Healthcare (Medicaid)

in committee · United States · House Nov 7, 2025

HR 5944: Restoring Inpatient Mental Health Access Act of 2025

HR 5944, the Restoring Inpatient Mental Health Access Act of 2025, removes a longstanding Medicaid coverage barrier for inpatient mental health services. It amends the Social Security Act to allow federal Medicaid funding for care provided in mental health facilities (previously excluded as "institutions for mental diseases") for services furnished on or after January 1, 2027. This change directly affects Medicaid beneficiaries requiring inpatient mental health treatment by enabling federal financial support for those services. The bill does not create new programs but updates existing Medicaid rules to expand coverage for this critical care. The policy change takes effect January 1, 2027, with no retroactive application.

Topics ✓ HealthcareSupports HealthcareRemoves Medicaid barrier for inpatient mental health services, enabling federal funding and improving patient access to care starting in 2027.95% confidence

Sub-Topics Hospitals Medicaid Mental Health

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in committee · United States · House Sep 18, 2025

HR 5462: Michelle Alyssa Go Act

HR 5462, the Michelle Alyssa Go Act, changes Medicaid rules to exclude small mental health facilities with 36 beds or fewer from the definition of "institution for mental diseases" if they meet specific national standards. This directly affects small mental health and substance use disorder treatment facilities (36 beds or less) that comply with evidence-based standards for services, care hours, staffing, and clinical programs. The bill modifies Medicaid funding eligibility by removing these small facilities from the restrictive "institution" category, allowing them to remain eligible for Medicaid coverage under state plans. The change takes effect 180 days after the law is enacted, applying to all state Medicaid plans starting then.

Topics ✓ HealthcareSupports HealthcareExcludes small mental health facilities (≤36 beds) from Medicaid exclusion, enabling funding access for evidence-based care and improving patient access to mental health services.95% confidence

Sub-Topics Medicaid Mental Health Substance Abuse

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in committee · United States · House May 6, 2025

HRES 278: Providing for consideration of the bill (H.R. 185) to advance responsible policies.

HRES 278 is a procedural resolution that establishes rules for the House to immediately consider H.R. 185, a bill aiming to temporarily prevent cuts to Medicaid and SNAP benefits. It waives objections to H.R. 185 and specifies that an amendment adding this prohibition (which would expire January 20, 2029) is to be treated as adopted. The resolution also sets a one-week timeline for the House to pass the bill and transmit it to the Senate. This resolution itself does not change policy but enables the consideration of H.R. 185 through specific procedural steps.

Topics ✓ Budget & TaxesSupports Budget & TaxesPrevents cuts to Medicaid/SNAP benefits (essential government spending programs), aligning with 'protects' indicator for Budget & Taxes.90% confidence ✓ HealthcareSupports HealthcarePrevents Medicaid cuts, protecting healthcare coverage for low-income populations. H.R. 185 (enabled by HRES 278) aims to maintain Medicaid benefits, aligning with healthcare protection indicators.95% confidence

Sub-Topics Medicaid

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in committee · United States · House Dec 19, 2025

HR 4648: Access to Fertility Treatment and Care Act

This bill would require health insurance plans that cover obstetrical services to also cover a broad range of fertility treatments, including in vitro fertilization, artificial insemination, embryo preservation, and fertility medications. It mandates coverage regardless of whether a person has been diagnosed with infertility, with cost-sharing (deductibles, coinsurance) limited to the same level as other medical services. The law would apply to employer-sponsored health plans, individual insurance, Medicare, Medicaid, TRICARE, and VA benefits, with implementation deadlines ranging from January 1, 2026 for Medicare to January 1, 2027 for notice requirements. The bill also prohibits plans from discouraging fertility treatment or limiting providers who offer it, while ensuring coverage is provided without requiring individuals to undergo treatment.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for fertility treatments, expands access without infertility diagnosis requirement, aligns cost-sharing with standard medical services.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates employer health plans to cover fertility treatments, expanding employee benefits under employment standards.85% confidence

Sub-Topics Insurance Medicaid Women's Health

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in committee · United States · Senate Jul 30, 2025

S 2556: Protecting Health Care and Lowering Costs Act

This bill permanently extends the enhanced premium tax credit for Affordable Care Act marketplace insurance plans, directly affecting millions of lower-income households (earning 150%-400% of the federal poverty level) who purchase coverage through state or federal marketplaces. It establishes a sliding-scale percentage system where the tax credit reduces monthly premiums based on income, starting at 0% for households earning up to 150% of poverty and increasing to 8.5% for those earning 300%-400% of poverty. The bill replaces temporary provisions with permanent rules, ensuring consistent cost-sharing support for eligible buyers. The changes apply to tax years beginning after December 31, 2025.

