Healthcare (Insurance)

in committee · United States · House Jun 30, 2026

HR 9432: LIFT the BAR Act

The LIFT the BAR Act aims to restore access to federal benefits for lawfully present noncitizens by repealing several restrictions imposed by the 1996 welfare reform law and a 2024 reconciliation bill. Specifically, it would allow eligible noncitizens to receive SNAP food assistance, Medicaid, CHIP, and child nutrition programs, while also updating legal terminology to refer to "noncitizens" rather than "aliens" in relevant statutes. The legislation includes provisions to ensure these individuals can qualify for premium tax credits and would require federal agencies to issue implementation guidance within 180 days of enactment.

Topics ✓ HealthcareSupports HealthcareBill expands Medicaid and CHIP access for eligible noncitizens, directly increasing healthcare coverage and patient access.95% confidence ✓ ImmigrationSupports ImmigrationBill restores federal benefits for lawfully present noncitizens and updates terminology to 'noncitizens', directly supporting immigrant access to services.95% confidence

Sub-Topics Children's Health Insurance Medicaid

Track

in committee · United States · House Jun 29, 2026

HR 9509: Kidney Disease Education Access Expansion Act of 2026

The Kidney Disease Education Access Expansion Act of 2026 expands Medicare coverage to include kidney disease education services for individuals with hypertension, diabetes, or any stage of chronic kidney disease, rather than limiting them to those with advanced disease. This bill broadens the range of eligible providers to include community health workers and clinical social workers, allows these services to be delivered in group settings or with caregivers present, and adds new topics such as transition assistance for transplant recipients. Starting in 2027, the law also requires private health insurance plans to cover these education services and establishes a working group to develop methods for measuring the effectiveness of the program.

Topics ✓ HealthcareSupports HealthcareBill expands Medicare coverage and broadens eligible providers for kidney disease education, improving patient access to care.95% confidence

Sub-Topics Insurance Medicare

Track

in committee · United States · House Jun 25, 2026

HR 9396: Prior Authorization Accountability Act

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.

Topics ✓ HealthcareSupports HealthcareBill enhances transparency in prior authorization processes, protecting patient rights and improving access to care by mandating public reporting of approval rates and AI usage.85% confidence ✓ TechnologySupports TechnologyBill mandates public reporting on AI use in healthcare, promoting transparency and consumer protection in automated technology decisions.85% confidence

Sub-Topics Insurance Artificial Intelligence

Track

in committee · United States · House Jun 25, 2026

HR 9397: Premium Transparency Act

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.

Topics ✓ HealthcareSupports HealthcareBill mandates transparency in insurance spending to empower consumers and improve market competition, directly supporting patient rights and informed healthcare choices.90% confidence

Sub-Topics Insurance Medicare Tags Government Transparency

Track

in committee · United States · House Jun 11, 2026

HR 9257: Primary and Behavioral Health Care Access Act of 2026

The Primary and Behavioral Health Care Access Act of 2026 requires group health plans to cover three primary care visits and three behavioral health care visits per year without charging copayments, deductibles, or coinsurance. This mandate applies to plans governed by ERISA, the Public Health Service Act, and the Internal Revenue Code, affecting employees, retirees, and individuals with employer-sponsored or individual health insurance. The bill defines primary care visits as in-person appointments with designated providers like general practitioners or nurse practitioners, while behavioral health visits include services from a wider range of specialists such as psychologists and social workers. Additionally, the law ensures that these specific visits are subject to the same reimbursement rates and treatment limitations as any other covered medical service. These provisions would take effect for plan years beginning two years after the bill is enacted.

Topics ✓ HealthcareSupports HealthcareBill mandates coverage for primary and behavioral health visits without cost-sharing, directly improving patient access and strengthening healthcare services.95% confidence

Sub-Topics Healthcare Workforce Insurance Primary Care

Track

in committee · United States · House Jun 2, 2026

HR 9107: Patient Choice and Access Act of 2026

The Patient Choice and Access Act of 2026 would allow health insurance plans starting in 2027 to operate without requiring a network of doctors and hospitals. This change directly affects individuals enrolled in qualified health plans by permitting them to see any provider that accepts the plan's payment rates, rather than being restricted to a specific list of in-network providers. To ensure consumers understand their coverage, the bill mandates that these plans clearly explain potential out-of-pocket costs and offer tools to help members find participating providers. Additionally, the legislation updates federal rules to prevent the government from penalizing plans that choose not to maintain a provider network.

