Search Results for keywords:"medicare"

Search Results: keywords:"medicare"

H. R. 8283 — To amend title XI of the Social Security Act to provide for a demonstration project to support automatic claim submissions under Medicare, and for other purposes.
May 07, 2024
Status:Introduced in House
Congress:118
Words:875
H.R. 8283, known as the "Clean CLAIMS Act," proposes an amendment to title XI of the Social Security Act to start a demonstration project aimed at supporting automatic claim submissions under Medicare. This project will involve at least 500 physicians using a technology...
Simple Explanation
H.R. 8283 is like a test where doctors use a special computer program to help them send bills to get paid by Medicare faster and without mistakes. It's like giving doctors a magic helper to do their billing job better!
H. R. 10225 — To amend title XVIII of the Social Security Act to adjust allowable direct and indirect costs for nursing and allied health education programs.
November 21, 2024
Status:Introduced in House
Congress:118
Words:723
H.R. 10225, also known as the "Rebuild America’s Health Care Schools Act of 2024," aims to change how hospitals determine the costs for nursing and allied health education programs under Medicare. The bill allows hospitals to include both direct and indirect costs related to...
Simple Explanation
H.R. 10225 is a bill that wants to change the rules so hospitals can count extra school costs for teaching nurses, and it stops the government from taking back money they've already given to hospitals for these school expenses.
H. R. 7513 — To prohibit the Secretary of Health and Human Services from finalizing a proposed rule regarding minimum staffing for nursing facilities, and to establish an advisory panel on the skilled nursing facility workforce.
December 19, 2024
Status:Reported in House
Congress:118
Words:731
H.R. 7513, titled the “Protecting American Seniors’ Access to Care Act,” aims to block a proposed rule by the Secretary of Health and Human Services related to setting minimum staffing standards for nursing facilities. The bill prevents finalizing, implementing, or enforcing...
Simple Explanation
H.R. 7513 is a plan to stop a rule that would decide how many staff members nursing homes should have, and it wants to create a group of people to talk about the workers needed to take care of older people in these homes.
H. R. 8267 — To amend titles XVIII and XIX of the Social Security Act to provide that priority research drugs shall not be treated as line extensions of existing drugs for purposes of calculating manufacturer rebates under the Medicare and Medicaid programs, and for other purposes.
May 07, 2024
Status:Introduced in House
Congress:118
Words:880
The bill, known as the Old Drugs, New Cures Act, seeks to change how certain drugs are treated under Medicare and Medicaid programs in the United States. It introduces the designation of "priority research drugs" for drugs that have been on the market for at least 10 years...
Simple Explanation
The bill is about making sure certain old medicines, which are being studied for new uses, don't get labeled as "extra versions" of existing medicines, so drug companies might get more money when selling them to Medicare and Medicaid. But figuring out which medicines get this special label might be tricky and could make things more expensive.
S. 4338 — To provide for the establishment of hybrid primary care payments under the Medicare program, and for other purposes.
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May 15, 2024
Status:Introduced in Senate
Congress:118
Words:2,596
S. 4338, titled the "Pay PCPs Act of 2024," aims to change how primary care payments are made under the Medicare program. The bill allows for a new "hybrid" payment system that combines fixed monthly payments with traditional fee-for-service payments for primary care...
Simple Explanation
S. 4338 is a plan to give doctors who see older people different ways to get paid, mixing a steady paycheck with pay for each visit. It also wants to make doctor's visits cheaper for patients and sets up a group to make sure the payment rules are fair.
H. R. 7716 — To amend title XVIII of the Social Security Act to provide for enforcement of standards for reasonable and relevant contract terms and conditions and essential retail pharmacy protections under the Medicare program.
March 19, 2024
Status:Introduced in House
Congress:118
Words:1,475
H.R. 7716 seeks to change the Social Security Act to ensure fair contract terms and protect retail pharmacies within the Medicare program. It introduces a process for pharmacies to report violations by prescription drug plan sponsors regarding contract terms and reimbursement standards. The...
Simple Explanation
H.R. 7716 is a plan to make sure that pharmacies are treated fairly when working with Medicare, which helps people pay for their medicine. It wants to make sure pharmacies can report if they're not being treated right, and it promises to keep their reports secret so nobody can peek at them.
H. R. 9138 — To expand psychological mental and behavioral health services to Medicare, Medicaid, and CHIP beneficiaries by permitting reimbursement of psychological services provided by certain supervised psychology trainees, and facilitating the reimbursement of those services.
July 25, 2024
Status:Introduced in House
Congress:118
Words:898
H.R. 9138, known as the “ADAPT Act,” aims to expand psychological and behavioral health services for Medicare, Medicaid, and CHIP beneficiaries. It allows reimbursement for services provided by supervised psychology trainees, such as doctoral interns and postdoctoral...
Simple Explanation
H.R. 9138, also known as the “ADAPT Act,” is a plan to help more people get mental health care by letting special psychology students, who are learning from experienced psychologists, help treat people on Medicare, Medicaid, and CHIP, and get paid for it.
H. R. 9803 — To amend title XVIII of the Social Security Act to ensure the integrity of hospice care furnished under the Medicare program, and for other purposes.
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September 25, 2024
Status:Introduced in House
Congress:118
Words:11,021
The Hospice Care Accountability, Reform, and Enforcement Act of 2024 aims to improve the integrity of hospice care under the Medicare program. It introduces a temporary freeze on new hospice enrollments, enhances oversight and survey frequency for certain hospice programs,...
Simple Explanation
The Hospice Care Accountability, Reform, and Enforcement Act of 2024 is about making sure people in hospice care, which is care for very sick people who might not get better, get the right help and treatments. It does this by checking how hospice caregivers do their jobs more often, making sure they follow the rules, and setting aside money to pay for these checks and give people more information about their care.
H. R. 9271 — To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program for telehealth services furnished by Indian health programs.
August 02, 2024
Status:Introduced in House
Congress:118
Words:691
H.R. 9271, known as the “Telehealth Access for Tribal Communities Act of 2024,” is a bill introduced in the House of Representatives to amend the Social Security Act. It aims to make permanent certain telehealth flexibilities under the Medicare program, specifically for services provided by...
Simple Explanation
In this bill, they want to let people use their phones or computers to talk to their doctors from anywhere, like home, if they get help from special health organizations for Native American communities. This means people won't always have to go to the doctor's office to get help starting in 2025.
H. R. 7742 — To amend title XVIII of the Social Security Act to establish a 2-year demonstration program for hospitals to provide outpatient observation services to Medicare beneficiaries at home.
March 20, 2024
Status:Introduced in House
Congress:118
Words:1,258
H.R. 7742 aims to amend the Social Security Act to create a 2-year program allowing hospitals to provide outpatient observation services to Medicare beneficiaries at home. The bill outlines that participating hospitals would be granted waivers similar to those used during the...
Simple Explanation
H.R. 7742 is like letting certain hospitals take care of some sick people at home instead of at the hospital for two years to see if it's better and cheaper. They have to follow some special rules, and the government will check if it works well.
H. R. 9399 — To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs.
August 23, 2024
Status:Introduced in House
Congress:118
Words:1,679
The bill, H.R. 9399, proposes a pilot program led by the Secretary of Veterans Affairs to help veterans who are enrolled in both Medicare and the Department of Veterans Affairs (VA) health systems. It aims to improve healthcare access, outcomes, and quality for these veterans while reducing...
Simple Explanation
The bill wants to try a new program to help veterans who get healthcare from both Medicare and the VA so they can have better care and save money. It will give them helpers to manage their healthcare, and this program will run in a few places for three years to see how well it works.
H. R. 9529 — To provide funding for skilled nursing facility and nursing facility survey and certification activities under the Medicare and Medicaid programs.
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September 10, 2024
Status:Introduced in House
Congress:118
Words:305
H. R. 9529 is a bill that aims to allocate funding for inspections and certifications of skilled nursing facilities and nursing homes under the Medicare and Medicaid programs in the United States. It proposes appropriating $492 million for these activities in the fiscal year...
Simple Explanation
H. R. 9529 is a plan to give money for checking and certifying nursing homes to make sure they are safe and good for people living there; it starts with $492 million for 2025, and after that, someone in charge will decide how much is needed each year.
H. R. 9778 — To amend title XVIII of the Social Security Act to include penicillin allergy verification and evaluation as part of the initial preventive physical examination under the Medicare program.
