For you
Health coverage, Medicaid and care
What our breakdowns say each bill would mean for you, from groups whose heading contains Medicaid
, health
, ACA
, prescription
, hospital
, crisis line
, drug or alcohol
, overdose
, fentanyl
, medical
or prescribe
. Newest official action first.
10 bills54 points
S. 4460
Latest official action May 21, 2026 · Drafted by AI, awaiting review
If you live near a small rural hospital
A Medicare payment program that helps some rural hospitals would keep going
If you run a rural hospital in the program
Five more years, including for newer members
- Hospitals in the program at any time from December 30, 2024 to January 1, 2027 would stay under the same rules for the next 5 years.
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During the fourth 5 years of the 20-year extension period, the Secretary shall apply the provisions of paragraph (4) to rural community hospitals that are not described in paragraph (4) but are participating in the demonstration program
[2] Engrossed in Senate (May 20, 2026) · Sec. 2(b)(2)(B) → inserted (C)at any time during the period beginning on December 30, 2024, and ending on January 1, 2027
[2] Engrossed in Senate (May 20, 2026) · Sec. 2(b)(2)(B) → inserted (C) - Medicare would keep paying based on reasonable costs, then a yearly target.
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the reasonable costs of providing such services
[5] Section 410A of Pub. L. 108-173 (Rural Community Hospital Demonstration Program), printed in the notes to 42 U.S.C. 1395ww (U.S. Code, 2024 edition, before this bill) · (b)(1)(A)the lesser of
[5] Section 410A of Pub. L. 108-173 (Rural Community Hospital Demonstration Program), printed in the notes to 42 U.S.C. 1395ww (U.S. Code, 2024 edition, before this bill) · (b)(1)(B)
Read the full breakdown of S. 4460
H.R. 3726
Latest official action May 20, 2026 · Drafted by AI, awaiting review
If a veteran in your family lives in a Medicaid nursing home
A pension cap lasts six months longer
- To pay for the bill, a $90 a month cap on VA pension for some nursing home residents would last until July 31, 2033.
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is admitted to a VA or Medicaid sponsored nursing facility is capped at $90 a month
[6] H. Rept. 119-630 · Section 3Section 5503(d)(7) of title 38, United States Code, is amended by striking January 31, 2033 and inserting July 31, 2033.
[3] Engrossed in House (May 19, 2026) · Sec. 3This section would cover the costs of the other sections of this bill by extending this pension limitation by six months to July 31, 2033.
[6] H. Rept. 119-630 · Section 3
Read the full breakdown of H.R. 3726
H.J.Res. 72
Latest official action Feb 12, 2026 · Drafted by AI, awaiting review by two people
If you are worried about fentanyl
The emergency was declared over drugs, and its tool was tariffs
- The order said the flow of drugs like fentanyl had "created a public health crisis."
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The flow of illicit drugs like fentanyl to the United States
[14] Executive Order 14193 of February 1, 2025, Imposing Duties To Address the Flow of Illicit Drugs Across Our Northern Border (90 FR 9113, February 7, 2025) · Findingshas created a public health crisis in the United States
[14] Executive Order 14193 of February 1, 2025, Imposing Duties To Address the Flow of Illicit Drugs Across Our Northern Border (90 FR 9113, February 7, 2025) · Findings - It said Canada had failed to do more to stop drug traffickers and drugs.
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the failure of Canada to do more to arrest, seize, detain, or otherwise intercept DTOs, other drug and human traffickers, criminals at large, and drugs
[14] Executive Order 14193 of February 1, 2025, Imposing Duties To Address the Flow of Illicit Drugs Across Our Northern Border (90 FR 9113, February 7, 2025) · Sec. 1(a) - It said the tariffs would end once the President found that Canada had done enough.
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Upon the President's determination of sufficient action to alleviate the crisis, the tariffs described in section 2 of this order shall be removed.
[14] Executive Order 14193 of February 1, 2025, Imposing Duties To Address the Flow of Illicit Drugs Across Our Northern Border (90 FR 9113, February 7, 2025) · Sec. 3(a) - The order that ended the tariffs did not say Canada had done enough. It gave its reason only as "In light of recent events."
