Healthcare (Medicaid)

in committee · United States · House Feb 18, 2025

HR 1433: Kids’ Access to Primary Care Act of 2025

HR 1433, the Kids’ Access to Primary Care Act of 2025, sets a minimum Medicaid payment rate of 100% of Medicare’s rate for primary care services provided to children. It directly affects Medicaid-covered children and expands eligibility for providers to include pediatricians, family medicine physicians, nurse practitioners, physician assistants, certified nurse-midwives, and rural health clinics or Federally-qualified health centers (FQHCs) under specific conditions. Key provisions require Medicaid managed care plans to pay these providers at the minimum rate, with documentation requirements to verify compliance, and exclude emergency department services from the definition of primary care. The bill also mandates a study to track enrollment and payment rate changes across states after implementation.

Topics ✓ HealthcareSupports HealthcareIncreases Medicaid reimbursement rates to 100% Medicare rate for pediatric primary care, expands provider eligibility, and improves access for Medicaid-covered children.95% confidence

Sub-Topics Children's Health Medicaid Primary Care Tags Children

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in committee · United States · House Feb 12, 2026

HR 7535: Second Chance Mental Health Access Act of 2026

This bill requires states to cover 12 annual telehealth mental health visits for Medicaid enrollees who were recently incarcerated in a public institution and are under court-ordered home confinement. It amends Medicaid law to mandate this coverage specifically for individuals released from prison and subject to home confinement, effective after the bill's enactment. The provision applies to all states operating under Medicaid plans or waivers, ensuring consistent access to mental health support during the reentry phase. It directly affects formerly incarcerated individuals transitioning from prison to home supervision, focusing on accessible mental health care through telehealth. The policy change is limited to Medicaid-covered telehealth visits during the period of home confinement, with no additional funding specified.

Topics ✓ Criminal JusticeSupports Criminal JusticeMandates mental health coverage for recently incarcerated individuals under home confinement, directly supporting rehabilitation and reducing recidivism in criminal justice reform.90% confidence ✓ HealthcareSupports HealthcareMandates Medicaid coverage for 12 annual telehealth mental health visits for recently incarcerated individuals, expanding access to mental health services.95% confidence

Sub-Topics Corrections Courts Probation & Parole Medicaid Mental Health Telehealth

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in committee · United States · House May 7, 2025

HR 3257: Bridge to Medicaid Act of 2025

HR 3257, the Bridge to Medicaid Act of 2025, would make healthcare more affordable for low-income Americans by reducing out-of-pocket costs for individuals with household incomes at or below 138% of the federal poverty level. The bill extends cost-sharing reductions through 2028, creates special enrollment periods for eligible low-income individuals, and provides additional benefits including non-emergency medical transportation services. It also temporarily expands premium tax credits for 2026-2028 and increases federal Medicaid funding for newly eligible individuals through 2029. The legislation aims to improve access to healthcare for millions of Americans who face financial barriers to coverage.

Topics ✓ Budget & TaxesSupports Budget & TaxesExpands premium tax credits and extends cost-sharing reductions for low-income Medicaid beneficiaries, increasing government funding for healthcare access and tax relief.95% confidence ✓ HealthcareSupports HealthcareReduces out-of-pocket costs, extends cost-sharing, adds non-emergency transport, and expands tax credits for low-income healthcare access - directly advancing affordability and coverage under Medicaid.95% confidence

Sub-Topics Insurance Medicaid

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in committee · United States · House Apr 2, 2025

HR 2590: Mental and Physical Health Care Comorbidities Act of 2025

HR 2590 establishes a 5-year Medicare demonstration program (2025-2030) testing integrated care models for hospitals serving vulnerable communities. It directly affects eligible hospitals (rural, safety net, or teaching hospitals with high patient need) and individuals with co-occurring mental and physical health conditions - including Medicare beneficiaries, Medicaid enrollees, and uninsured people. Hospitals must develop evidence-based plans addressing both health conditions and social determinants (like housing or food insecurity) through innovations like coordinated care teams, electronic health record improvements, and community partnerships. The program requires tracking outcomes such as reduced emergency visits, lower costs, improved health status, and decreased disparities, with a final evaluation report to Congress after 2030.

Topics ✓ HealthcareSupports HealthcareEstablishes Medicare demonstration program for integrated mental/physical health care in vulnerable communities, expanding access and funding for co-occurring conditions.95% confidence

Sub-Topics Hospitals Medicaid Mental Health

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in committee · United States · Senate Dec 2, 2025

S 3300: ANCHOR Act of 2025

The ANCHOR Act of 2025 (S 3300) creates a new state option to provide medical assistance to uninsured individuals with serious mental illness or substance use disorders who have incomes at or below 100% of the federal poverty line. It defines "specified individuals" as those meeting income limits, being uninsured, and having a qualifying condition (like opioid use disorder or serious mental illness), as determined by healthcare providers or designated state entities. States choosing to adopt this program must ensure enrollees receive a care plan within 60 days and report on behavioral health quality measures. The assistance covers the same scope as standard Medicaid for this group, initially for one year with potential annual renewals after redetermination. This bill directly affects uninsured adults with specific health conditions in states that implement the new option.

