Healthcare (Insurance)

in committee · United States · House Feb 27, 2025

HR 1699: TOTAL Care Act

HR 1699, the TOTAL Care Act, removes referral requirements for obstetrical and gynecological (OB/GYN) care under the TRICARE Prime health plan. It allows female TRICARE Prime beneficiaries to directly choose an OB/GYN provider as their primary care manager, eliminating the need for a prior referral from another provider. The bill establishes a 5-year pilot program to test this change, requiring the Secretary of Defense to report on enrollment shifts, cost impacts, and other outcomes after four years. This directly affects female military family members enrolled in TRICARE Prime who opt into the pilot.

Topics ✓ HealthcareSupports HealthcareRemoves referral barriers for OB/GYN care under TRICARE, improving patient access to specialized services without prior authorization.95% confidence

Sub-Topics Insurance Primary Care Women's Health

Track

in committee · United States · House Mar 27, 2025

HR 2450: Prescription Drug Transparency and Affordability Act

The Prescription Drug Transparency and Affordability Act (HR 2450) requires pharmacy benefit managers (PBMs) to provide detailed, regular reports to group health plans and health insurance issuers about prescription drug pricing and spending. These reports, to be submitted every six months (or quarterly if requested), must include specific information about drug costs, rebates, out-of-pocket spending by participants, and other financial details in plain language and machine-readable format. The law specifically applies to "specified large employers" (employers with 100+ employees) and "specified large plans" (plans with 100+ participants), aiming to increase transparency about drug pricing and help health plans make more informed coverage decisions. The bill includes enforcement provisions, with potential civil penalties for non-compliance, and requires reports to be provided in accessible formats while maintaining privacy protections.

Topics ✓ HealthcareSupports HealthcareRequires PBMs to disclose drug pricing transparency, aiming to improve affordability and reduce out-of-pocket costs for patients, directly supporting healthcare access and cost control.95% confidence

Sub-Topics Insurance Prescription Drugs

Track

in committee · United States · House Jul 25, 2025

HR 4768: Health Care Fairness for Military Families Act of 2025

This bill updates the TRICARE Young Adult Program to make healthcare coverage more accessible for military dependents. It directly affects young adults (ages 21-26) who are children of active-duty service members, by eliminating a separate premium they previously paid for coverage. Key changes include removing an extra cost for young adults and adjusting eligibility rules to simplify enrollment. These amendments aim to reduce out-of-pocket expenses and streamline access to health insurance under the program.

Topics ✓ HealthcareSupports HealthcareEliminates separate premiums for military dependents (21-26), reducing out-of-pocket costs and streamlining TRICARE access, directly expanding healthcare affordability and access.95% confidence

Sub-Topics Insurance

Track

in committee · United States · House Apr 17, 2025

HR 2943: Gabriel Rosenberg Dyspraxia/DCD Coverage Act

HR 2943, the Gabriel Rosenberg Dyspraxia/DCD Coverage Act, requires the U.S. Comptroller General to study insurance coverage for dyspraxia/developmental coordination disorder (DCD), a condition affecting movement and coordination. The study, to be completed within one year of enactment, will examine coverage under Medicare, Medicaid, group health plans, and other federal health programs across all states. It will specifically investigate current coverage availability, age limits, barriers like provider shortages, compliance with existing insurance rules, and whether adults lose coverage after diagnosis. The resulting report will provide recommendations for improving coverage, but the bill itself does not change insurance requirements or create new benefits. This is a procedural study bill focused on gathering data about current coverage gaps for people with DCD.

Topics ✓ HealthcareSupports HealthcareBill mandates study of insurance coverage barriers for dyspraxia/DCD under Medicare/Medicaid, aiming to identify gaps in healthcare access and coverage availability, aligning with support indicators.85% confidence

Sub-Topics Insurance Medicaid Medicare

Track

in committee · United States · House Sep 10, 2025

HR 5278: Affordable Inhalers and Nebulizers Act of 2025

HR 5278, the Affordable Inhalers and Nebulizers Act of 2025, limits out-of-pocket costs for patients using prescription inhalers and nebulizers to treat asthma and chronic obstructive pulmonary disease (COPD). The bill requires private health insurance plans, Medicare Part B and Part D, and new payment programs to cover these products with no deductible and a maximum cost of $15 per 30-day supply. It directly affects patients with asthma or COPD who rely on covered inhalers, nebulizers, and related equipment like spacers. The law applies to all specified inhaler products (including medications and administration equipment) and takes effect for plan years beginning January 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates no deductible and $15 max cost for inhalers/nebulizers, expanding coverage and reducing patient costs for asthma/COPD treatments.90% confidence

Sub-Topics Insurance Medicare Prescription Drugs

Track

in committee · United States · House May 5, 2025

HR 3202: MIDWIVES for Service Members Act of 2025

HR 3202, the MIDWIVES for Service Members Act of 2025, creates a 5-year pilot program to provide certified midwife services to military service members and their families through the TRICARE health plan. The program requires the Secretary of Defense to begin implementation within one year of enactment, with detailed annual reports on costs, patient outcomes, satisfaction, and access metrics. It mandates that midwives meet international standards and state licensing requirements, focusing on maternal and infant health outcomes like preterm births and C-section rates. The pilot’s success would determine if midwife services become a permanent TRICARE benefit.

