Healthcare (Medicaid)

SRES 338 is a non-binding Senate resolution recognizing how the Americans with Disabilities Act (ADA) of 1990 enables independent living and economic self-sufficiency for people with disabilities. It highlights that over one-third of disabled individuals rely on Medicaid for health coverage and community-based care, yet many remain in segregated institutions due to Medicaid limitations and insufficient community services. The resolution calls for bipartisan action to strengthen Medicaid funding, oppose cuts or work-reporting requirements that hinder access to care, and expand home-based services to support employment and community living. It specifically urges federal agencies to improve accessibility in housing, transportation, emergency services, and competitive employment opportunities for people with disabilities, particularly those of color facing systemic barriers. This resolution does not create new law but advocates for policy changes to fulfill the ADA’s promise.

The Postpartum Lifeline Act requires states to provide 12 months of continuous Medicaid and CHIP coverage for pregnant individuals, replacing the previous 60-day postpartum coverage limit. It directly affects low-income pregnant and postpartum individuals enrolled in Medicaid or CHIP, ensuring they maintain health coverage through the first year after pregnancy. The bill repeals the existing provision that restricted coverage to pregnancy-related services for only 60 days and mandates full coverage for all medical needs during the 12-month period. States must comply with this requirement starting no later than one year after the bill's enactment, though they may choose an earlier effective date. This policy change eliminates a major gap in postpartum care access for eligible individuals.

The Protect Our Hospitals Act (HR 4807) repeals a specific provision (Section 71115 of Public Law 119-21) that altered Medicaid provider tax rules. This bill restores the prior tax structure for Medicaid providers, including hospitals and clinics that accept Medicaid, returning them to the tax treatment that existed before the change. As a result, these providers will no longer be subject to the modified tax rules enacted by the repealed provision. The bill does not affect Medicaid eligibility, benefits, or coverage - it solely reverts a tax policy change without introducing new requirements.

The State Public Option Act creates a new Medicaid buy-in option for state residents who are not enrolled in other health insurance plans, beginning January 1, 2026. It establishes limits on premiums (capped at 8.5% of family income) and cost-sharing, while allowing participants to enroll through state health insurance exchanges and access premium tax credits similar to those for private insurance. The bill also requires coverage of comprehensive sexual and reproductive health care services, including abortion services, starting in 2026. Additionally, it includes provisions to improve payment rates for primary care services provided under Medicaid.