Topics ✓ HealthcareSupports HealthcareCreates state option for medical assistance to uninsured with mental illness/substance use disorders, expanding coverage for mental health services as defined in bill summary.95% confidence

Sub-Topics Medicaid Mental Health Substance Abuse

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in committee · United States · Senate Sep 9, 2025

S 2743: Save Our Safety-Net Hospitals Act of 2025

This bill modifies Medicaid funding rules to help safety-net hospitals that serve many low-income patients. It changes how "disproportionate share hospital" (DSH) payments are calculated, allowing states to use unspent DSH funds from prior years to increase payments to these hospitals without exceeding new caps. States can retroactively adjust their Medicaid plans to boost payments for past years, as long as the total doesn’t exceed the annual allotment. The key change ensures hospitals serving high numbers of Medicaid patients receive more consistent federal support, directly affecting hospitals and state Medicaid programs.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill increases Medicaid funding for safety-net hospitals by allowing states to reallocate unspent DSH funds, strengthening essential healthcare program funding without new taxes or spending.95% confidence ✓ HealthcareSupports HealthcareBoosts Medicaid funding for safety-net hospitals serving low-income patients by allowing retroactive use of unspent DSH funds, ensuring continued access to care.95% confidence

Sub-Topics Hospitals Medicaid

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in committee · United States · Senate May 22, 2025

S 1903: A bill to prohibit changes to Medicare and Medicaid in reconciliation.

This bill amends the Congressional Budget Act to explicitly prohibit changes to Medicare and Medicaid through the budget reconciliation process. It modifies Section 310(g) to add specific references to Medicare (Title XVIII) and Medicaid (Title XIX) of the Social Security Act, ensuring these programs are excluded from reconciliation considerations. The key mechanism prevents Congress from using the fast-track budget reconciliation procedure to alter Medicare or Medicaid funding, benefits, or structure. This directly affects congressional budget procedures, not the programs themselves, by restricting how lawmakers can make changes to these healthcare programs.

Topics ✓ Budget & TaxesSupports Budget & TaxesPrevents budget reconciliation changes to Medicare/Medicaid, protecting program funding and benefits from potential cuts or alterations.95% confidence ✓ HealthcareSupports HealthcarePrevents Congressional changes to Medicare/Medicaid via reconciliation, protecting existing coverage and benefits without altering funding or structure.95% confidence

Sub-Topics Medicaid Medicare

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in committee · United States · House Feb 21, 2025

HR 1509: Accelerating Kids’ Access to Care Act of 2025

This bill would require states to create a simplified process for out-of-state healthcare providers to join Medicaid and CHIP programs. Qualified providers (those already enrolled in Medicare or another state's program with low fraud risk) could enroll without excessive screening and would be approved for five years. It directly affects children under 21 enrolled in Medicaid or CHIP by expanding access to providers outside their state, particularly in underserved areas. The change applies to all states' Medicaid programs but takes effect three years after enactment.

Topics ✓ HealthcareSupports HealthcareBill expands Medicaid/CHIP provider access for children under 21 by simplifying out-of-state enrollment, directly improving healthcare access in underserved areas per its summary.95% confidence

Sub-Topics Children's Health Medicaid Telehealth

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in committee · United States · Senate Jan 28, 2026

SRES 590: A resolution designating January 23, 2026, as "Maternal Health Awareness Day".

SRES 590 designates January 23, 2026, as "Maternal Health Awareness Day" to highlight ongoing challenges in maternal health care. The resolution aims to raise public awareness about preventable pregnancy-related deaths, severe maternal morbidity, and racial disparities - such as Black women facing over three times higher pregnancy-related mortality rates than White women - while encouraging federal, state, and community action. It does not create new laws or funding but calls for recognizing these issues and supporting existing initiatives like expanded postpartum Medicaid coverage and maternal mortality review committees. This symbolic gesture targets broad audiences including healthcare providers, policymakers, and the public to promote equitable care.

Topics ✓ HealthcareSupports HealthcareDesignates Maternal Health Awareness Day to address disparities and preventable deaths, encouraging action on maternal healthcare challenges without new funding.85% confidence

Sub-Topics Medicaid Women's Health

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in committee · United States · House Nov 21, 2025

HR 6254: Medicaid Staffing Flexibility and Protection Act of 2025

This bill allows states to contract with outside agencies or private contractors to handle Medicaid eligibility decisions and appeals, rather than relying solely on state staff. It requires that contractors cannot have financial ties to Medicaid managed care organizations or incentives to delay applications or deny coverage to eligible individuals. The law directly affects state Medicaid programs by expanding their administrative options while adding safeguards to prevent conflicts of interest. It does not change Medicaid eligibility rules or funding, only how states process applications and appeals.

Topics ✓ HealthcareSupports HealthcareAllows states to use contractors for Medicaid eligibility with safeguards against delays/denials, protecting access to coverage under public health program.95% confidence

Sub-Topics Medicaid

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