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In light of recent events, the additional ad valorem duties imposed pursuant to IEEPA in Executive Order 14193, as amended
[17] Executive Order 14389 of February 20, 2026, Ending Certain Tariff Actions (91 FR 9437, February 25, 2026) · Sec. 1
Read the full breakdown of H.J.Res. 72
H.R. 7148
Latest official action Feb 3, 2026 · Drafted by AI, awaiting review by two people
If you use a community health center or get family cash aid
Health centers and TANF extended
- The Community Health Center Fund gets $4,600,000,000 for fiscal year 2026.
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$4,600,000,000 for fiscal year 2026; and
[2] Enrolled Bill · Div. J, Sec. 6401(a) → inserted (J)Extension for community health centers
[2] Enrolled Bill · Div. J, Sec. 6401(a) - It gets $1,159,452,055 more for October 1 through December 31, 2026.
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$1,159,452,055 for the period beginning on October 1, 2026, and ending on December 31, 2026; and
[2] Enrolled Bill · Div. J, Sec. 6401(a) → inserted (K) - Temporary Assistance for Needy Families goes on through December 31, 2026, as it worked in fiscal year 2025, with a few listed exceptions.
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Extension of the Temporary Assistance for Needy Families Program
[2] Enrolled Bill · Div. J, Sec. 6304(other than under section 403(c) or 418 of such Act) and section 1108(b) of the Social Security Act shall continue through December 31, 2026, in the manner authorized for fiscal year 2025
[2] Enrolled Bill · Div. J, Sec. 6304
Read the full breakdown of H.R. 7148
H.R. 6703
Latest official action Dec 18, 2025 · Drafted by AI, awaiting review by two people
If you buy insurance on the ACA marketplace
Lower list prices, but no extension of the bigger tax credits
- CBO estimated benchmark premiums would fall 11 percent on average through 2035.
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lower gross benchmark premiums by 11 percent, on average, through 2035.
[3] CBO and JCT: Estimated Budgetary Effects of H.R. 6703, as introduced (December 16, 2025) · CBO estimate, Dec. 16, 2025 - CBO also expected about 100,000 fewer people with insurance, on average.
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decrease the number of people with health insurance by an average of 100,000 over the 2027-2035 period.
[3] CBO and JCT: Estimated Budgetary Effects of H.R. 6703, as introduced (December 16, 2025) · CBO estimate, Dec. 16, 2025 - The bill does not extend the enhanced tax credits. Supporters say the credits go back to their 2021 levels.
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the premium tax credits continue and revert back to their 2021 levels
[6] Congressional Record, House, December 17, 2025 (H5956-H5978), debate · H5968, Rep. Miller-Meeks - Opponents said premiums would jump for more than 20 million people without the extension.
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without this tax credit extension bill by Mr. Jeffries, health insurance premiums are going to skyrocket for more than 20 million Americans across the country
[6] Congressional Record, House, December 17, 2025 (H5956-H5978), debate · H5968, Rep. Pallone
If your employer offers you money for health coverage
A way to shop for your own plan would be in law
- Employers could fund an account you use to buy your own plan, with amounts allowed to rise with age, up to 300 percent of the lowest amount.
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which is an employer-provided group health plan funded solely by employer contributions to provide payments or reimbursements for medical care subject to a maximum fixed dollar amount for a period
[2] Introduced in House (December 15, 2025) · Sec. 103 → inserted (2)(B)(i)increases with respect to a participant as the age of the participant increases, but not in excess of an amount equal to 300 percent of the lowest maximum dollar amount
[2] Introduced in House (December 15, 2025) · Sec. 103 → inserted (2)(C)(v)(II) - You would get written notice of your rights at least 60 days before the plan year.
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not later than 60 days before the beginning of the plan year, given written notice of the employee’s rights and obligations
[2] Introduced in House (December 15, 2025) · Sec. 103 → inserted (2)(E)(i)
If you get prescriptions through job-based coverage
Your plan would see what the middlemen earn
- Pharmacy benefit managers would report to your plan at least every 6 months, including rebates they receive.
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not less frequently than every 6 months (or, at the request of a group health plan, not less frequently than quarterly
[2] Introduced in House (December 15, 2025) · Sec. 201 → inserted 2799A–11(b)(1)the total amount received, or expected to be received, by the entity providing pharmacy benefit management services, from applicable entities, in rebates, fees, alternative discounts, or other remuneration
[2] Introduced in House (December 15, 2025) · Sec. 201 → inserted 2799A–11(b)(2)(A)(i)(XI)
Read the full breakdown of H.R. 6703
H.R. 2483
Latest official action Dec 1, 2025 · Drafted by AI, awaiting review
If you or someone you love has a drug or alcohol problem
Treatment and recovery programs are renewed through 2030
- Residential treatment for pregnant and postpartum women is authorized at $38,931,000 a year, up from $29,931,000.
