Healthcare (Medicaid)

The Cure Hepatitis C Act of 2025 establishes a national program to eliminate hepatitis C virus in the United States by providing free treatment to people with hepatitis C who are in correctional facilities, enrolled in Medicaid or CHIP programs, receiving care through Indian Health Services, or without health insurance. The bill creates a subscription program where the Secretary of Health and Human Services will purchase and distribute hepatitis C treatments directly to covered populations without cost-sharing, while also establishing a national strategy, implementation plan, and public dashboard to monitor progress. It includes $5.5 billion for treatment access and $4.283 billion for public health activities like screening, diagnosis, and community outreach to improve hepatitis C treatment outcomes. The program requires participation from the Bureau of Prisons and Indian Health Service, and aims to coordinate care across health systems to eliminate hepatitis C virus.

This bill amends federal Medicaid rules to extend health coverage for former foster youth until age 26. It directly affects individuals who were in state foster care at age 18 (or left care via guardianship/emancipation before 18) and are under 26. The key provision removes the previous age cutoff by updating eligibility criteria in the Social Security Act, allowing these young adults to remain enrolled in Medicaid if they meet income requirements. The changes take effect January 1, 2026, for those turning 18 on or after that date, and require states to implement outreach programs by that date to help eligible individuals enroll.

The ENROLL Act of 2025 modifies the Affordable Care Act's navigator program, which helps people enroll in health insurance. It requires states and federal exchanges to award grants based on an entity’s capacity to provide services, not whether they cover non-qualified health plans, and ensures at least one annual grant goes to community-focused nonprofits. The bill expands navigators’ duties to include explaining Medicaid and children’s health insurance programs (CHIP) in clear language, mandates in-person assistance options, and allocates $100 million annually from insurer user fees for federal exchanges starting in 2026. These changes directly affect navigators, health insurance exchanges, and consumers seeking coverage under the Affordable Care Act.

This bill (S 2244) changes Medicaid eligibility rules for non-qualified aliens by moving the effective date for excluding them from Medicaid from October 2026 to July 4, 2025. It specifically targets states that provide health benefits or financial assistance (from state funds) to non-qualified aliens who are not lawfully residing children or pregnant women eligible for Medicaid. The bill defines "specified states" as those offering such coverage to these individuals, triggering adjustments to federal Medicaid funding (FMAP) for those states. This directly affects Medicaid programs in states providing health coverage to non-qualified aliens and impacts non-citizen residents who would lose Medicaid eligibility under the new timeline.

This bill expands Medicare coverage for diabetes self-management training. It requires Medicare to cover 10 initial hours of training plus 2 additional hours annually for beneficiaries with diabetes, eliminating cost-sharing (like copays) for these services. The policy directly affects Medicare beneficiaries with diabetes by making essential education and training fully covered. The changes apply to services provided on or after January 1, 2027.

HR 6592 redefines Medicaid-covered "private duty nursing" as "continuous skilled nursing services" for complex-care patients requiring multiple hours of daily nursing care (as determined by states), mandating these services be provided by licensed nurses (RNs or LPNs). It requires the Secretary to develop national quality standards for these services through a stakeholder working group, to be published within one year. The bill also updates Medicaid waiver services and quality measures to include continuous skilled nursing services, with standards reviewed every eight years. This directly affects complex-care Medicaid beneficiaries and their nursing providers across all states.

This bill clarifies the "public charge" rule for immigration, defining it as an immigrant likely to receive public benefits for more than 12 months in any 36-month period. It specifically lists benefits to count - including Medicaid (excluding emergency care for children/pregnant women), food stamps, housing aid, and health subsidies - and requires sponsors to prove financial ability at 125% of the federal poverty line. Applicants deemed likely to become a public charge may need to post a $10,000 bond, forfeitable if they receive benefits within 10 years. The rule applies to all visa and status applications filed after the effective date, excluding refugees, asylees, and military families.

This bill temporarily allows doctors to prescribe and dispense certain Medicare-covered medications directly to seniors in their offices from 2026 to 2030, under specific conditions. It requires prior in-person visits, limits dispensing to group practices, and mandates billing through the physician’s practice. The bill also directs the GAO to study whether physician-owned pharmacies are becoming common and how such arrangements might affect prescribing. It directly affects seniors receiving Medicare Part D drugs and physician practices participating in these arrangements. The exception expires in 2030, with no changes to Medicare Part D program rules.

Rebuild America’s Health Care Schools Act of 2025 This bill allows hospitals to receive reimbursement under Medicare for certain costs associated with training nursing and allied health students in settings other than the hospital itself.  Currently, hospitals may receive reimbursement under Medicare for the reasonable costs associated with training nursing and allied health students if certain conditions are met; the criteria vary depending on whether the students are enrolled in an educational program that is operated by the hospital or another entity. If the students are part of a program that is operated by another entity, the training must occur at the hospital itself or in areas immediately surrounding the hospital in order to qualify for reimbursement (among other requirements). The bill allows hospitals to receive reimbursement for these costs if the training is conducted at an entity that is related to the hospital (i.e., common ownership or control). The bill requires the Centers for Medicare & Medicaid Services (CMS) to update regulations to reflect these changes. Additionally, the CMS may not recoup or reduce payments to hospitals with respect to costs that are allowed under the bill and must refund any such recoupments or reductions that occurred during the six-year period prior to the bill's enactment.

The COVER Now Act allows cities, counties, or other local governments in states that have not expanded Medicaid to provide health coverage to Medicaid-eligible residents. Local governments in non-expansion states can apply for a federal demonstration project to cover these residents, with the federal government paying 90-100% of costs over seven years (starting at 100% for the first three years). The bill prohibits states from retaliating against localities that participate, such as by shifting costs, reducing funding, or blocking healthcare provider participation. This directly affects uninsured residents in non-expansion states and local governments seeking to fill coverage gaps.