Topics ✓ Budget & TaxesSupports Budget & TaxesExtends premium tax credit providing direct tax relief to lower-income households (150%-400% FPL), aligning with tax relief indicators for middle/lower income.95% confidence ✓ HealthcareSupports HealthcareExtends ACA premium tax credits for lower-income households (150%-400% FPL), directly increasing affordability and access to health insurance coverage.95% confidence

Sub-Topics Tax Credits Insurance Medicaid Medicare

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in committee · United States · House Sep 8, 2025

HR 1510: Due Process Continuity of Care Act

HR 1510, the Due Process Continuity of Care Act, expands Medicaid eligibility to cover individuals in jail or custody while awaiting trial or disposition of charges, at a state's option. This allows states to provide Medicaid benefits to this population without requiring them to be convicted first. The bill provides $50 million in planning grants to states to develop implementation plans, including assessing healthcare needs, recruiting providers (especially for behavioral health and substance use treatment), and creating electronic billing systems for correctional facilities and outpatient providers. States must also consult with stakeholders like jails, providers, and Medicaid advocates before finalizing their plans.

Topics ✓ Criminal JusticeSupports Criminal JusticeExpands Medicaid access for pre-trial detainees to address healthcare needs, promoting rehabilitation and reducing recidivism - key criminal justice reform goals.95% confidence ✓ HealthcareSupports HealthcareExpands Medicaid to pre-conviction jail populations and provides $50M grants for healthcare implementation, advancing access and coverage.95% confidence

Sub-Topics Corrections Medicaid Mental Health

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in committee · United States · Senate Dec 2, 2025

S 3299: DSH in Tennessee Act

S 3299, the "DSH in Tennessee Act," permanently restores federal funding for hospitals in Tennessee that serve many low-income patients, directly affecting those hospitals. For fiscal year 2026, it sets Tennessee's funding level equal to its 2015 amount, adjusted annually for inflation using the consumer price index. Starting in 2027, Tennessee will be treated as a "low DSH state," receiving annual funding increases based on the same inflation adjustment used for similar states. This bill specifically changes how Tennessee's Medicaid Disproportionate Share Hospital (DSH) funding is calculated and allocated.

Topics ✓ Budget & TaxesSupports Budget & TaxesRestores federal hospital funding for low-income patients, sets permanent inflation-adjusted budget levels for healthcare services, directly advancing public health funding within state fiscal management.90% confidence ✓ HealthcareSupports HealthcareRestores federal DSH funding for hospitals serving low-income patients, ensuring continued healthcare access for vulnerable populations.95% confidence

Sub-Topics Hospitals Medicaid

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in committee · United States · House Jul 23, 2025

HR 4745: Medicaid Bump Act

This bill increases federal Medicaid funding for states that expand spending on behavioral health services (mental health and substance use treatment). It creates a new 90% federal reimbursement rate for the *increase* in quarterly state spending on these services compared to the 2019 baseline, provided states use the funds to supplement existing state funding and improve service delivery (e.g., raising provider payment rates). States must report annually to Congress on payment rates, rationale, and service utilization for these programs. The policy directly affects all 50 states administering Medicaid and the providers delivering behavioral health services within those programs. The changes take effect January 1, 2025, following enactment.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill provides 90% federal reimbursement for state Medicaid spending increases on behavioral health, strengthening state budget capacity for essential services without raising state taxes.95% confidence ✓ HealthcareSupports HealthcareIncreases federal Medicaid funding for behavioral health services via 90% reimbursement for state spending increases, directly advancing mental health coverage and service delivery.95% confidence

Sub-Topics Medicaid Medicare Mental Health

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in committee · United States · Senate Sep 18, 2025

S 2857: Protecting Free Vaccines Act of 2025

The Protecting Free Vaccines Act of 2025 requires health insurance plans, Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) to cover recommended vaccines without cost-sharing (like copays or deductibles). It mandates coverage for vaccines recommended by the federal Advisory Committee on Immunization Practices (ACIP) as of October 25, 2024, including any updated versions approved under existing rules. This coverage requirement applies until December 31, 2029 for Medicaid and CHIP, and until January 1, 2030 for other plans. The law does not apply to vaccines given during the minimum interval between doses for that specific vaccine.

Topics ✓ HealthcareSupports HealthcareMandates no-cost vaccine coverage under insurance plans, expanding access to public health services without financial barriers.95% confidence

Sub-Topics Children's Health Medicaid Medicare

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in committee · United States · House Nov 21, 2025

HRES 909: Recognizing that immigrant justice and reproductive justice are inseparable and must be pursued together.

HRES 909 is a House resolution affirming that immigrant justice and reproductive justice are interconnected and must be addressed together. It calls on the Department of Homeland Security to reinstate protections for pregnant individuals in detention, eliminate the 5-year bar restricting immigrants’ access to federal health programs like Medicaid, and implement transparent oversight of reproductive health care in detention facilities. The resolution also urges Congress to remove barriers to health care access for immigrants and requires federal agencies to report on policies affecting reproductive health care for detained individuals. This resolution directly affects policies toward immigrants in detention, particularly regarding access to abortion, prenatal care, and mental health services, but does not create new laws.

Topics ✓ HealthcareSupports HealthcareEliminates 5-year bar to Medicaid access and mandates reproductive healthcare in detention, expanding coverage and access for vulnerable populations.95% confidence ✓ ImmigrationSupports ImmigrationCalls to reinstate protections for pregnant immigrants in detention, eliminate barriers to Medicaid access, and ensure reproductive healthcare oversight in detention facilities.95% confidence

Sub-Topics Medicaid Mental Health Women's Health Detention Enforcement Sanctuary Policies

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