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by striking $29,931,000 for each of fiscal years 2019 through 2023 and inserting $38,931,000 for each of fiscal years 2026 through 2030
[2] Enrolled Bill · Sec. 201(3) - Grants for community recovery support are authorized at $17 million a year, up from $5 million.
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by striking $5,000,000 for each of fiscal years 2019 through 2023 and inserting $17,000,000 for each of fiscal years 2026 through 2030
[2] Enrolled Bill · Sec. 301 - Opioid recovery centers keep a limit of $10 million a year, now for fiscal years 2026 through 2030.
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in subsection (j), by striking 2019 through 2023 and inserting 2026 through 2030.
[2] Enrolled Bill · Sec. 303(3)There is authorized to be appropriated $10,000,000 for each of fiscal years 2019 through 2023 for purposes of carrying out this section.
[24] 42 U.S.C. 290ee-7 (2024 edition), comprehensive opioid recovery centers · (j) - Grants that help people in recovery find work can now spend up to 5 percent on rides to work, job training, or treatment.
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may use not more than 5 percent of the funds for providing transportation for individuals to participate in an activity supported by a grant under this section
[2] Enrolled Bill · Sec. 305(a)(4)(D) → inserted (g)(2)which transportation shall be to or from a place of work or a place where the individual is receiving vocational education or job training services or receiving services directly linked to treatment of or recovery from a substance use disorder
[2] Enrolled Bill · Sec. 305(a)(4)(D) → inserted (g)(2) - A housing pilot that gives people in recovery temporary housing, for up to 2 years, is extended through fiscal year 2030.
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in subsection (a), by striking through 2023 and inserting through 2030
[2] Enrolled Bill · Sec. 305(b)(1)(B)for a period of not more than 2 years or until the individual secures permanent housing, whichever is earlier
[27] 42 U.S.C. 5301 and notes (2024 edition), community development findings and notes (recovery housing pilot) · Pub. L. 115-271, sec. 8071(a)
If you call or text the 9-8-8 crisis line
HHS must guard the line against cybersecurity incidents
- HHS must take the steps needed to protect the 9-8-8 Lifeline from cybersecurity incidents.
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In maintaining the program, the activities of the Secretary shall include
[30] 42 U.S.C. 290bb-36c (2024 edition), national suicide prevention lifeline program · (b)taking such steps as may be necessary to ensure the suicide prevention hotline is protected from cybersecurity incidents and eliminates known cybersecurity vulnerabilities.
[2] Enrolled Bill · Sec. 108(a)(3) → inserted (b)(6)conduct and complete a study that evaluates cybersecurity risks and vulnerabilities associated with the 9-8-8 National Suicide Prevention Lifeline
[2] Enrolled Bill · Sec. 108(c)(1) - The line's manager and its local crisis centers must report security problems they find within a reasonable time.
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Local and regional crisis centers participating in the program shall report to the program's network administrator
[2] Enrolled Bill · Sec. 108(b)(2) → inserted (f)(1)(B)The program's network administrator receiving Federal funding pursuant to subsection (a) shall report to the Assistant Secretary, in a manner that protects personal privacy
[2] Enrolled Bill · Sec. 108(b)(2) → inserted (f)(1)(A)any identified cybersecurity incidents to the program within a reasonable amount of time after identification of such incident
[2] Enrolled Bill · Sec. 108(b)(2) → inserted (f)(1)(A)(ii) - These reports must protect personal privacy.
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The program's network administrator receiving Federal funding pursuant to subsection (a) shall report to the Assistant Secretary, in a manner that protects personal privacy
[2] Enrolled Bill · Sec. 108(b)(2) → inserted (f)(1)(A)
If you prescribe or dispense drugs
Training and delivery rules change
- More groups, such as the American Academy of Family Physicians, can now give the training you need for DEA registration.