Topics ✓ HealthcareSupports HealthcareBill expands patient access by allowing plans to operate without provider networks, enabling individuals to see any provider accepting payment rates.85% confidence

Sub-Topics Insurance

Track

in committee · United States · House May 29, 2026

HR 9081: Healthcare Freedom and Fairness Act

The Healthcare Freedom and Fairness Act allows groups of individuals to form "health marketplace pools" that are legally treated as employers for the purpose of offering group health insurance. These pools must be established in good faith without discriminating against members based on their health status and must offer the same coverage options to all participants. The bill permits these pools to provide plans that include prescription drugs or, in some cases, only drug coverage, while also allowing them to offer administrative services like billing and enrollment. By redefining these pools as employers under existing federal law, the legislation aims to facilitate the creation of private health insurance arrangements that operate outside traditional employer-employee relationships.

Topics ✓ HealthcareSupports HealthcareBill expands health coverage by allowing individuals to form pools treated as employers, increasing access to group insurance options.85% confidence

Sub-Topics Insurance

Track

in committee · United States · House Apr 28, 2026

HR 8551: Early Access to Screening Act

The Early Access to Screening Act mandates that Medicare, Medicaid, and private health insurance plans cover annual screening mammograms for women aged 30 and older without any out-of-pocket costs. Starting January 1, 2026, these plans must pay the full cost of the procedure, while coverage for women under 30 remains prohibited. The bill also establishes a rule preventing women over 29 from receiving more than one screening mammogram within an 11-month window. By amending federal laws governing public and private health coverage, the legislation ensures consistent, free access to this preventive care for the specified demographic.

Topics ✓ HealthcareSupports HealthcareBill mandates coverage for annual mammograms, expanding access and removing out-of-pocket costs for women aged 30+.95% confidence

Sub-Topics Insurance Medicaid Women's Health

Track

in committee · United States · Senate May 19, 2026

S 4566: Increasing Access to Lung Cancer Screening Act

This bill expands access to lung cancer screening and tobacco cessation support by requiring Medicaid to cover annual screenings and related counseling for eligible individuals without charging copayments or requiring prior approval. It also mandates that Medicare and private health insurance plans provide the same screenings without utilization management barriers, ensuring broader coverage across different healthcare systems. Additionally, the legislation authorizes a $10 million federal funding stream to run an education campaign aimed at informing high-risk patients and providers about screening importance and eligibility. The law includes a provision for a government study to examine demographic gaps in current screening guidelines and offers states a grace period to update their plans to comply with these new requirements.

Topics ✓ HealthcareSupports HealthcareBill expands lung cancer screening access, removes copays, and mandates coverage across Medicaid, Medicare, and private plans.95% confidence

Sub-Topics Insurance Medicaid Medicare

Track

in committee · United States · Senate May 20, 2026

S 4583: Legalizing Premium Health Care Act of 2026

The Legalizing Premium Health Care Act of 2026 allows Medicare beneficiaries to sign written contracts with doctors or other eligible professionals to receive services at agreed-upon rates that may exceed standard Medicare limits. Under this bill, patients who sign such contracts would be responsible for paying the difference between the contracted amount and what Medicare covers, while also handling their own claims unless they choose to delegate this task to the provider. The legislation prohibits these agreements during medical emergencies or urgent situations and prevents states from setting their own caps on the charges these professionals can bill. Additionally, the act explicitly excludes individuals who qualify for both Medicare and Medicaid from entering into these private payment arrangements.

Topics ✓ HealthcareSupports HealthcareBill expands patient choice and allows providers to charge rates above Medicare limits, increasing access and flexibility in healthcare services.85% confidence

Sub-Topics Healthcare Workforce Insurance Medicare

Track