The American Reserve Modernization Act of 2026 directs the U.S. Treasury to create two new accounts: a Strategic Bitcoin Reserve for Bitcoin acquired through government forfeiture and a Digital Asset Stockpile for other digital assets. The bill mandates that all Bitcoin held in the reserve be kept for at least 20 years, with strict rules against selling or disposing of these assets during that time. It also establishes a transparency system requiring quarterly public reports and third-party audits to verify the government's holdings and management of these digital assets.
This bill, known as the Improving Home Dialysis Act of 2026, expands Medicare coverage to include two new types of support services for patients performing dialysis at home. Starting in 2028, it will cover respite care provided by trained medical staff when a patient is temporarily unable to manage their own dialysis, as well as mental health services specifically for kidney disease during the first 60 days of home treatment. The legislation also adjusts Medicare payments to cover these services, setting specific limits on the number of sessions allowed per year and ensuring the costs are not offset by reducing payments elsewhere. These changes directly affect Medicare beneficiaries who use home dialysis and the healthcare providers who deliver these specialized services.
This bill, the Provider Reimbursement Stability Act of 2026, aims to create more predictable payment adjustments for physicians and other healthcare providers under the Medicare program. It directly affects medical practices and providers who receive reimbursement for services through the physician fee schedule. The legislation increases a threshold for certain budget neutrality calculations from $20 million to $54.3 million in 2027, with automatic increases every five years thereafter. It also requires the government to correct payment estimates when actual service usage differs significantly from projections, mandates regular updates to cost calculations for practice expenses, and limits how much Medicare payment rates can change from year to year to a maximum of 2.5 percent.
This bill would add pharmacist services to Medicare Part B coverage for beneficiaries, specifically covering pharmacist-led testing and treatment for illnesses like flu, COVID-19, or strep throat during public health emergencies. It defines covered services as those performed under state law, often requiring collaboration with a physician, and sets payment at 80% of the lesser of the actual charge or 85% of physician payment rates. Pharmacists would be prohibited from balance billing for these services, ensuring Medicare beneficiaries pay only their standard copayment. The changes would take effect January 1, 2026.
This bill authorizes the U.S. Mint to produce commemorative $5 gold and $1 silver coins marking the 25th anniversary of the September 11, 2001, terrorist attacks. The coins must feature designs honoring victims and first responders (including the inscription "Never Forget") and will be sold only during 2027-2028. All surcharges ($35 per gold coin, $10 per silver coin) collected from sales will fund the National September 11 Memorial and Museum at the World Trade Center, with no net cost to the federal government. The coins are legal tender but primarily intended for collectors, not circulation.
The Smithsonian American Women’s History Museum Act authorizes the creation of a new Smithsonian museum dedicated to women’s history, to be located within the National Mall Reserve in Washington, D.C. If the site is managed by another federal agency, the bill requires that agency to transfer the land after notifying Congress and relevant committees. The museum must ensure exhibits and programs accurately represent diverse women’s experiences by consulting a broad range of experts and community voices. The Smithsonian will submit biennial reports to Congress detailing how the museum meets these representation standards.
This resolution honors the life and legacy of John Seymour, a late U.S. Senator from California, by formally acknowledging his public service and contributions. The document details his career highlights, including his roles as Mayor of Anaheim, his work in securing the relocation of the Los Angeles Rams, and his legislative achievements such as passing a major transportation bill. It also lists his committee assignments and advocacy for issues like special education, women's rights, and environmental protection. Finally, the resolution requests that the Senate Secretary communicate this tribute to the House of Representatives and send a copy to Seymour's family.
This Senate resolution formally recognizes Jewish American Heritage Month and urges leaders to combat antisemitism. It highlights the historical contributions of Jewish Americans to the United States, including their military service and cultural impact. The bill calls on elected officials and civil society leaders to condemn hate acts, educate the public about Jewish heritage, and ensure the safety of Jewish communities. It also commits to protecting religious freedom for all Americans.
The Protecting Circuit Boards and Substrates Act creates a new federal tax credit for businesses that purchase printed circuit boards manufactured in the United States. This credit allows companies to claim 25 percent of the cost they incur for these domestically fabricated electronic components, which are defined as layered structures connecting various electronic parts. The provision is designed to encourage the use of American-made circuit boards by making them more financially attractive for taxpayers. It will take effect for purchases made after December 31, 2025, and the Treasury Department will issue necessary regulations to implement the rule.
This bill officially redesignates a specific playground in the New River Gorge National Park and Preserve in West Virginia to honor children and families affected by childhood cancer. The legislation changes the name of the facility to the "Hearts of Gold Playground: In Honor of West Virginia Children and Families Impacted by Childhood Cancer" and updates all federal records and maps to reflect this new title. This action directly impacts park visitors and administrative documents by establishing a permanent memorial name for the site. The measure serves as a commemorative resolution rather than altering operational rules or funding.
The Rural MOMS Act of 2026 modifies how Medicare counts hospital beds, specifically excluding labor and delivery rooms from the total number of acute care inpatient beds used to determine if a facility qualifies as a Critical Access Hospital. This change directly affects rural hospitals that provide maternity services by altering the financial thresholds required to maintain their special status under the Medicare program. By removing delivery rooms from the bed count calculation, the bill aims to prevent these facilities from losing their designation solely because they offer childbirth care. The legislation does not change how these hospitals are funded or operated, but rather adjusts the metric used to evaluate their eligibility for critical access benefits.
This resolution expresses support for designating May 17, 2026, as "Necrotizing Enterocolitis Awareness Day" to highlight a serious condition affecting premature and medically fragile infants. The bill aims to increase public understanding of necrotizing enterocolitis, a disease that causes severe intestinal damage and carries a high risk of death or long-term complications. By raising awareness, the legislation seeks to promote preventative measures, such as the use of breast milk, and emphasize the need for equitable care for all infants. This measure does not change laws or funding but serves as a symbolic gesture to focus attention on the disease and its impact on families.
