Legislative Activity

The RESCUE Act of 2026 updates Medicare payment rates for ground and air ambulance services to better reflect the actual costs of providing emergency care. The bill mandates regular rate adjustments based on current operational data, expands cost-reporting requirements for air ambulance providers, and establishes a stakeholder commission to ensure the long-term adequacy of ambulance service reimbursement.

The Right to IVF Act of 2026 establishes a nationwide statutory right to access assisted reproductive technology (ART) and intrauterine insemination (IUI) while prohibiting states from imposing restrictive barriers. The bill further expands family-building support by mandating comprehensive fertility coverage across private insurance, Medicare, Medicaid, and federal employee health plans. Additionally, it guarantees expanded access to fertility services and preservation for military service members and veterans.

The Temporary Protected Status (TPS) Review Act strengthens oversight of government decisions to terminate TPS designations by reinstating judicial review and requiring that such decisions be supported by a comprehensive administrative record. The bill also subjects TPS terminations to congressional review under the Congressional Review Act, ensuring these decisions are subject to greater accountability. Additionally, it provides legal protections for beneficiaries by automatically staying terminations during the pendency of any legal challenges.

The Rural Hospital Cybersecurity Enhancement Act directs the Secretary of Health and Human Services to develop a comprehensive workforce strategy to address cybersecurity staffing shortages in rural healthcare facilities. The bill also mandates the creation and promotion of free, accessible cybersecurity training materials to help rural hospital staff implement essential digital security practices. These initiatives aim to strengthen the cyber resilience of rural health systems through interagency collaboration and education without requiring additional federal appropriations.

The Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026 extends vital funding for ALS research and clinical trial programs through 2031. This legislation strengthens oversight by enhancing grant review processes, improving safety reporting requirements, and mandating a comprehensive five-year FDA action plan to accelerate the development of treatments for rare neurodegenerative diseases.

The Wildfire Reduction Market Expansion Act of 2026 amends the Clean Air Act to broaden the definition of "renewable biomass." By including forest manufacturing by-products, wildfire risk-reduction materials, and vegetation from defensible spaces, the bill incentivizes the removal of hazardous fuels from public and private lands. This legislation streamlines the certification process to support sustainable forest management and expand the market for renewable energy feedstocks.

The Affordable Innovation for the Grid Act directs the Secretary of Energy to assess how artificial intelligence (AI) and high-performance computing can enhance the capacity and efficiency of the bulk-power system. This assessment will identify current uses, potential benefits, and existing barriers to adopting these advanced technologies. The resulting report will include recommendations for overcoming these barriers to promote grid modernization.

Tyler's Law mandates a comprehensive study by the Secretary of Health and Human Services on the frequency, cost, and impact of fentanyl testing in hospital emergency departments during overdose cases. Following the study, the Secretary must issue guidance on whether routine fentanyl testing should become standard practice for overdose patients. This guidance will also address staff training regarding existing drug test panels and the long-term health implications of such testing.

The "Combating Illicit Xylazine Act" aims to combat the illegal use of xylazine by adding it to Schedule III of the Controlled Substances Act, which would allow for increased regulation and tracking of the substance. The bill includes exemptions and delayed effective dates for certain requirements to ease the transition for legitimate users, such as veterinarians and animal handlers. It also directs the Sentencing Commission to review sentencing guidelines for xylazine-related offenses and mandates reports to Congress on the prevalence and impact of illicit xylazine use. Finally, it will include xylazine in Arcos tracking.

The Fair Licensing for Operations of Water Structures (FLOWS) Act streamlines hydropower regulation by exempting routine maintenance and emergency repairs from unnecessary federal approval. Additionally, the bill establishes an expedited, simplified licensing process for small-scale, non-damming micro hydrokinetic energy projects. These measures aim to reduce regulatory burdens while maintaining essential safety and environmental oversight.

The Choices for Increased Mobility Act of 2026 updates Medicare coverage requirements for ultralightweight manual wheelchairs, effective January 1, 2028. The bill mandates the creation of distinct billing codes based on frame material, specifically allowing suppliers to charge patients the difference in cost for premium titanium or carbon fiber models. These provisions aim to provide clearer payment structures and enhanced transparency for patients selecting high-performance mobility equipment.

The Improving Seniors’ Timely Access to Care Act of 2025 aims to streamline and modernize the prior authorization process within Medicare Advantage plans. This bill mandates the adoption of electronic prior authorization systems and significantly increases transparency regarding approval rates and decision times starting in 2027. Furthermore, it establishes new enrollee protections and grants the Secretary authority to enforce faster decision timeframes for medical services.

The Patients First Act of 2026 is comprehensive legislation designed to stabilize Medicare physician payments, improve patient access to primary care, and transition the current quality reporting system to a more clinician-led framework. By modernizing reimbursement formulas, reducing financial volatility for providers, and increasing transparency in value-based care models, the bill aims to ensure a more sustainable and predictable healthcare environment. These reforms seek to lower out-of-pocket costs for patients while supporting the long-term viability of medical practices.

The *Saving Lives and Reducing Health Care Waste by Improving Diagnosis in Medicine Act* aims to reduce preventable patient harm and healthcare costs caused by diagnostic errors. The bill establishes a comprehensive federal research and quality improvement program, modernizes patient-safety reporting infrastructure, and promotes the use of data science and AI to enhance diagnostic accuracy. Additionally, it creates an interagency council to coordinate federal efforts and mandates new training and quality standards to ensure safer, more timely diagnoses across the U.S. healthcare system.

The Expedited Access to Biosimilars Act streamlines the FDA approval process for biosimilar products by reducing requirements for unnecessary clinical trials. The bill mandates that the FDA provide written justification if it determines additional clinical studies are required, ensuring a more efficient and transparent path to licensure.

The American Enrichment Deployment Act amends the Atomic Energy Act of 1954 to allow for the "at-risk" construction of uranium enrichment facilities before a final license is issued. This legislation aims to streamline the development process for these facilities while maintaining the Nuclear Regulatory Commission’s full authority to regulate safety and deny licenses.

The SAFE Training for OB-GYNs Act establishes a federal grant program to help residency programs expand training in reproductive healthcare for professionals whose education is restricted by state abortion laws. This funding will support training programs and reimburse travel expenses for providers seeking necessary care education out of state. The program is authorized with $10 million annually from fiscal years 2027 through 2031.

The Reproductive Health Care Training Act of 2026 establishes a grant program to expand training in abortion care for health professionals. Administered by HRSA, this program awards funds to eligible entities in states where such training is permissible. The goal is to encourage more clinicians to become abortion providers, with a focus on improving access for medically underserved communities.

This bill, the Great American Outdoors Act 250, significantly reforms and renames the existing public lands restoration fund to the America’s Legacy Restoration Fund. It secures dedicated funding streams, primarily from energy revenues and new fees on foreign visitors, to address critical deferred maintenance across the National Park Service, Forest Service, and other public land agencies. The legislation establishes strict spending priorities for infrastructure repair while also creating pilot programs for enhancing outdoor recreation and sportsmen's access. Finally, it mandates increased transparency and accountability through standardized metrics and public reporting on all funded projects.

The Prior Authorization Accountability Act mandates that group health plans and insurance issuers publicly report detailed data on their prior authorization approval and denial rates, including appeal outcomes and processing times. This transparency requirement aims to give consumers and regulators a clearer view of how prior authorization decisions are made. Furthermore, the bill enhances plan comparisons on health insurance Exchanges by requiring the inclusion of historical prescription drug cost and coverage data for previously offered plans.