September 24, 2024
Status:Introduced in House
Congress:118
Words:977
H.R. 9778, also known as the "Penicillin Allergy Verification and Evaluation Act" or "PAVE Act," aims to amend the Social Security Act to include penicillin allergy verification and evaluation during initial preventive physical examinations under Medicare. The bill highlights...
Simple Explanation
H.R. 9778 wants doctors to double-check if people really need to avoid penicillin medicine when they see a doctor for the first time on Medicare. This helps because sometimes people think they're allergic when they're not, so they can get the right medicine.
H. R. 7149 — To amend title XI of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test a model to improve access to specialty health services for certain Medicare and Medicaid beneficiaries.
January 30, 2024
Status:Introduced in House
Congress:118
Words:763
H. R. 7149, also known as the “Equal Access to Specialty Care Everywhere Act of 2024” or the “EASE Act of 2024,” aims to improve access to specialty health services for certain Medicare and Medicaid beneficiaries. The bill mandates the Center for Medicare and Medicaid...
Simple Explanation
The EASE Act of 2024 is like making sure everyone can see a special doctor using video calls, especially for people living in faraway places. It wants to make it easier for friendly doctor teams to help these people get special care.
H. R. 8576 — To amend title XVIII of the Social Security Act to establish a new criterion for the nonapplication of site-neutral payments to long-term care hospitals under the Medicare program.
May 28, 2024
Status:Introduced in House
Congress:118
Words:272
H. R. 8576 proposes an amendment to title XVIII of the Social Security Act to adjust how long-term care hospitals are paid under the Medicare program. The bill introduces a new "high acuity criterion" so that certain hospital discharges are exempt from site-neutral payment...
Simple Explanation
H. R. 8576 wants to make sure hospitals get more money if they take care of really sick patients. It says that hospitals should get extra money for certain very sick patients starting in 2025, so they can keep giving them the best care.
H. R. 6801 — To amend title XVIII of the Social Security Act to ensure that remote physiologic monitoring services are not subject to cost sharing under the Medicare program.
December 14, 2023
Status:Introduced in House
Congress:118
Words:616
H.R. 6801 aims to change how Medicare handles costs for remote physiologic monitoring services. Under this bill, Medicare would cover 100% of these service costs, removing cost-sharing responsibilities from patients for these specific services. The bill also tasks the...
Simple Explanation
H.R. 6801 is like a magic rule that makes sure older folks don't have to pay extra money for special health checks done from far away through computers or gadgets, and clever adults are checking to see if this magic rule really helps by watching out until 2026.
H. R. 8284 — To amend title XI of the Social Security Act to exclude providers of certain abortion services from participation in the Medicare program.
May 07, 2024
Status:Introduced in House
Congress:118
Words:845
H.R. 8284, titled the "Women’s Protection in Telehealth Act," seeks to amend the Social Security Act to exclude certain abortion providers from the Medicare program. Specifically, it would prevent individuals or entities that prescribe or furnish abortion-inducing drugs from...
Simple Explanation
This bill says that doctors who help people get certain kinds of medicine for abortions can't work with a special kind of healthcare called Medicare unless they follow some rules, like checking the patient in person and seeing them again in two weeks.
H. R. 8563 — To amend title XVIII of the Social Security Act to establish a floor on the work geographic index for physicians’ services furnished in Hawaii.
May 23, 2024
Status:Introduced in House
Congress:118
Words:288
H. R. 8563, known as the "Preserving Access To Care in Hawaii Act" or the "PATCH Act," proposes amending the Social Security Act to help physicians in Hawaii. It establishes a minimum value, or "floor," for the work geographic index used to calculate payment for physicians'...
Simple Explanation
H. R. 8563 wants to make sure doctors in Hawaii get paid fairly by setting a rule that their payment can't fall below a certain level starting in 2025. This means Hawaii doctors will always get a minimum amount for their work, even if the usual way to calculate their pay would have given them less.
H. R. 8659 — To allow women greater access to safe and effective oral contraceptive drugs intended for routine use, and to direct the Comptroller General of the United States to conduct a study on Federal funding of contraceptive methods.
June 07, 2024
Status:Introduced in House
Congress:118
Words:876
H. R. 8659 aims to improve women's access to safe and effective oral contraceptive drugs available over the counter. It requires the Secretary of Health and Human Services to prioritize and waive fees for certain supplemental applications for contraceptive drugs, ensuring...
Simple Explanation
H. R. 8659 is a bill that wants to make it easier for women to get birth control pills without needing a doctor's note, and it also asks a government office to look at how much money the government has been spending on different types of birth control for the last 15 years.
H. R. 8977 — To amend title XI of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test an emergency medical services treatment-in-place model under the Medicare program.
July 10, 2024
Status:Introduced in House
Congress:118
Words:819
H.R. 8977 aims to enhance access to emergency medical services. It proposes changes to the Social Security Act, specifically requiring Medicare to test a model where payments are made for treatments provided by ambulance services even if the patient isn't transported to a...
Simple Explanation
In this bill, they want to try a plan where ambulance teams can get paid by Medicare for helping people at the scene, even if they don't take them to the hospital. They'll test this idea for five years to see if it helps people get the care they need.
H. R. 6693 — To amend title XVIII of the Social Security Act to authorize the coverage of additional lung cancer screening tests under the Medicare program.
December 11, 2023
Status:Introduced in House
Congress:118
Words:676
H.R. 6693, titled the “Lung Cancer Screening and Prevention Act of 2023,” aims to modify the Social Security Act to allow Medicare to cover more types of lung cancer screening tests. The bill enables the Secretary of Health to authorize coverage for additional screening tests that are...
Simple Explanation
The bill wants to let more types of lung cancer check-ups be covered by Medicare, which is like a health insurance for older people. It gives the Secretary of Health the job to decide which new tests to cover, but some people are worried that this gives the Secretary a lot of power without clear rules.
S. 5445 — To amend title XVIII of the Social Security Act to provide coverage of contraceptive items and services at no cost-sharing under the Medicare program, and for other purposes.
December 05, 2024
Status:Introduced in Senate
Congress:118
Words:2,662
S. 5445 aims to change the Social Security Act to ensure that Medicare covers contraceptive items and services without any cost-sharing starting January 1, 2026. This includes coverage under parts B, C, and D for both prescription and over-the-counter options relevant for...
Simple Explanation
S. 5445 is a plan to help people with Medicare get birth control for free by making sure it's covered without extra costs. It also wants people to study how well this works and if everyone can get the birth control they need.
H. R. 9232 — To amend title XVIII of the Social Security Act to establish coverage for certain residential substance use disorder services under the Medicare program.
July 30, 2024
Status:Introduced in House
Congress:118
Words:4,529
The bill H.R. 9232, titled the "Residential Recovery for Seniors Act," seeks to amend the Social Security Act to include coverage for certain residential substance use disorder services under the Medicare program. It proposes to add coverage for low-intensity, high-intensity,...
Simple Explanation
The bill wants to help older people who have trouble with drugs by making sure their medicine and care at special places are paid for by a government program called Medicare. It sets up new rules for what kind of care these places need to provide and how they will get paid.
H. R. 9874 — To prohibit the performance of gender-related medical treatment on minors, to amend title XVIII of the Social Security Act to prohibit payment and participation under the Medicare program with respect to such treatment, and for other purposes.
September 27, 2024
Status:Introduced in House
Congress:118
Words:2,244
H. R. 9874 aims to prevent gender-related medical treatments for minors in the United States by making it illegal to perform such procedures and excluding these treatments from Medicare coverage. It defines gender-related medical treatments to include surgeries and hormone...
Simple Explanation
The bill wants to stop doctors from giving kids special medicines and surgeries to change their gender, and it says the government won't pay for these treatments. It makes rules for when these treatments might be okay and could change which doctors can get government money if they do these kinds of treatments for kids.
H. R. 10136 — To amend title XVIII of the Social Security Act to align payment under Medicare for specified surgical procedures with high-cost supplies furnished in office-based facilities, and for other purposes.
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November 15, 2024
Status:Introduced in House
Congress:118
Words:2,930
The bill H.R. 10136 aims to modify how Medicare payments are made for certain surgical procedures that require expensive supplies when these procedures are done in office-based facilities. It establishes new rules for determining payment amounts and ensures that patients'...