Topics ✓ HealthcareSupports HealthcareExpands TRICARE coverage to include certified midwife services for military families, improving access to maternal healthcare under a pilot program with mandated implementation and outcome reporting.95% confidence

Sub-Topics Children's Health Insurance Women's Health

Track

in committee · United States · House Feb 25, 2026

HR 7681: HSA’s For All Act

HR 7681, the "HSA’s For All Act," would expand eligibility for Health Savings Accounts (HSAs) by allowing individuals enrolled in any qualified health plan - not just high-deductible plans - to contribute to an HSA. It directly affects people covered by Affordable Care Act marketplace plans or employer group health plans, removing the current requirement for a high-deductible health plan (HDHP) to qualify. The bill amends tax code definitions to replace "high-deductible health plan" with "covered health plan" throughout relevant sections, simplifying eligibility rules. This change would take effect for tax years beginning after December 31, 2026.

Topics ✓ Budget & TaxesSupports Budget & TaxesExpands HSA eligibility to all qualified health plans, allowing more individuals tax-advantaged savings. Directly amends tax code to provide broader tax relief for middle-income earners via pre-tax contributions.95% confidence ✓ HealthcareSupports HealthcareExpands HSA eligibility beyond HDHP requirement, increasing access to tax-advantaged healthcare savings for broader population95% confidence

Sub-Topics Insurance

Track

in committee · United States · House Jun 10, 2025

HR 3866: Maternal and Infant Syphilis Prevention Act

HR 3866, the Maternal and Infant Syphilis Prevention Act, requires the U.S. Department of Health and Human Services to issue federal guidance to states within 12 months. This guidance directs state Medicaid programs, Children's Health Insurance Programs (CHIP), and tribal health programs on improving syphilis screening for pregnant women - specifically emphasizing third-trimester and delivery testing - and expanding access to treatment. It also mandates best practices for provider education, telehealth integration, multilingual resources, and patient outreach to prevent congenital syphilis. The bill directly affects pregnant women, newborns, and healthcare providers operating under state health programs, aiming to reduce preventable infant deaths and health complications linked to untreated syphilis during pregnancy.

Topics ✓ HealthcareSupports HealthcareMandates improved syphilis screening/treatment access via Medicaid/CHIP, expanding preventive healthcare services for maternal/infant health.95% confidence

Sub-Topics Children's Health Insurance Medicaid

Track

in committee · United States · House Sep 18, 2025

HR 5450: Continuing Appropriations and Extensions and Other Matters Act, 2026

This bill, the Continuing Appropriations and Extensions and Other Matters Act, 2026, would continue government funding for fiscal year 2026 by extending existing appropriations for programs that would otherwise expire. It allocates specific funding amounts for various programs, including $8.2 billion for the WIC program, $30 million for courthouse security, and $23 million for Federal judicial security missions. The bill extends deadlines for Medicare programs, veterans' benefits, community health centers, and telehealth services through October 31, 2025, ensuring continuity for these services. It maintains current funding levels for these programs without making new policy changes, preventing interruptions to government operations and critical services.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates $8.2B for WIC, $30M for courthouse security, and $23M for judicial security, extending existing funding without cuts to essential programs.92% confidence ✓ HealthcareSupports HealthcareAllocates $8.2B for WIC, extends Medicare/veterans' healthcare deadlines - maintains existing funding without cuts to key health programs.90% confidence

Sub-Topics Procurement Tax Credits Insurance Medicaid Medicare

Track

in committee · United States · House Apr 30, 2025

HR 3103: Health Share Transparency Act of 2025

The Health Share Transparency Act of 2025 requires health care sharing ministries to annually submit detailed financial and operational data - including reserves, claim denial rates, and provider contracts - to federal agencies like the Health and Human Services Department, IRS, and Consumer Financial Protection Bureau. This information must be published on a public website for consumer access. The bill also mandates that ministries provide clear, plain-language disclosures to prospective and current members about coverage limitations, the absence of reimbursement guarantees, and comparisons to traditional health insurance. Additionally, it requires enrollment entities to explain available tax credits and government health program options to potential members, and the Federal Trade Commission must publicly report consumer complaints about these ministries twice yearly.

Topics ✓ HealthcareSupports HealthcareRequiring transparency disclosures and financial data submission protects consumer rights and improves access to clear information about healthcare sharing ministries.90% confidence

Sub-Topics Insurance

Track