducing eligibility standards or benefit levels for pregnant individuals until 2027, alongside a 100 percent federal funding match for states that increase spending on this population. A major component is a five-year demonstration project that provides grants to states to implement maternity care home models, which coordinate comprehensive medical and social support services like housing assistance and mental health care to improve birth equity and outcomes. The legislation also requires the Centers for Medicare & Medicaid Services to issue guidance on covering doula services and directs the Government Accountability Office to study the use of telehealth and gaps in coverage for pregnant and postpartum people.