Simple Explanation
The bill wants to make sure that doctors' offices get paid fairly by Medicare when they do certain special surgeries using really pricey equipment, so that patients don't end up paying too much money. It also sets rules for what counts as an expensive surgery and what office clinics need to do to be a part of this payment plan.
H. R. 8244 — To amend titles XVIII and XIX of the Social Security Act ensure appropriate approval for certain skilled nursing facility and nursing facility nursing aide training and competency evaluation programs under the Medicare and Medicaid program.
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May 06, 2024
Status:Introduced in House
Congress:118
Words:726
The Ensuring Seniors’ Access to Quality Care Act, introduced as H.R. 8244, proposes changes to the Social Security Act related to the training and evaluation of nursing aides working in skilled nursing facilities under Medicare and Medicaid. The bill aims to ensure proper...
Simple Explanation
The Ensuring Seniors’ Access to Quality Care Act is a new rule that wants to make sure people working in nursing homes are properly trained to take care of older people. The rule also says that if nursing homes aren't doing a good job, they might have to pay a big fine of about $12,924 to encourage them to provide better care.
H. R. 8064 — To amend title XVIII of the Social Security Act to provide for coverage under the Medicare program of hearing aids and related hearing services.
April 18, 2024
Status:Introduced in House
Congress:118
Words:1,249
H.R. 8064, known as the "Help Extend Auditory Relief Act of 2024" or "HEAR Act of 2024," aims to amend the Social Security Act to allow Medicare to cover hearing aids and related hearing services. The bill proposes including aural rehabilitation services and hearing aids as part of Medicare's...
Simple Explanation
Medicare wants to help older people hear better by making sure they can get hearing aids and the tests they need for their ears. They are planning to add these services so people don't have to pay extra money to hear well again, but they're still figuring out when this will start.
S. 5349 — To amend title XVIII of the Social Security Act to ensure prompt coverage of breakthrough devices under the Medicare program, and for other purposes.
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November 20, 2024
Status:Introduced in Senate
Congress:118
Words:1,111
The bill S. 5349 aims to amend the Social Security Act to ensure that new breakthrough medical devices are quickly covered under the Medicare program. It introduces a "transitional coverage period" of four years for devices designated as breakthroughs, during which they must...
Simple Explanation
The bill wants to make sure fancy new medical devices get covered quicker by a program called Medicare, giving them four years of help unless they are unsafe. It plans to spend money every year to make this happen and requires reports on how many devices get this special treatment.
H. R. 10282 — To amend the Public Health Service Act with respect to the Living Organ Donation Reimbursement Program.
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December 04, 2024
Status:Introduced in House
Congress:118
Words:2,057
H.R. 10282, titled the “Expanding Support for Living Donors Act of 2024,” seeks to amend the Public Health Service Act to make it easier for people who donate organs to receive financial reimbursement. The bill removes considerations of the organ recipient's income when deciding...
Simple Explanation
The Expanding Support for Living Donors Act of 2024 wants to make it easier for people who give an organ to someone else by giving them money back for doing so, without worrying about how much the organ receiver earns. It also promises to keep checking on how this money is used and see if other health programs can help pay for these costs.
H. R. 7858 — An Act To amend title XVIII of the Social Security Act to establish a Medicare incident to modifier for mental health services furnished through telehealth and other telehealth services.
September 18, 2024
Status:Referred in Senate
Congress:118
Words:241
H. R. 7858 aims to update the Social Security Act by introducing a specific modifier code for Medicare claims related to mental health services provided through telehealth. This modifier will be used when telehealth services are billed as part of a physician’s or...
Simple Explanation
H.R. 7858 wants to make it easier for doctors to get paid by Medicare when helping people with their mental health over a video call, by using a special code. This change is planned to happen by 2026 so that more people can get help without leaving their homes.
H. R. 6892 — To provide for the coverage of medically necessary food and vitamins and individual amino acids for digestive and inherited metabolic disorders under Federal health programs and private health insurance, to ensure State and Federal protection for existing coverage, and for other purposes.
December 22, 2023
Status:Introduced in House
Congress:118
Words:3,727
H.R. 6892, also known as the “Medical Nutrition Equity Act of 2023,” aims to ensure coverage for medically necessary foods, vitamins, and amino acids essential for treating digestive and inherited metabolic disorders. The bill mandates that federal health programs, private...
Simple Explanation
H.R. 6892 wants to make sure people who need special foods or vitamins for their tummy troubles and special health needs can get them covered by health insurance. This means if someone needs these special foods to stay healthy, their insurance will help pay for them.
S. 4054 — To require entities to meet minimum cybersecurity standards to be eligible for Medicare accelerated and advance payment programs if the reason for the need for such payments is due to a cybersecurity incident.
March 22, 2024
Status:Introduced in Senate
Congress:118
Words:530
S. 4054, titled the “Health Care Cybersecurity Improvement Act of 2024,” aims to enhance cybersecurity in healthcare facilities participating in Medicare payment programs. The bill mandates that hospitals and service providers must meet specific cybersecurity standards to...
Simple Explanation
The Health Care Cybersecurity Improvement Act of 2024 wants hospitals to have good computer safety rules to get extra money help from Medicare if a cyber problem happens. This way, they ensure hospitals' computers are safe, so patients continue to receive care even if there's a computer issue.
S. 3481 — To amend title XVIII of the Social Security Act to expand and expedite access to cardiac rehabilitation programs and pulmonary rehabilitation programs under the Medicare program, and for other purposes.
December 13, 2023
Status:Introduced in Senate
Congress:118
Words:597
S. 3481 aims to expand and speed up access to cardiac and pulmonary rehabilitation programs for people on Medicare. The bill changes the Social Security Act to allow nurse practitioners, physician assistants, and clinical nurse specialists, as well as physicians, to prescribe...
Simple Explanation
S. 3481 is a plan to help people with heart and lung problems get better care through certain programs, and it allows more types of healthcare workers, like nurse practitioners, to help set up exercise plans for them.
H. R. 7215 — To express the sense of Congress that aliens who are present in the United States without lawful status under the immigration laws should not receive any benefit under the Medicare program or under the Medicaid program.
February 01, 2024
Status:Introduced in House
Congress:118
Words:273
H.R. 7215 expresses Congress's view that individuals without lawful immigration status in the United States should not be eligible for benefits under the Medicare or Medicaid programs. This perspective aligns with existing laws, specifically Title IV of the Personal...
Simple Explanation
Congress wants to say that people who are in the country without the right papers shouldn't get help from programs like Medicare or Medicaid, which give health care to people. But this is just an opinion and doesn't change the law.
H. R. 6780 — To amend title XVIII of the Social Security Act to establish a Medically Tailored Home-Delivered Meals Demonstration Program to test a payment and service delivery model under part A of Medicare to improve clinical health outcomes and reduce the rate of readmissions of certain individuals.
December 14, 2023
Status:Introduced in House
Congress:118
Words:2,113
The bill, H.R. 6780, introduced in the House of Representatives, proposes establishing a demonstration program to provide medically tailored meals to certain Medicare patients discharged from hospitals. Over four years, selected hospitals will test this initiative aimed at improving patients'...
Simple Explanation
The bill wants to try an idea where some hospital patients who are sick get special meals delivered to their homes to see if it helps them get better and stay out of the hospital. These meals are made just for them to help with their specific health needs, and everything is paid for, so it's like a big test to see if this helps people stay healthy.
H. R. 8816 — To amend title XVIII of the Social Security Act to provide for a cognitive impairment detection benefit under the Medicare program, and for other purposes.
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June 25, 2024
Status:Introduced in House
Congress:118
Words:2,162
H.R. 8816 proposes amendments to the Social Security Act to include a cognitive impairment detection benefit in Medicare's annual wellness visits and initial preventive physical examinations, starting January 1, 2025. The bill seeks to improve Medicare coverage processes and includes...
Simple Explanation
H.R. 8816 is about making sure that when older people visit the doctor under Medicare, they also get checked for memory problems. It also talks about allowing special medicines and smart machines to help doctors, but it needs to be clearer about how these things will work and how much they will cost.
H. R. 8220 — To clarify coverage of occupational therapy under the Medicare program.
May 01, 2024
Status:Introduced in House
Congress:118
Words:247
H.R. 8220 aims to ensure that occupational therapy is covered under the Medicare program, particularly when it comes to treating substance use and mental health disorders. The bill requires the Secretary of Health and Human Services to provide education and outreach to...