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by inserting the American Academy of Family Physicians, the American Podiatric Medical Association, the Academy of General Dentistry, the American Optometric Association, before or any other organization
[2] Enrolled Bill · Sec. 402(a)(2)(A)(i)(I)(aa)This section expands the types of organizations that may provide training or education required for practitioners registering with the DEA
[1] Official bill status record (actions, votes, cosponsors) · CRS summary (Public Law) - This training change counts back to December 29, 2022.
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The amendment made by subsection (a) shall take effect as if enacted on December 29, 2022.
[2] Enrolled Bill · Sec. 402(b) - Pharmacies may now deliver more kinds of schedule III, IV, or V drugs to the prescriber.
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the controlled substance is a drug in schedule III, IV, or V to be administered
[2] Enrolled Bill · Sec. 401 → inserted (2)subject to a risk evaluation and mitigation strategy
[2] Enrolled Bill · Sec. 401 → inserted (2)(B) - This covers drugs whose FDA safety plan requires a provider to monitor the patient afterward.
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subject to a risk evaluation and mitigation strategy
[2] Enrolled Bill · Sec. 401 → inserted (2)(B)including a requirement for post-administration monitoring by a health care provider
[2] Enrolled Bill · Sec. 401 → inserted (2)(B)
Read the full breakdown of H.R. 2483
S. 201
Latest official action Aug 14, 2025 · Drafted by AI, awaiting review
If you are a veteran or care about veterans' health
Congress's veterans committees will get the results
- When the study ends, the National Academies must send a report to VA and to the House and Senate veterans committees.
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At the conclusion of the study required under subsection (a), the National Academies shall submit to the Secretary, the Committee on Veterans’ Affairs of the Senate, and the Committee on Veterans' Affairs of the House of Representatives a report containing the results of the study
[2] Enrolled Bill · Sec. 2(c) - The law sets no date for the study to end.
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At the conclusion of the study required under subsection (a), the National Academies shall submit to the Secretary, the Committee on Veterans’ Affairs of the Senate, and the Committee on Veterans' Affairs of the House of Representatives a report containing the results of the study
[2] Enrolled Bill · Sec. 2(c)
Read the full breakdown of S. 201
S. 331
Latest official action Jul 16, 2025 · Drafted by AI, awaiting review by two people
If you are worried about overdoses in your community
Lab-made fentanyl copies stay illegal for good
- Before, these drugs were on Schedule I only through temporary orders that Congress kept extending.
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Right now, fentanyl analogues are considered schedule I substances, but only because of a series of temporary scheduling orders
[9] Congressional Record, House debate, June 11, 2025 (H2625) · H2625, Rep. GriffithWe have had many, many extensions over the last several years
[10] Congressional Record, Senate, March 14, 2025 (S1755) · S1755, Sen. Grassley - Now the law itself lists them, so there is no expiration date.
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any material, compound, mixture, or preparation which contains any quantity of a fentanyl-related substance
[5] S. 331 as passed by both chambers (enrolled) · Sec. 2 → inserted (e)(1)
If you are a medical researcher
Getting approval to study these drugs is faster
- If you already have approval to study Schedule I or II drugs, you can start 30 days after you tell the Attorney General.
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the practitioner may conduct research under this subsection on and after the date that is 30 days after the date on which the practitioner sends a notice to the Attorney General
[5] S. 331 as passed by both chambers (enrolled) · Sec. 3(a)(2) → inserted (n)(3)(A)(i) - If you do not, the government must approve you or say why not within 45 days.
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not later than 45 days of receiving such a notice
[5] S. 331 as passed by both chambers (enrolled) · Sec. 3(a)(2) → inserted (n)(3)(B)(ii)(II) - This fast track covers research paid for by certain federal agencies and studies of new drugs being tested under FDA rules.
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is with respect to a drug that is the subject of an investigational use exemption
[5] S. 331 as passed by both chambers (enrolled) · Sec. 3(a)(2) → inserted (n)(2)(A)funded partly or entirely by a grant
[5] S. 331 as passed by both chambers (enrolled) · Sec. 3(a)(2) → inserted (n)(2)(B)(ii)
Read the full breakdown of S. 331
H.R. 1
Latest official action Jul 4, 2025 · Drafted by AI, awaiting review by two people
If you get Medicaid
Work rules, more frequent checks, and some new costs
- Unless exempt, adults who are at least 19 and under 65 and are in the Medicaid expansion will have to meet a work rule to get or keep coverage.
