The Accountable Produce is Medicine Act of 2026 directs the Center for Medicare and Medicaid Innovation to launch a five-year pilot program that tests a bundled payment model for chronic disease management. This initiative targets patients with conditions such as diabetes, obesity, or cardiovascular disease who reside in rural, medically underserved, or health professional shortage areas. Participating programs must provide a comprehensive package of services, including personalized nutrition counseling, remote patient monitoring, telehealth, and access to nutrient-dense foods, while prioritizing locally grown produce and regenerative agriculture. The model requires regular tracking of patient health metrics like weight and blood pressure, with the option for programs to assume financial risk for performance starting in the third year. All services under this pilot are provided without deductibles or copayments, aiming to evaluate whether these integrated food and medical interventions can improve health outcomes and reduce overall healthcare costs.
The Medicare at Home Act would add a new benefit to Medicare Part B that covers up to 20 hours per week of in-home personal care for beneficiaries who require assistance with daily living activities. To qualify, individuals must be certified by a physician as needing help with at least two basic or instrumental tasks, such as bathing, dressing, or meal preparation. The bill mandates that payment rates for these services reflect a reasonable wage floor for home care workers and requires the Centers for Medicare & Medicaid Services to adjust monthly premiums to cover the cost of the new benefit. Implementation is scheduled to begin more than two years after enactment, following the development of regulations regarding worker qualifications and agency enrollment.
The Compassionate Care Act aims to improve how patients and their families plan for future medical care by launching a national public education campaign and creating a dedicated website to guide healthcare providers. The bill mandates that medical schools and training programs include specific end-of-life care and advance care planning in their curricula to better prepare future professionals. It also requires the development of new quality measures to track how well healthcare settings handle end-of-life care and extends telehealth rules to allow remote advance care planning consultations. Additionally, the legislation directs federal agencies to study the feasibility of a national advance directive registry and a uniform policy for these legal documents across different states.
The Kidd's Stuttering Act requires Medicaid and CHIP programs to include screening for childhood-onset fluency disorders, such as stuttering, in well-child visits for children aged 2 to 6. Starting in 2028, these screenings must be added to standard health quality measures, and by 2029, states must provide coverage for specific speech therapy services treating these disorders. The law ensures that coverage for stuttering therapy is not more restrictive than coverage for other speech and language disorders and allows these services to be delivered via telehealth. Additionally, managed care organizations and insurance plans must follow established rules to guarantee equal access to these treatments.
The Compassionate Care Act aims to improve how patients and their families plan for future medical decisions by promoting advance care planning, which involves discussing treatment preferences while a person is still able to participate. The bill directs the federal government to launch a public education campaign and create a dedicated website to help healthcare providers understand and integrate these planning tools into patient care. It also mandates the development of standardized quality measures for end-of-life care and requires medical schools to include specific training on palliative care and advance directives in their curricula. Additionally, the legislation makes permanent the use of telehealth for certain hospice recertifications and removes geographic restrictions on telehealth services used for advance care planning. Finally, the act authorizes several studies to evaluate barriers to a national uniform policy for advance directives and to explore the feasibility of a national registry for these documents.
The Virtual-Based Opioid Treatment for Veterans Act directs the Department of Veterans Affairs to launch a two-year pilot program aimed at expanding access to virtual opioid treatment for enrolled veterans who face barriers to in-person care. This initiative requires the VA to conduct outreach, build referral networks, and coordinate with other federal agencies to connect veterans with telehealth programs that combine medication and counseling in a single visit. The bill also mandates a study on treatment barriers and requires annual reports to Congress on the program's progress until the opioid crisis is no longer considered a public health emergency.
The Protecting Home-Based Care for Rural Veterans Act of 2026 aims to maintain and stabilize funding for home health services for veterans, particularly in rural areas. It requires the Department of Veterans Affairs to restore any reimbursement rates for home care services that were lowered after December 31, 2025, and prevents future rate cuts without notifying Congress at least 90 days in advance. Additionally, the bill mandates annual reports to Congress on whether there are enough care providers to meet veteran demand and identifies any regions with shortages. The legislation also requires an initial report within 90 days detailing how the VA calculates these payment rates, including the data sources and methods used.
The Patients First Act of 2026 modifies how Medicare reimburses physicians and primary care providers to improve access and stabilize payments. It establishes a new hybrid payment model for primary care services from 2027 to 2031, which pays a monthly fee per patient to eligible independent practices while covering specific services like care management and telehealth without cost-sharing for patients. The bill also updates the formula for calculating reimbursement rates to account for high inflation years and requires more frequent updates to the costs used in calculating payments. Additionally, the legislation reforms the performance-based payment system by adding care efficiency measures, creating a task force to recommend new quality metrics, and adjusting penalties for providers who fail to report on certain data.
The Reproductive Health Care Training Act of 2026 directs the Health Resources and Services Administration to create a grant program that funds medical schools and health centers to expand abortion care training for students and clinicians. These funds are specifically designated for states where such comprehensive training is legally permitted, with a priority given to institutions serving minority populations or those training providers for medically underserved communities. The bill outlines how the money can be used to develop clinical curricula, support telehealth practices, offer scholarships, and build partnerships to improve access to abortion services. Additionally, the legislation requires recipients to submit annual reports on program performance while ensuring federal funds supplement rather than replace existing state or private funding.
The Reproductive Health Care Training Act of 2026 authorizes $25 million over five years to fund a program that provides grants to health schools and clinics for expanding abortion care training. These funds are specifically designated for institutions located in states where comprehensive abortion training is legal, with a priority on serving minority-serving schools and those training students from medically underserved areas. The program supports activities such as developing clinical curricula, utilizing telehealth, recruiting diverse healthcare workers, and offering scholarships to students pursuing this specialized training. Recipients must submit annual reports on program performance while ensuring federal funds supplement, rather than replace, existing state and private resources.