Simple Explanation
H.R. 8220 wants to make sure that people who need help with their daily tasks because of mental health or substance problems can get this help paid for by Medicare, and it also wants to make sure everyone knows how this works.
H. R. 7148 — To amend title XVIII of the Social Security Act to provide for eligibility for coverage of home health services under the Medicare Program on the basis of a need for occupational therapy.
January 30, 2024
Status:Introduced in House
Congress:118
Words:318
H.R. 7148 is a bill introduced in the U.S. House of Representatives that aims to change the Social Security Act, specifically title XVIII. The bill proposes that home health services under Medicare will also be available to those who need occupational therapy, not just for...
Simple Explanation
H.R. 7148 wants to change the rules so that people who need help from someone like an occupational therapist can also get care at home through Medicare, starting in 2025, making it easier for them to receive the help they need without having to leave their homes.
S. 4437 — To require the Secretary of Veterans Affairs to carry out a pilot program to coordinate, navigate, and manage care and benefits for veterans enrolled in both the Medicare program and the system of annual patient enrollment of the Department of Veterans Affairs.
June 03, 2024
Status:Introduced in Senate
Congress:118
Words:1,681
The bill S. 4437, titled the “Coordinating Care for Senior Veterans and Wounded Warriors Act,” proposes that the Secretary of Veterans Affairs establish a pilot program to help veterans who are enrolled in both Medicare and the Department of Veterans Affairs healthcare. The...
Simple Explanation
The bill wants to try out a new way to help veterans who see both regular doctors and Veterans Affairs doctors, by having special helpers make sure their care is well-coordinated and everything goes smoothly for them. They will see how this works in a few places over three years to see if it helps veterans feel better and costs less.
H. R. 10240 — To amend title XVIII of the Social Security Act to provide coverage of portable ultrasound transportation and set up services under the Medicare program.
November 21, 2024
Status:Introduced in House
Congress:118
Words:458
H. R. 10240, known as the “Portable Ultrasound Reimbursement Equity Act of 2024,” aims to amend the Social Security Act to include portable ultrasound services under Medicare, similar to how portable X-ray services are covered. The bill mandates that the Secretary ensure...
Simple Explanation
H. R. 10240 is a new idea to let Medicare, which helps pay for doctors, also pay for special trips and setup for machines that make pictures of the inside of our bodies, just like they do for machines that look at our bones. They want to start this new way of paying on January 1, 2026.
H. R. 8246 — To amend title XVIII of the Social Security Act to modify the criteria for designation of rural emergency hospitals.
December 27, 2024
Status:Reported in House
Congress:118
Words:896
H.R. 8246, titled the "Second Chances for Rural Hospitals Act," amends title XVIII of the Social Security Act, which is part of the Medicare program. The bill aims to broaden the criteria for what qualifies as a rural emergency hospital by including facilities that were...
Simple Explanation
H.R. 8246, the "Second Chances for Rural Hospitals Act," is about giving old rural hospitals a new chance to offer emergency care and changing how much money they get, but it won't all start until 2027.
H. R. 485 — An Act To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs.
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February 08, 2024
Status:Referred in Senate
Congress:118
Words:1,195
H.R. 485, known as the "Protecting Health Care for All Patients Act of 2023," aims to amend the Social Security Act to prevent the use of quality-adjusted life years (QALYs) and similar metrics in determining healthcare coverage and payment under federal programs. This bill prohibits federal...
Simple Explanation
The bill wants to make sure the government doesn't use a certain way of deciding who gets what healthcare, which might not be fair to older or sick people, and it plans to spend a lot of money on health without saying how exactly it will use that money.
H. R. 8244 — To amend titles XVIII and XIX of the Social Security Act ensure appropriate approval for certain skilled nursing facility and nursing facility nursing aide training and competency evaluation programs under the Medicare and Medicaid program.
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December 27, 2024
Status:Reported in House
Congress:118
Words:983
H.R. 8244, titled the “Ensuring Seniors’ Access to Quality Care Act,” proposes amendments to the Social Security Act to secure proper approval processes for skilled nursing and nursing facility aide training programs under Medicare and Medicaid. The bill, sponsored by Mr....
Simple Explanation
H.R. 8244 wants to make sure that people who work in caring for older adults at special care homes are well trained and good at their jobs by setting rules and money penalties to keep these places doing a good job.
S. 3498 — To amend title XVIII of the Social Security Act to provide for coverage of peer support services under the Medicare program.
December 13, 2023
Status:Introduced in Senate
Congress:118
Words:911
S. 3498 aims to amend the Social Security Act to include coverage for peer support services under the Medicare program. This bill defines peer support services as a range of support designed to help individuals with mental or substance use disorders recover and integrate into...
Simple Explanation
S. 3498 is a plan to help people with mental health or addiction problems by letting them talk to someone who has had similar experiences and can support them. Starting in 2025, Medicare will help pay for these new friends, called "peer support specialists," so they can help others feel better and be part of the community.
S. 3934 — To require the Secretary of Health and Human Services to establish a demonstration project to increase access to biosimilar biological products under the Medicare program.
March 14, 2024
Status:Introduced in Senate
Congress:118
Words:1,271
S. 3934 proposes the creation of a three-year nationwide project led by the Secretary of Health and Human Services to boost access to biosimilar biological products under Medicare. This demonstration project would evaluate the benefits of a shared savings payment plan for...
Simple Explanation
S. 3934 is a plan to try using special versions of medicines called biosimilars in Medicare, where doctors can earn extra money if they choose these medicines, but it won't cost patients more. The project will happen over three years, and it will help decide if using these medicines can keep costs the same while making sure people get good care.
H. R. 8749 — To amend title XVIII of the Social Security Act to promote preparedness and Medicare beneficiary access to safer, more accurate sterile intravenous drug preparations through automated hospital infrastructure.
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June 14, 2024
Status:Introduced in House
Congress:118
Words:678
H.R. 8749 is a proposed law that seeks to update the Social Security Act to help hospitals better prepare for and provide safer, more accurate intravenous drug treatments to Medicare beneficiaries. The bill proposes financial incentives for hospitals that use advanced...
Simple Explanation
H.R. 8749 wants hospitals to use special machines to make medicine safer for people on Medicare. If they do, they'll get some extra money, but there's a rule that they can only get up to $40 million every year.
H. R. 8261 — To amend title XVIII of the Social Security Act to extend certain flexibilities and payment adjustments under the Medicare program, and for other purposes.
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December 19, 2024
Status:Reported in House
Congress:118
Words:9,487
H.R. 8261 aims to extend certain flexibilities and payment adjustments under the Medicare program. It proposes changing requirements for telehealth services, especially expanding eligibility and extending the period these services can be used. The bill also addresses payments to low-volume...
Simple Explanation
Imagine if going to the doctor was like a fun video call on the computer, and this bill wants to keep it that way for a longer time. It also wants to make sure hospitals and ambulances get the money they need while making rules fairer for people who help buy medicine.
H. R. 7442 — To direct the Comptroller General of the United States to conduct a study to assess the feasibility and financial effects of expanding coverage under the Medicare program to items and services furnished in the Philippines.
February 23, 2024
Status:Introduced in House
Congress:118
Words:420
H. R. 7442, also known as the “Philippine Medicare Portability Study Act,” directs the Comptroller General of the United States to conduct a study on expanding Medicare coverage to include healthcare services provided in the Philippines. The study will evaluate the...
Simple Explanation
H. R. 7442 is a plan to see if people with Medicare in the U.S. could get medical care in the Philippines, checking if it can save money and work well. They want to know what needs to change to make this happen and will tell Congress what they find out in six months.
S. 5492 — To amend title XVIII of the Social Security Act to provide for payment for services of radiologist assistants under the Medicare program, and for other purposes.
December 11, 2024
Status:Introduced in Senate
Congress:118
Words:1,173
The bill S. 5492, titled the "Medicare Access to Radiology Care Act of 2024," aims to update the Social Security Act to allow Medicare to pay for services provided by radiologist assistants under the supervision of radiologists. It defines radiologist assistant services as...
Simple Explanation
The bill wants to let certain helpers called radiologist assistants do some doctor-like work, and it makes sure that their bosses, who are real radiologists, get paid for it starting in 2025.
H. R. 7301 — To amend the Protecting Access to Medicare Act of 2014 to clarify the meaning of psychiatric rehabilitation services under demonstration programs to improve community mental health services, and for other purposes.