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who is eligible to enroll (or is enrolled) under the State plan under subsection (a)(10)(A)(i)(VIII); or
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(9)(A)(i)(I)has attained the age of 19 and is under 65 years of age, is not pregnant
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(9)(A)(i)(II)(bb)beginning not later than the first day of the first quarter that begins after December 31, 2026, or, at the option of the State under a waiver or demonstration project under section 1115 or the State plan, such earlier date as the State may specify
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(1) - That means 80 hours a month of work, community service, a work program, or a mix of these, or school at least half-time.
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The individual works not less than 80 hours.
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(2)(A)The individual completes not less than 80 hours of community service.
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(2)(B)The individual participates in a work program for not less than 80 hours.
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(2)(C)The individual is enrolled in an educational program at least half-time.
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(2)(D) - Earning at least the federal minimum wage times 80 hours a month also counts.
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The individual has a monthly income that is not less than the applicable minimum wage requirement under section 6 of the Fair Labor Standards Act of 1938, multiplied by 80 hours.
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(2)(F) - States must start no later than the first quarter after December 31, 2026, and may start sooner.
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beginning not later than the first day of the first quarter that begins after December 31, 2026, or, at the option of the State under a waiver or demonstration project under section 1115 or the State plan, such earlier date as the State may specify
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(1) - The federal health department may give a state more time if it shows good faith, but no later than December 31, 2028.
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the Secretary determines that based on such request, the State is demonstrating a good faith effort to comply with the requirements of this subsection.
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(11)(A)(ii)An exemption granted under subparagraph (A) shall expire not later than December 31, 2028, and may not be renewed beyond such date.
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(11)(C)(i) - Parents and caregivers of a child 13 or under or of a disabled person are exempt.
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who is the parent, guardian, caretaker relative, or family caregiver (as defined in section 2 of the RAISE Family Caregivers Act) of a dependent child 13 years of age and under or a disabled individual;
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(9)(A)(ii)(III) - So are pregnant women, new mothers getting postpartum care, people who are medically frail, and veterans with a total disability rating.
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who is pregnant or entitled to postpartum medical assistance under paragraph (5) or (16) of subsection (e).
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(9)(A)(ii)(IX)who is medically frail or otherwise has special medical needs (as defined by the Secretary), including an individual—
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(9)(A)(ii)(V)who is a veteran with a disability rated as total under section 1155 of title 38, United States Code;
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(9)(A)(ii)(IV) - Other exempt groups include American Indians and people in a drug or alcohol treatment program.
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is an Indian or an Urban Indian (as such terms are defined in paragraphs (13) and (28) of section 4 of the Indian Health Care Improvement Act);
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(9)(A)(ii)(II)(aa)who is participating in a drug addiction or alcoholic treatment and rehabilitation program
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(9)(A)(ii)(VII) - If the state cannot confirm you met the rule, it must give you notice and 30 days to show you did. If you are already enrolled, it must keep covering you during those 30 days.
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provide such individual with the notice of noncompliance described in subparagraph (B);
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(6)(A)(i)provide such individual with a period of 30 calendar days, beginning on the date on which such notice of noncompliance is received by the individual, to—
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(6)(A)(ii)(I)if such individual is enrolled under the State plan (or a waiver of such plan) under this title, continue to provide such individual with medical assistance during such 30-calendar-day period; and
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(6)(A)(ii)(II) - Starting with checks scheduled in the first quarter after December 31, 2026, states must recheck expansion adults' eligibility every 6 months. American Indians are exempt from this.
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a State shall make such a redetermination once every 6 months for the following individuals:
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71107(a) → inserted (L)(i)with respect to redeterminations of eligibility for medical assistance under a State plan (or waiver of such plan) scheduled on or after the first day of the first quarter that begins after December 31, 2026
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71107(a) → inserted (L)(i)The requirements described in clause (i) shall not apply to any individual described in subsection (xx)(9)(A)(ii)(II).
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71107(a) → inserted (L)(ii)is an Indian or an Urban Indian (as such terms are defined in paragraphs (13) and (28) of section 4 of the Indian Health Care Improvement Act);
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71119(a) → inserted (xx)(9)(A)(ii)(II)(aa) - Starting October 1, 2028, states must charge expansion adults earning above the poverty line some cost sharing, up to $35 per service.
