The Community Health Worker Access Act expands Medicare Part B coverage to include preventive care and services addressing social determinants of health provided by community health agencies, with benefits taking effect on January 1, 2027. These services are paid at 100 percent of the lesser of the actual charge or a federally established fee schedule, and they are exempt from Medicare deductibles. The bill also gives states an optional pathway to cover these same services under Medicaid, requiring state plan amendments that include workforce recruitment strategies and efforts to remove barriers for organizations that do not typically bill insurance. To support this expansion, the federal government increases its share of Medicaid costs by 6 percentage points for eligible community health expenditures in participating states.
This House resolution expresses support for designating September 22, 2026, as "National Hispanic Nurses Day" to honor the contributions of Hispanic nurses to the U.S. healthcare system. It specifically recognizes the National Association of Hispanic Nurses as the leading organization representing and advocating for this group of professionals. The bill encourages the public to observe the day with ceremonies and activities that highlight the role of these nurses in reducing health disparities and providing culturally competent care.
The Educating Future Nurses Act establishes a new federal program that reimburses eligible hospitals for the reasonable costs of providing clinical education to advanced practice registered nurses, including nurse practitioners and nurse-midwives. To participate, hospitals must lead regional "Graduate Nurse Education Hubs" that partner with accredited nursing schools and at least two non-hospital community-based care settings, such as rural health clinics or home health agencies. Payments are calculated using a per-student rate adjusted for inflation, but the total reimbursement is capped based on the increase in graduate nurse enrollments compared to a 2024-2025 baseline. The bill requires hospitals to submit annual reports detailing student outcomes and workforce placement, with a 25% payment reduction imposed if reporting requirements are not met.
This bill amends Medicare to cover dental and oral health services for the first time, affecting all current and future Medicare beneficiaries. It defines covered services to include routine cleanings, fillings, extractions, root canals, crowns, dentures, and emergency care. For most individuals, federal payment for these services will gradually increase from 0% to 80% over an eight-year period, while low-income individuals eligible for prescription drug subsidies will receive 80% coverage immediately. The legislation also establishes frequency limits, such as two cleanings and exams per year and a five-year limit on full dentures, and requires the U.S. Preventive Services Task Force to include at least one oral health professional.
The Rural Emergency Hospital Designation Improvement Act expands Medicaid coverage for services provided by rural emergency hospitals and allows these facilities to offer additional inpatient units for psychiatric, rehabilitation, and obstetric care. It also creates a pathway for existing facilities that operate similarly to rural emergency hospitals to convert their status by waiving certain requirements, while permitting them to provide skilled nursing "swing bed" services under specific agreements.
To support financial sustainability, the bill increases Medicare payments for diagnostic laboratory tests performed at these hospitals by 5 percent starting in 2027 and ensures that facilities reverting to critical access hospital status can regain their necessary provider designation. Additionally, the legislation designates rural emergency hospitals as health professional shortage areas to facilitate National Health Service Corps placements and includes them in the Small Rural Hospital Improvement Program grant eligibility.
This House resolution supports the goals of National Clinical Nurse Specialist Week, which is observed during the first week of September. It formally recognizes the contributions of these advanced practice nurses to patient care, quality improvement, and workforce development across various healthcare settings. The bill encourages the public to observe the week through appropriate programs and activities. Additionally, it reaffirms the House's commitment to ensuring that Clinical Nurse Specialists are accurately classified in federal labor statistics and supported in health workforce planning.
The Cancer Care Planning and Communications Act amends Medicare rules to cover new "cancer care planning and coordination services" for beneficiaries diagnosed with cancer. These services require a physician, nurse practitioner, or physician assistant to create a written or electronic treatment plan that addresses medical needs, cultural preferences, and follow-up care at key stages such as diagnosis, the end of active treatment, or disease recurrence. To support this requirement, the bill establishes a specific payment rate for these planning visits, setting it equal to the existing reimbursement for transitional care management services.
The Nurse Overtime and Patient Safety Act of 2026 prohibits healthcare providers from requiring registered, licensed practical, or licensed vocational nurses to work mandatory overtime beyond a previously scheduled shift, 48 hours in a week, or 12 consecutive hours. The bill allows exceptions during declared emergencies or disasters but requires that alternative staffing measures be attempted first and that the extended work does not extend past the end of the emergency response. Providers who violate these limits face civil money penalties of up to $10,000 per violation, with harsher fines for repeated offenses, and are required to post nurse schedules and rights notices in visible locations. Additionally, the legislation protects nurses from retaliation if they refuse mandatory overtime or report violations, while mandating that the Department of Health and Human Services study safe working hour standards and the Office of Management and Budget review practices in federally operated medical facilities.
The Nurse Overtime and Patient Safety Act prohibits healthcare providers from requiring registered, licensed practical, or licensed vocational nurses to work mandatory overtime beyond specific limits, including a cap of 48 hours per week or 12 consecutive hours in a 24-hour period. The bill mandates that facilities post nurse schedules and rights notices, while protecting nurses from retaliation if they refuse excessive shifts or report violations. Limited exceptions allow for mandatory overtime during declared emergencies or disasters, provided the facility has made reasonable efforts to fill staffing needs through other means. Providers who knowingly violate these rules face civil money penalties of up to $10,000 per violation, with harsher fines for repeated offenses, and the Secretary of Health and Human Services is required to conduct studies on safe working hour standards.
The Rural Residency Planning and Development Act of 2026 authorizes the Secretary of Health and Human Services to provide grants to eligible entities for establishing new physician residency programs in rural areas. These three-year grants support training pathways in general primary care, high-need specialties, and maternal health, with a requirement that residents spend more than half their training time in rural settings. The bill also creates a separate four-year technical assistance program to help organizations apply for and manage these residency initiatives. Eligible recipients include public or private nonprofit and for-profit entities, Indian Tribes, rural hospitals, and medical schools. The legislation authorizes $12.7 million annually for fiscal years 2027 through 2031 to fund these programs.