February 07, 2024
Status:Introduced in House
Congress:118
Words:1,244
H.R. 7301 aims to amend the Protecting Access to Medicare Act of 2014 to better define psychiatric rehabilitation services within demonstration programs for improving community mental health services. The bill introduces changes like incorporating clubhouses and housing...
Simple Explanation
H.R. 7301 is like giving a tuning-up to a rule that helps people who feel sad or worried get better. It's trying to make sure places where people go for help are friendly and comfy, like a safe clubhouse, and it wants things to be planned well and shared with everyone who watches over the helpers.
H. CON. RES. 117 — Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.
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June 27, 2024
Status:Reported in House
Congress:118
Words:15,376
H. CON. RES. 117 outlines the United States congressional budget for the fiscal year 2025 and establishes appropriate budget levels for the years 2026 through 2034. The bill addresses budget enforcement rules and policy statements related to various issues such as economic...
Simple Explanation
H. CON. RES. 117 is like a big plan for how the United States will spend and save its money from 2025 to 2034, making sure the country can pay for important things like defense and health, but it might be tricky to understand because some parts aren't super clear about where all the money will go or how it will be saved.
H. R. 8217 — To amend part B of title XVIII of the Social Security Act to provide for a special enrollment period under Medicare for individuals enrolled in COBRA continuation coverage, and for other purposes.
May 01, 2024
Status:Introduced in House
Congress:118
Words:1,694
H.R. 8217 aims to amend the Social Security Act to create a special enrollment period for Medicare for individuals who are transitioning from COBRA continuation coverage. It ensures these individuals won't face increased premiums if they enroll during this special period, which occurs while...
Simple Explanation
H.R. 8217 wants to make it easier for people who have special health insurance called COBRA to switch to another kind of health insurance called Medicare without paying extra money, and it also wants to make sure that people understand these changes by giving clear information.
S. 3892 — To amend titles XVIII and XIX of the Social Security Act to increase access to community health workers under the Medicare and Medicaid programs.
March 07, 2024
Status:Introduced in Senate
Congress:118
Words:2,595
The bill, S. 3892, seeks to amend parts of the Social Security Act to improve access to community health workers under Medicare and Medicaid. It proposes Medicare coverage for "community health services" starting in 2025, which include a range of preventive services and efforts to address...
Simple Explanation
The bill wants to have more community helpers for health care, like teachers for healthy living, to help people on Medicare and Medicaid. It also lets states decide if they want to add these helpers to their own plans and get some extra money help from the government if they do.
S. 4094 — To amend title XVIII of the Social Security Act to provide for coverage of the Medicare Diabetes Prevention program, and for other purposes.
April 10, 2024
Status:Introduced in Senate
Congress:118
Words:1,968
S. 4094, also known as the "PREVENT DIABETES Act," aims to expand Medicare coverage to include diabetes prevention program services. The bill defines these services as structured health sessions to prevent type II diabetes, using a CDC-approved curriculum and available to...
Simple Explanation
S. 4094 wants to help older people catch diabetes early by paying for special classes that teach them how to stay healthy, so they don’t get really sick later.
H. R. 9622 — To improve access to oral health care for vulnerable and underserved populations.
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September 17, 2024
Status:Introduced in House
Congress:118
Words:9,960
H.R. 9622, titled the "Comprehensive Dental Reform Act of 2024," seeks to improve access to dental care for underserved populations in the U.S. It aims to expand dental coverage under Medicare and Medicaid and provide funding for public health programs to increase dental care access. The bill...
Simple Explanation
H.R. 9622 is a bill that wants to help more people, like the elderly and veterans, go to the dentist by giving them more money to pay for it and making sure there are enough dentists to help. It's like making sure every kid can see a doctor and get their teeth checked to keep them healthy and strong!
S. 4078 — To amend title XI of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test a model to improve access to specialty health services for certain Medicare and Medicaid beneficiaries.
April 09, 2024
Status:Introduced in Senate
Congress:118
Words:814
S. 4078 is a bill proposed in the Senate on April 9, 2024, aiming to improve access to specialty health services for some Medicare and Medicaid beneficiaries. It mandates the Center for Medicare and Medicaid Innovation to test a new model using digital technologies to deliver...
Simple Explanation
This bill wants to make it easier for older people or those with limited money to see special doctors using their gadgets, especially if they live far away or where there aren't many doctors. It asks a big health group to test new ideas and see what works best.
H. R. 5526 — An Act To amend title XVIII of the Social Security Act to clarify the application of the in-office ancillary services exception to the physician self-referral prohibition for covered outpatient drugs furnished under the Medicare program, and to provide coverage of external infusion pumps and non-self-administrable home infusion drugs under such program.
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September 23, 2024
Status:Engrossed in House
Congress:118
Words:1,007
H.R. 5526, titled the "Seniors’ Access to Critical Medications Act of 2024," aims to amend the Social Security Act to make certain outpatient drugs available under a special exception to a prohibition against self-referrals by physicians in the Medicare program. Specifically,...
Simple Explanation
The "Seniors' Access to Critical Medications Act of 2024" is a law that tries to make it easier for older people to get certain medicines from their doctors and use special equipment at home, but it also has rules that could make it tricky for some to get their treatments, and it plans to add a lot of money to a special fund without saying exactly how it will be spent.
H. R. 7274 — To amend title XVIII of the Social Security Act to provide for outreach and education to Medicare beneficiaries to simplify access to information for family caregivers through 1–800–MEDICARE, and for other purposes.
February 07, 2024
Status:Introduced in House
Congress:118
Words:1,192
H.R. 7274, also known as the “Connecting Caregivers to Medicare Act of 2024,” aims to make it easier for Medicare beneficiaries and their family caregivers to access necessary health information. The bill proposes outreach and education efforts to inform beneficiaries about...
Simple Explanation
H.R. 7274 is a plan to help people who use Medicare and their family helpers get important health information more easily through a special phone line and other ways, while also teaching them how to avoid tricksters.
H. R. 7863 — To require the Secretary of Health and Human Services to issue guidance on furnishing behavioral health services via telehealth to individuals with limited English proficiency under Medicare program.
April 02, 2024
Status:Introduced in House
Congress:118
Words:319
H.R. 7863 aims to improve telehealth services for individuals with limited English proficiency who are receiving behavioral health care through Medicare. It requires the Secretary of Health and Human Services to issue guidance within a year, detailing best practices for using...
Simple Explanation
H.R. 7863 wants to help people who don't speak English very well get better mental health care using video calls. It tells the government to teach doctors and nurses how to use translators and other tools so everyone can understand each other and feel better.
H. R. 2872 — An Act Making further continuing appropriations for the fiscal year ending September 30, 2024, and for other purposes.
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January 19, 2024
Status:Enrolled Bill
Congress:118
Words:2,642
H.R. 2872 is a bill titled "Further Additional Continuing Appropriations and Other Extensions Act, 2024," which makes continuing appropriations for the fiscal year ending September 30, 2024. It extends funding for various programs related to health services, education, and government...
Simple Explanation
H.R. 2872 is a plan to keep paying for important services like health and education until March 2024, making sure things like Medicare and Medicaid keep going. It changes how much money is given to some projects and has some money management rules that some people think could be clearer and more fair.
H. R. 9321 — To direct the Secretary of Health and Human Services to conduct a demonstration program to test providing preferential treatment under the Medicare, Medicaid, and CHIP programs for certain drugs and biologicals manufactured in the United States.
August 06, 2024
Status:Introduced in House
Congress:118
Words:1,190
H.R. 9321, known as the "American Made Pharmaceuticals Act of 2024," proposes the creation of a test program to give preferential treatment to drugs and biologicals manufactured in the United States under Medicare, Medicaid, and CHIP programs. This program, managed by the Secretary of Health...
Simple Explanation
The bill is like a fun test where the U.S. wants to give a special boost to medicines that are made in America, helping them be cheaper or give extra rewards to doctors, but some people worry the rules aren't clear enough about how it's done.
H. R. 5526 — To amend title XVIII of the Social Security Act to clarify the application of the in-office ancillary services exception to the physician self-referral prohibition for drugs furnished under the Medicare program.
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September 19, 2024
Status:Reported in House
Congress:118
Words:1,559
H. R. 5526 aims to clarify a specific rule regarding Medicare. It addresses how doctors can supply certain outpatient drugs to their patients without violating rules against self-referral. Additionally, the bill provides for Medicare coverage of certain pumps and drugs that...