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the State plan shall, beginning October 1, 2028, provide for the imposition of such deductions, cost sharing, or similar charges determined appropriate by the State
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71120(a)(2) → inserted (k)(2)(A)(in an amount greater than $0)
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71120(a)(2) → inserted (k)(2)(A)the term specified individual means an individual who has a family income (as determined in accordance with section 1902(e)(14)) that exceeds the poverty line
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71120(a)(2) → inserted (k)(3)in no case may a deduction, cost sharing, or similar charge imposed under the State plan with respect to care or an item or service furnished to a specified individual exceed $35.
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71120(a)(2) → inserted (k)(2)(B)(ii)(I) - Total charges cannot pass 5 percent of family income, and there is no charge for primary care, mental health care, substance use disorder services and some other care.
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The total aggregate amount of deductions, cost sharing, or similar charges imposed under the State plan for all individuals in the family may not exceed 5 percent of the family income of the family involved
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71120(a)(2) → inserted (k)(2)(B)(iii)or any primary care services, mental health care services, substance use disorder services
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71120(a)(2) → inserted (k)(2)(B)(i) - From October 1, 2026, federal Medicaid money covers only citizens, green-card holders and a few other groups of immigrants. Two exceptions remain: emergency care, and coverage a state chooses to give lawfully residing children and pregnant women.
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beginning on October 1, 2026, except as provided in paragraphs (2) and (4), in no event shall payment be made to a State under this section for medical assistance furnished to an individual unless such individual is—
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71109(a)(2) → inserted (5)a citizen or national of the United States;
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71109(a)(2) → inserted (5)(B)(i)such care and services are necessary for the treatment of an emergency medical condition of the alien,
[26] 42 U.S.C. 1396b, U.S. Code 2024 edition (Medicaid payments to states) · (v)(2)(A)to children and pregnant women who are lawfully residing in the United States
[26] 42 U.S.C. 1396b, U.S. Code 2024 edition (Medicaid payments to states) · (v)(4)(A) - The law also tightens a federal limit on taxes states charge health care providers to help pay for Medicaid. For expansion states, the limit falls in steps from 5.5 percent in fiscal year 2028 to 3.5 percent from fiscal year 2032, but taxes on nursing homes and intermediate care facilities are held at current rates instead.
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The term expansion State means a State that, beginning on January 1, 2014, or on any date thereafter, elects to provide medical assistance to all individuals described in section 1902(a)(10)(A)(i)(VIII) under the State plan under this title or under a waiver of such plan.
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71115(a)(2) → inserted (D)(iii)(I)for fiscal year 2028, 5.5 percent;
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71115(a)(2) → inserted (D)(ii)(I)for fiscal year 2032 and each subsequent fiscal year, 3.5 percent.
[6] H.R. 1 as passed by both chambers (enrolled) · Sec. 71115(a)(2) → inserted (D)(ii)(V)these limits do not apply to nursing and intermediate care facilities, which are instead limited to current rates
[1] Official bill status record for H.R. 1 (actions, votes, CRS summaries) · CRS summary (Public Law), Sec. 71115 - States that did not expand Medicaid cannot raise these taxes above current rates and still get federal matching money for them.
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The section precludes states that have not expanded Medicaid from increasing the rate of a provider tax beyond that currently in effect in order to qualify for federal matching funds.
[1] Official bill status record for H.R. 1 (actions, votes, CRS summaries) · CRS summary (Public Law), Sec. 71115
Read the full breakdown of H.R. 1
H.R. 1969
Latest official action May 22, 2025 · Drafted by AI, awaiting review
If a veteran in your family lives in a Medicaid nursing home
A pension cap would last longer
- To help pay for the bill, the $90 a month pension cap for some nursing home residents would last until January 30, 2033.
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no pension in excess of $90 per month shall be paid to or for the veteran for any period after the month of admission to such nursing facility
[9] 38 U.S.C. 5503 (U.S. Code, 2024 edition, before this bill) · (d)(2)Section 5503(d)(7) of title 38, United States Code, is amended by striking November 30, 2031 and inserting January 30, 2033.
[3] Engrossed in House (May 22, 2025) · Sec. 4
Read the full breakdown of H.R. 1969
Breakdowns marked “Drafted by AI” passed our automatic checks and are waiting for human review, as shown on each bill page.