The Prior Authorization Accountability Act requires health insurance plans and issuers to publicly report detailed data on their prior authorization processes starting in 2027. This includes submitting information on approval and denial rates, appeal outcomes, processing times, and the specific use of artificial intelligence or other automated technologies in making coverage decisions. The bill mandates that these reports be available on public websites for both individual and group coverage, allowing consumers to compare how different plans handle requests for medical services. Additionally, the legislation updates the Affordable Care Act to ensure that health plans sold through insurance exchanges display this new transparency data to help shoppers make informed choices.
The HEART Act of 2026 directs the Department of Health and Human Services to create a new office dedicated to providing mental health and family stability support to communities affected by federal immigration enforcement actions. This office would fund mobile response teams, emergency counseling vouchers, and grants for local organizations to offer trauma-informed care and culturally competent behavioral health services. A key provision requires that any data collected about these enforcement actions be kept separate from immigration agencies to protect community trust. Additionally, the bill mandates the development of multilingual health education campaigns and the training of healthcare providers to better serve these populations.
The Premium Transparency Act requires health insurers and Medicare Advantage organizations to publicly disclose how they spend premium revenue, specifically detailing the percentages allocated to claims, overhead costs, and retained profits. Starting in 2027, these companies must publish this data in a consumer-friendly format on their websites for each plan they offer, allowing individuals to compare financial transparency across different coverage options. Additionally, the bill mandates that the government issue standardized guidance by 2028 to ensure key plan details, such as deductibles, out-of-pocket limits, and specific care costs, are presented in plain English. A further provision updates online plan comparisons to include this new financial data beginning in 2029, aiming to help consumers make more informed decisions about their health insurance.
The Better Care, Better Cost Act requires states to consider how well managed care organizations perform when deciding which ones to assign Medicaid beneficiaries to. Starting in 2028, states must create a system to score these organizations based on factors like medical costs, hospital readmissions, emergency visits, and patient satisfaction. Additionally, states must publish annual reports showing how using these scores changes enrollment patterns and estimates savings. This law directly affects state Medicaid programs and the managed care companies that serve them by mandating performance-based decision-making.
This resolution expresses support for designating June 2026 as National Post-Traumatic Stress Awareness Month and June 27, 2026, as National Post-Traumatic Stress Awareness Day. It aims to raise public awareness about post-traumatic stress among military members and veterans, reduce associated stigma, and encourage better access to treatment. The bill does not create new laws or funding but serves as a formal statement of congressional intent to highlight the importance of addressing mental health challenges related to military service.
The Access to Innovative Treatments Act of 2026 changes how Medicare reviews decisions to deny or limit coverage for new drugs and biological products. It requires the Medicare administrator to start a review within 90 days of a request, includes a 30-day period for public comments, and mandates a final decision within 120 days that must address those comments. The bill also prevents Medicare from applying old coverage rules to newly approved or licensed drugs if those rules would contradict the current approval. Additionally, it stops prescription drug plans from using outdated coverage decisions to deny payment for new medications. These changes directly affect Medicare beneficiaries, drug manufacturers, and the Medicare program administrators.
This bill directs the Secretary of Education to create and share evidence-based model plans for mental health and suicide prevention specifically for colleges and universities. In partnership with the Substance Abuse and Mental Health Services Administration, the government will provide technical assistance to schools that wish to adopt these models, while also considering existing state efforts and collaborating with various community and student groups. The legislation requires regular updates to these model plans every five years and mandates periodic reports to Congress on the program's progress. Importantly, the bill clarifies that these measures are voluntary guidelines and do not impose new legal requirements on higher education institutions.
The End Tuberculosis Now Act of 2026 directs the U.S. government to increase foreign assistance aimed at diagnosing, treating, and preventing tuberculosis globally. This legislation establishes specific goals to reduce TB incidence and mortality rates by 2030, requiring the President to prioritize funding for high-risk populations, drug-resistant cases, and the development of new diagnostics and vaccines. The bill mandates extensive annual reporting to Congress on program progress, including data on patient outcomes, research investments, and coordination with international partners, while setting the program to expire in 2033 if these targets are met.
This resolution expresses the House of Representatives' view that monitoring water systems for medication abortion drugs should not be used to track or restrict access to abortion care. It states that such surveillance lacks scientific support and misuses environmental laws to target reproductive health services. The bill asserts that medications like mifepristone are safe and effective, and that water protection efforts should focus on actual environmental threats rather than political agendas. As a non-binding statement of sentiment, it does not create new laws but aims to influence future policy discussions on reproductive rights and environmental regulation.
The Community Schools and Health Equity Act establishes a competitive grant program led by the Department of Education to fund school-based health services in community schools. Eligible recipients, such as local school districts and community partnerships, can use these funds to hire staff like nurses and social workers, provide wraparound support including nutrition and housing assistance, and address social determinants of health. The legislation prioritizes grants for schools serving high numbers of low-income students, English learners, and families in medically underserved areas. To ensure accountability, grantees must annually report on student outcomes and health impacts, while the Education and Health and Human Services Secretaries must coordinate to reduce administrative burdens and share technical assistance.