Simple Explanation
H. R. 5526 is a plan to let doctors give certain medicines to their patients without breaking special rules, while making sure that Medicare pays for treatments that need a doctor or nurse to help. The plan also sets aside $114 million to help improve Medicare, but it's not clear exactly how that money will be spent.
H. R. 8128 — To require health insurance coverage for scalp cooling items.
April 26, 2024
Status:Introduced in House
Congress:118
Words:2,783
H.R. 8128 aims to make sure that health insurance plans in the U.S. cover scalp cooling items like cooling caps. These devices help reduce or prevent hair loss during chemotherapy. The bill mandates this coverage for various health programs, including Medicare, Medicaid, and...
Simple Explanation
H.R. 8128 is a plan to make sure health insurance pays for special hats that keep your head cool to help prevent hair from falling out during cancer treatment. This would start in 2025 and cover lots of different health programs, like Medicare and Medicaid.
H. R. 8018 — To require the Administrator of the Centers for Medicare & Medicaid Services and the Commissioner of Social Security to review and simplify the processes, procedures, forms, and communications for family caregivers to assist individuals in establishing eligibility for, enrolling in, and maintaining and utilizing coverage and benefits under the Medicare, Medicaid, CHIP, and Social Security programs respectively, and for other purposes.
April 16, 2024
Status:Introduced in House
Congress:118
Words:1,936
The Alleviating Barriers for Caregivers Act or the ABC Act (H.R. 8018) requires the Centers for Medicare & Medicaid Services and the Social Security Administration to simplify the processes that family caregivers use to help individuals access benefits...
Simple Explanation
The ABC Act is like a helper for family members who take care of someone sick—they make it easier to fill out forms and talk to people so these caregivers can get the health and money help they need from the government. It also tries to make sure these helpers get good support and that everything is easy to understand, just like getting a little extra guidance when you do a tricky puzzle.
H. R. 10291 — To amend title XVIII of the Social Security Act to provide coverage for certain fall prevention items under the Medicare program.
December 04, 2024
Status:Introduced in House
Congress:118
Words:579
H.R. 10291 aims to modify the Social Security Act to include the coverage of fall prevention items under the Medicare program. The bill specifies items like grab bars, non-slip mats, shower chairs, and bed rails as fall prevention items and allows for additional items to be...
Simple Explanation
H.R. 10291 wants Medicare to help pay for things like safety bars in the shower and mats that stop you from slipping, so people don’t fall as much. The goal is to make homes safer for older folks without worrying about cutting this funding when budgets get tight.
H. R. 8261 — To amend title XVIII of the Social Security Act to extend certain flexibilities and payment adjustments under the Medicare program, and for other purposes.
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May 07, 2024
Status:Introduced in House
Congress:118
Words:9,277
H. R. 8261 is a bill aimed at extending and enhancing certain provisions of the Medicare program, particularly concerning telehealth services, hospital care, and ambulance services. It seeks to prolong telehealth flexibilities, adjust payments for specific hospitals, and increase transparency...
Simple Explanation
H. R. 8261 is a plan to make Medicare better by keeping video doctor visits, helping hospitals and ambulances, and making sure money is used carefully for medicine and care. It wants doctors to use special tools to check on people and make sure they pay the right amount, but some rules might be a bit confusing.
H. R. 9173 — To amend title XVIII of the Social Security Act to stabilize payments to long-term care hospitals under the Medicare program and improve patient access.
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July 25, 2024
Status:Introduced in House
Congress:118
Words:1,599
The bill, H.R. 9173, aims to amend title XVIII of the Social Security Act to stabilize payments for long-term care hospitals under the Medicare program and improve patient access. It introduces a temporary cap on the fixed loss amount for Medicare high-cost outlier payments and mandates a...
Simple Explanation
The bill wants to make sure that hospitals taking care of very sick people, especially with tough wounds, get enough money from Medicare without spending too much. It also wants to check if these money rules are working well or if they need to be better.
H. R. 7207 — To amend title XVIII of the Social Security Act to prohibit the Secretary of Health and Human Services from selecting certain activities relating to the development of anti-racism plans as clinical practice improvement activities under the Medicare program.
February 01, 2024
Status:Introduced in House
Congress:118
Words:390
H.R. 7207, titled the "Preventing Racism in Medicare Act of 2024," proposes an amendment to a part of the Social Security Act. The bill aims to stop the Secretary of Health and Human Services from labeling activities that involve the creation of anti-racism plans as clinical...
Simple Explanation
H.R. 7207 is a bill that wants to stop certain activities, like making anti-racism plans, from being counted as ways to improve how doctors and nurses care for people on Medicare, which could make it harder to help everyone get fair and equal healthcare.
H. R. 8999 — To amend title XVIII of the Social Security Act to provide coverage and payment under such title for certain treatments for dialysis-related amyloidosis, and for other purposes.
July 11, 2024
Status:Introduced in House
Congress:118
Words:595
The bill, titled the “Dialysis-Related Amyloidosis Treatment Act of 2024,” aims to update the Social Security Act to cover and pay for treatments dealing with dialysis-related amyloidosis under Medicare. It defines these treatments as approved services provided at dialysis facilities and...
Simple Explanation
The bill wants to change a big rule to make sure people getting special kidney treatments, called dialysis, have their extra medicine costs fully paid for by a program called Medicare. It also wants to make sure these costs are clear and separate from other costs to avoid confusion.
S. 3630 — To amend title XI of the Social Security Act to establish a pilot program for testing the use of a predictive risk-scoring algorithm to provide oversight of payments for durable medical equipment and clinical diagnostic laboratory tests under the Medicare program.
January 18, 2024
Status:Introduced in Senate
Congress:118
Words:1,298
The Medicare Transaction Fraud Prevention Act aims to create a pilot program that uses a predictive risk-scoring algorithm to monitor payments under the Medicare program, specifically for durable medical equipment and clinical diagnostic laboratory tests. It will run for two...
Simple Explanation
The bill wants to try out a special computer program to catch bad people who try to steal money from a big helper fund called Medicare, which helps people get things they need when they're sick. They will test this for two years, and if it works, it could help stop people from taking money they shouldn't.
H. R. 7858 — To amend title XVIII of the Social Security Act to establish a Medicare incident to modifier for mental health services furnished through telehealth.
April 02, 2024
Status:Introduced in House
Congress:118
Words:351
H. R. 7858 seeks to amend the Social Security Act to improve telehealth services for mental health. It proposes the creation of a new billing code for telehealth services provided by assistants under the supervision of a healthcare professional, allowing these services to be...
Simple Explanation
H. R. 7858 is a plan to make it easier to bill for online mental health help, where helpers can work under a doctor's guidance, and the way they bill their work will be set up by people in charge within two years.
S. 4330 — To amend title XVIII of the Social Security Act to create a Radiation Oncology Case Rate Value Based Payment Program exempt from budget neutrality adjustment requirements, and to amend section 1128A of title XI of the Social Security Act to create a new statutory exception for the provision of free or discounted transportation for radiation oncology patients to receive radiation therapy services.
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May 14, 2024
Status:Introduced in Senate
Congress:118
Words:8,091
The bill S. 4330 aims to amend the Social Security Act to establish a new payment program for radiation oncology services that focuses on providing quality, efficient care. This program will offer bundled payments for radiation therapy, exempt from budget neutrality...
Simple Explanation
The bill wants to change how doctors get paid for radiation therapy for cancer by sending them set payments, and it also wants to help people get to their treatment by giving free rides.
H. R. 7618 — To amend title XVIII of the Social Security Act to include physical therapists and occupational therapists as health professionals for purposes of the annual wellness visit under the Medicare program, and for other purposes.
March 11, 2024
Status:Introduced in House
Congress:118
Words:798
H.R. 7618, also known as the "Stopping Addiction and Falls for the Elderly Act" or the "SAFE Act," proposes changes to the Social Security Act to allow physical therapists and occupational therapists to be included as health professionals during the annual wellness visit...
Simple Explanation
The SAFE Act wants to let special helpers called physical and occupational therapists join in when older people visit the doctor every year to check how they're doing. It also wants to make sure that more help is offered to older people who might fall and hurt themselves.
H. R. 9272 — To amend title XVIII of the Social Security Act to establish new payment rules for certain catastrophic specialty hospitals under the Medicare program.
August 02, 2024
Status:Introduced in House
Congress:118
Words:1,295
H.R. 9272 proposes changes to the Social Security Act to establish new payment rules under the Medicare program specifically for catastrophic specialty hospitals. These are specialized long-term care hospitals focusing on patients with severe conditions like spinal cord or brain injuries. To...
Simple Explanation
H.R. 9272 is a new rule that helps certain special hospitals get paid for taking care of people with very serious injuries, like those from car accidents. These hospitals must follow some strict rules to be part of the program, and if they do a good job, they might have to show it again every so often to keep getting paid.
S. 3628 — To amend title XVIII of the Social Security Act to improve mobility crisis under the Medicare program.
January 18, 2024
Status:Introduced in Senate
Congress:118
Words:988
S. 3628 aims to amend the Social Security Act to address mobility crises under the Medicare program. The bill proposes introducing payments for mobile crisis response team services starting January 1, 2025, to assist individuals experiencing mental health or substance use...
Simple Explanation
S. 3628 is a bill that wants to help people who are having big, scary feelings or problems with things like sadness or being worried. It plans to pay special helpers to come and calm them down and find them more help if needed.
H. RES. 1250 — Commemorating the 60th anniversary of President Lyndon Baines Johnson’s Great Society.
May 22, 2024
Status:Introduced in House
Congress:118
Words:168
H. RES. 1250 is a resolution introduced in the House of Representatives to commemorate the 60th anniversary of President Lyndon B. Johnson's Great Society. The resolution highlights President Johnson's significant contributions as a legislator and President, including...
Simple Explanation
H. RES. 1250 is like a special thank-you card that Congress is giving to remember and celebrate President Johnson for making big changes 60 years ago, such as helping sick people get care and making sure everyone could vote. This thank-you card doesn't talk about doing anything new today, it's just to remind everyone of those important actions from the past.
S. 4510 — To amend the American Taxpayer Relief Act of 2012 to delay implementation of the inclusion of oral-only ESRD-related drugs in the Medicare ESRD prospective payment system.
June 11, 2024
Status:Introduced in Senate
Congress:118
Words:657
S. 4510 proposes an amendment to the American Taxpayer Relief Act of 2012 to extend the delay in including oral-only drugs related to end-stage renal disease (ESRD) in the Medicare ESRD payment system until January 1, 2027. The bill aims to prevent this particular type of...
Simple Explanation
This bill wants to wait longer before adding some special kidney medicine costs to a big health plan, giving more time to study and maybe save money.
H. R. 7711 — To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program.
March 19, 2024
Status:Introduced in House
Congress:118
Words:1,059
H.R. 7711 proposes to amend the Social Security Act to make certain telehealth flexibilities permanent under the Medicare program. The bill aims to expand access to telehealth services by allowing more types of healthcare practitioners to provide these services, and it...
Simple Explanation
H.R. 7711 is like letting doctors help people through video calls instead of always needing to visit them in person, and it wants to keep this forever so more people can talk to their doctors from far away.
S. 4469 — To improve the understanding of, and promote access to treatment for, chronic kidney disease, and for other purposes.
June 05, 2024
Status:Introduced in Senate
Congress:118
Words:3,427
S. 4469, known as the “Chronic Kidney Disease Improvement in Research and Treatment Act of 2024,” aims to enhance the understanding and treatment of chronic kidney disease. It proposes expansions in Medicare coverage for kidney disease education and screening, and focuses on...
Simple Explanation
The bill is like a giant plan to help people understand and treat kidney problems better. It wants to teach doctors more and make it easier for people to get checked for these issues, especially helping different groups of people who might get sick more.
H. R. 9805 — To require the Secretary of Health and Human Services to establish a process to expand access to claims data under certain Federal health plans in order to facilitate research and quality improvement.
September 25, 2024
Status:Introduced in House
Congress:118
Words:726
H. R. 9805, also known as the “Access to Claims Data Act,” is a bill introduced in the United States House of Representatives. It aims to require the Secretary of Health and Human Services to create a process by January 1, 2025, that would expand access to claims data from...
Simple Explanation
H.R. 9805 is a plan that wants to let special groups use health data from places like Medicare to help make healthcare better. They would pay a fee to use the data, but there are some parts that aren't very clear, like how much the fee should be and who exactly can use the data.
H. R. 7254 — To direct the Administrator of the Centers for Medicare and Medicaid to clarify that fully implanted active middle ear hearing devices are prosthetics and are not subject to the hearing aid coverage exclusion under the Medicare program.
February 06, 2024
Status:Introduced in House
Congress:118
Words:340
H.R. 7254 is a bill introduced in the House of Representatives aiming to change how some hearing devices are classified under Medicare. Specifically, it instructs the Administrator of the Centers for Medicare and Medicaid Services to treat fully implanted active middle ear...
Simple Explanation
H.R. 7254 is a bill that says some special hearing devices should be considered like real body parts, not just hearing aids, so that older people can get help paying for them through a program called Medicare.
H. R. 8144 — To amend title III of the Public Health Service Act to include rural emergency hospitals in the definition of a covered entity for purposes of the 340B drug discount program.
April 29, 2024
Status:Introduced in House
Congress:118
Words:328
The bill H.R. 8144 proposes changes to the Public Health Service Act to include rural emergency hospitals in the 340B drug discount program. This program allows certain hospitals to buy prescription drugs at reduced prices. By being included as a "covered entity," these rural...
Simple Explanation
H.R. 8144 is a proposal to let small hospitals in the countryside buy medicines at cheaper prices so they can help people who don't have much money.
H. R. 7599 — To amend title XVIII of the Social Security Act to expand the eligibility for designation as a rural emergency hospital under the Medicare program.
March 08, 2024
Status:Introduced in House
Congress:118
Words:210
H. R. 7599 proposes to change the Social Security Act to allow more hospitals to qualify as rural emergency hospitals within the Medicare program. This bill intends to expand the eligibility criteria by permitting hospitals that met specific conditions at any time between...
Simple Explanation
H. R. 7599 is a bill that wants to make it easier for more small hospitals in rural areas to get special help from Medicare. It changes the rules so hospitals that met certain conditions anytime from January 1, 2015, can be called rural emergency hospitals.
H. R. 6748 — To amend title XVIII of the Social Security Act to provide for coverage of peer support services under the Medicare program.
December 13, 2023
Status:Introduced in House
Congress:118
Words:950
H.R. 6748, known as the “Promoting Effective and Empowering Recovery Services in Medicare Act of 2023” or the “PEERS Act of 2023,” proposes changes to the Social Security Act to offer Medicare coverage for peer support services starting January 1, 2025. These services would...
Simple Explanation
H.R. 6748 is a plan to help people using Medicare by allowing them to get support from friends who have been through similar tough times with mental health or addiction, starting in 2025. These helpers, who know what it's like, will work in special health places to cheer people on in their journey to feeling better.
S. 4137 — To amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare.
April 17, 2024
Status:Introduced in Senate
Congress:118
Words:427
S. 4137 proposes an amendment to the Social Security Act designed to benefit Medicare recipients who need skilled nursing facility services. The bill aims to ensure that if a Medicare patient receives "outpatient observation services" in a hospital, this period will count...
Simple Explanation
This bill is like a rule change that says if a person on Medicare is staying in the hospital to be watched over, that time will count toward the days needed to get extra help at a nursing home.
H. R. 133 — To amend title XVIII of the Social Security Act to clarify the use of the national coverage determination process under the Medicare program.
December 19, 2024
Status:Reported in House
Congress:118
Words:549
H.R. 133, also known as the "Mandating Exclusive Review of Individual Treatments Act" or the "MERIT Act," seeks to modify the Social Security Act related to Medicare. The legislation aims to provide clarity on the national coverage determination process by ensuring that...
Simple Explanation
H.R. 133 is a new rule that says Medicare should look at each medicine one by one to decide if it's needed, instead of looking at lots of medicines together at once. This helps make sure each medicine is checked carefully to see if it's helpful for people.
H. R. 8806 — To direct the Comptroller General of the United States to carry out a study relating to the resiliency of Social Security and Medicare.
June 21, 2024
Status:Introduced in House
Congress:118
Words:488
H.R. 8806, also known as the “Safeguarding Social Security and Medicare Act,” directs the Comptroller General of the United States to conduct a study on the impact of inflation and cost of living on Social Security and Medicare. The bill aims to uncover how these economic factors affect these...
Simple Explanation
H.R. 8806 is a plan to have someone look closely at how things like prices going up affect Social Security and Medicare, which are programs that help a lot of people. They want to make sure these programs can keep helping people even if things get more expensive.
H. R. 9417 — To amend titles XVIII and XIX of the Social Security Act and title XXVII of the Public Health Service Act to provide no-cost coverage for annual screening mammography beginning at 30 years of age.
August 27, 2024
Status:Introduced in House
Congress:118
Words:1,463
H.R. 9417, titled the “Early Access to Screening Act,” aims to ensure that women in the United States over 29 years old can receive annual mammography screenings at no cost, beginning January 1, 2025. The bill proposes amendments to the Social Security Act to include no-cost...
Simple Explanation
H.R. 9417 is a plan to let women in the U.S. get a special health check-up called a mammogram every year for free starting when they're 30 years old, starting in 2025. This check helps find problems early, and the idea is to make sure it doesn’t cost them any money.
H. R. 10060 — To amend title XVIII of the Social Security Act to require the provision of certain information with respect to breast reconstruction surgery under the Medicare program.
October 25, 2024
Status:Introduced in House
Congress:118
Words:386
H.R. 10060 proposes an amendment to title XVIII of the Social Security Act, focusing on breast reconstruction surgery under the Medicare program. The bill mandates that healthcare providers must inform patients undergoing a mastectomy about the availability of coverage for breast...
Simple Explanation
H.R. 10060 is a rule saying that when doctors take care of someone who needs breast surgery after having their breast removed, they must tell the person that they can have their breast fixed and that Medicare can help pay for it. They also need to write this down in the person's health file.
H. R. 9353 — Proposing a balanced budget amendment to the Constitution of the United States.
August 13, 2024
Status:Introduced in House
Congress:118
Words:836
H. R. 9353 proposes an amendment to the U.S. Constitution that would require the federal government to maintain a balanced budget, meaning its spending (outlays) does not exceed its income (receipts) each fiscal year. Exceptions to this rule could be made if there’s a...
Simple Explanation
The bill wants to make sure that the money the U.S. government spends each year does not go over what it earns, like making sure your piggy bank only spends what you have inside. But, if there is a big emergency, like a war or natural disaster, Congress can vote to spend more for those special situations.
H. R. 8227 — To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology.
May 02, 2024
Status:Introduced in House
Congress:118
Words:580
H.R. 8227 is a bill introduced in the House of Representatives to change how mental health services are provided to individuals on Medicare. It aims to eliminate the requirement that people must receive these services in person, allowing them to use telehealth or telecommunications technology...
Simple Explanation
H.R. 8227 is a bill that wants to let people on Medicare see their mental health doctors through computer or phone calls, instead of having to go to the doctor's office in person. This could make it easier for people, especially those far away, to get help.
H. R. 8075 — To amend title XVIII of the Social Security Act to provide for Medicare coverage of staff-assisted home dialysis for certain hemodialysis and peritoneal dialysis patients and to ensure all patients are educated on modality options and receive the resources, information, and support to succeed on the modality of their choice, and for other purposes.
April 18, 2024
Status:Introduced in House
Congress:118
Words:2,191
H.R. 8075, also known as the "Improving Access to Home Dialysis Act of 2024," seeks to amend the Social Security Act to expand Medicare coverage for staff-assisted home dialysis for certain hemodialysis and peritoneal dialysis patients. The bill mandates that patients should be educated on...
Simple Explanation
H.R. 8075 is a plan that wants to help people who need a special kind of medical care called dialysis, which cleans their blood, by letting them do it at home with a helper. The bill also makes sure that people learn about all the different ways to do this care and get help to pick the best one for them.
H. R. 5687 — To amend the Internal Revenue Code of 1986 to modernize health savings accounts.
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February 13, 2024
Status:Reported in House
Congress:118
Words:1,889
H.R. 5687 aims to update health savings accounts (HSAs) under the Internal Revenue Code. The bill proposes several changes, including allowing certain veterans and individuals eligible for Medicare due to age to contribute to HSAs, and it clarifies the treatment of specific medical expenses...
Simple Explanation
H.R. 5687 is a plan to change how people can save money for health needs, making it easier for veterans and older adults to save, and allowing more types of health plans to join in. It also tries to let married people save together and sets new rules for how much money can go into these savings, but some parts might be a bit confusing without more details.
H. R. 8235 — To amend title XVIII of the Social Security Act to modify the distribution of certain additional graduate medical education positions under the Medicare program.
May 02, 2024
Status:Introduced in House
Congress:118
Words:429
H.R. 8235, titled the “Rural Physician Workforce Preservation Act,” aims to change how certain graduate medical education positions are distributed under the Medicare program. The bill modifies Section 1886 of the Social Security Act to ensure that hospitals located in rural...
Simple Explanation
H.R. 8235 wants to help rural hospitals get more doctors by changing how they get new doctor training spots, so more doctors can stay and work in areas that need them the most.
S. J. RES. 91 — Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting.
June 04, 2024
Status:Introduced in Senate
Congress:118
Words:365
S. J. RES. 91 is a joint resolution introduced in the United States Senate that seeks congressional disapproval of a rule made by the Centers for Medicare & Medicaid Services. This rule concerns the establishment of minimum staffing standards for long-term care facilities...
Simple Explanation
S. J. RES. 91 is like a group of Senators saying they don't like a new school rule and want it canceled. This rule is about making sure there are enough helpers in nursing homes and being clear about money in hospitals for some patients.
H. R. 8832 — To direct the Secretary of Health and Human Services to issue guidance on payment under the Medicare program for certain items involving artificial intelligence.
June 25, 2024
Status:Introduced in House
Congress:118
Words:302
H. R. 8832 requires the Secretary of Health and Human Services to issue guidelines on how the Medicare program should handle payments for devices that involve artificial intelligence, like continuous glucose monitors. By January 1, 2026, these guidelines must clarify the...
Simple Explanation
The bill asks the people in charge of health to make rules on how to pay for machines like special health gadgets that use smart computers to help doctors take care of people better. They need to have the rules ready by the start of 2026.
H. R. 7397 — To amend title XVIII of the Social Security Act to establish a definition of essential health system in statute.
February 15, 2024
Status:Introduced in House
Congress:118
Words:339
H.R. 7397 seeks to amend the Social Security Act to define what constitutes an "essential health system." According to the bill, an essential health system is defined as a non-Federal governmental or private nonprofit hospital that meets certain criteria related to Medicaid...
Simple Explanation
H.R. 7397 is a plan to decide which hospitals are important for taking care of people's health. It helps to figure out which hospitals get special help when they treat many patients who need extra care, but it doesn't include hospitals that make money for owners.
H. R. 7829 — To amend title XVIII of the Social Security Act to improve the payment method for oxygen and oxygen related equipment, supplies, and services, to increase beneficiary access to oxygen and oxygen related equipment, supplies, and services, and for other purposes.
March 26, 2024
Status:Introduced in House
Congress:118
Words:4,334
The Supplemental Oxygen Access Reform Act of 2024, also known as the SOAR Act of 2024, aims to improve access to and the payment method for oxygen-related equipment and services for Medicare beneficiaries in the United States. This bill proposes removing...
Simple Explanation
The SOAR Act of 2024 wants to make it easier for people to get oxygen equipment and services by changing how they are paid for and with new rules for companies providing these services, so more people can stay healthy and breathe better.
S. RES. 712 — Designating May 2024 as Older Americans Month.
May 23, 2024
Status:Agreed to Senate
Congress:118
Words:216
The resolution, S. RES. 712, designates May 2024 as "Older Americans Month." It acknowledges the significant contributions of older individuals in the United States, highlighting their roles in society and the importance of federal programs that support them, such as Medicare and the Older...
Simple Explanation
In May 2024, people will celebrate "Older Americans Month" to thank older adults for all the great things they do, and everyone will be encouraged to learn from them and appreciate them more.
S. 4268 — Proposing a balanced budget amendment to the Constitution of the United States.
May 07, 2024
Status:Introduced in Senate
Congress:118
Words:832
The bill S. 4268 proposes an amendment to the U.S. Constitution to require that the federal government not spend more money than it receives each year. Exceptions to this rule would be allowed if three-fifths of Congress approves or during times of war or severe economic...
Simple Explanation
The bill is like a rule saying the U.S. government's allowance each year must not be more than it earns, except if lots of Congress people agree or during emergencies like a war. It also says important money for people, like for Social Security, should be safe from cuts.

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