Medicare bill tracker (119th Congress, 2025–2026)

Medicare Bill Tracker

Telehealth in Medicare (extension + permanent reforms)

BillTopicSponsorIntroducedLatest actionCommitteesWhat it does for Medicare
H.R.5081 — Telehealth Modernization ActTelehealth extensionRep. Earl L. “Buddy” Carter09/02/2025Referred 09/02/2025Energy & Commerce; Ways & MeansExtends key Medicare telehealth flexibilities (including geographic/originating site and eligible practitioners) through Sept. 30, 2027 (per bill text). (Congress.gov)
S.2709 — Telehealth Modernization ActSenate companion (telehealth)Sen. Tim Scott09/04/2025Referred 09/04/2025FinanceSenate version of “Telehealth Modernization Act” effort; watch for markup or inclusion in broader packages. (Congress.gov)
H.R.2263 — Telehealth Coverage Act of 2025Make flexibilities permanentRep. Ro Khanna03/21/2025Referred 03/21/2025Energy & Commerce; Ways & MeansWould make certain Medicare telehealth flexibilities permanent (per bill title/summary). (Congress.gov)
H.R.4206 — CONNECT for Health Act of 2025Broader telehealth expansionRep. Mike Thompson06/26/2025Referred 06/26/2025Energy & Commerce; Ways & MeansBroad package to expand access to telehealth under Medicare (and related programs). (Congress.gov)
H.R.1407 — Permanent Telehealth from Home Act“Home” as originating siteRep. Vern Buchanan02/18/2025Referred 02/18/2025Energy & Commerce; Ways & MeansPermanently allows the beneficiary’s home to qualify as an originating site for Medicare telehealth. (Congress.gov)
H.R.1614Expand telehealth practitioner typesRep. Mike Kelly02/26/2025Referred 02/26/2025Energy & Commerce; Ways & MeansPermanently allows certain therapy and related professionals to furnish telehealth services under Medicare (per CRS summary). (Congress.gov)

Medicare Advantage (prior authorization rules)

BillTopicSponsorIntroducedLatest actionCommitteesWhat it does for Medicare
S.1816 — Improving Seniors’ Timely Access to Care Act of 2025Prior auth reform in MASen. Roger Marshall05/20/2025Referred 05/20/2025FinanceEstablishes requirements for how prior authorization is used in Medicare Advantage plans. (Congress.gov)
H.R.3514 — Improving Seniors’ Timely Access to Care Act of 2025House versionRep. Mike Kelly05/20/2025Referred 05/20/2025Ways & Means; Energy & CommerceHouse version of MA prior authorization reforms. (Congress.gov)

Provider payment (physician fee schedule stabilization)

BillTopicSponsorIntroducedLatest actionCommitteesWhat it does for Medicare
H.R.879 — Medicare Patient Access and Practice Stabilization Act of 2025Physician payment adjustmentsRep. Gregory F. Murphy01/31/2025Referred 01/31/2025Energy & Commerce; Ways & MeansTemporarily increases certain payment adjustments under the Medicare physician fee schedule (CRS summary). (Congress.gov)
S.1640 — Medicare Patient Access and Practice Stabilization Act of 2025Senate versionSen. Roger Marshall05/07/2025Referred 05/07/2025FinanceSenate version of the physician payment stabilization approach. (Congress.gov)

Drug costs & PBM transparency (Part D / MA-PD)

BillTopicSponsorIntroducedLatest actionCommitteesWhat it does for Medicare
H.R.4317 — PBM Reform Act of 2025PBM reporting / reformsRep. Earl L. “Buddy” Carter07/10/2025Referred 07/10/2025Energy & Commerce; Education & Workforce; Ways & MeansMedicare-related PBM reforms (details vary by section; the bill text includes Part D/MA-PD reporting and affiliate pharmacy-related provisions). (Congress.gov)
H.R.950 — Saving Seniors Money on Prescriptions ActPBM reporting requirementsRep. Greg Landsman02/04/2025Referred 02/04/2025Energy & Commerce; Ways & MeansEstablishes PBM reporting requirements for Medicare Part D and Medicare Advantage prescription drug plans. (Congress.gov)

Benefit expansion (Dental / Vision / Hearing)

BillTopicSponsorIntroducedLatest actionCommitteesWhat it does for Medicare
H.R.2045 — Medicare Dental, Vision, and Hearing Benefit Act of 2025Add DVH benefitsRep. Lloyd Doggett03/11/2025Referred 03/11/2025Energy & Commerce; Ways & MeansAdds Medicare coverage for dental, vision, and hearing services (CRS summary). (Congress.gov)
S.939 — Medicare Dental, Hearing, and Vision Expansion Act of 2025Senate DVHSen. Bernie Sanders03/11/2025Referred 03/11/2025FinanceSenate companion approach to expand DVH coverage. (Congress.gov)

“Site-neutral” payment policy (cost containment)

BillTopicSponsorIntroducedLatest actionCommitteesWhat it does for Medicare
H.R.3023 — Preventing Hospital Overbilling of Medicare ActSite-neutral paymentsRep. Victoria Spartz04/24/2025Referred 04/24/2025Energy & Commerce; Ways & MeansTargets billing practices and expands site-neutral payment concepts for off-campus outpatient departments (per bill title/summary). (Congress.gov)
S.1629 — Same Care, Lower Cost ActAlign ambulatory paymentSen. John Kennedy05/06/2025Referred 05/06/2025FinanceDirects Medicare FFS to better align payment rates across ambulatory settings (per bill text). (Congress.gov)

Structural overhaul (not incremental Medicare policy, but often discussed)

BillTopicSponsorIntroducedLatest actionCommitteesWhat it does
H.R.3069 — Medicare for All ActSingle-payer overhaulRep. Pramila Jayapal04/29/2025Referred 04/29/2025Multiple committeesEstablishes a national health insurance program administered by HHS (major system redesign). (Congress.gov)
S.1506 — Medicare for All ActSenate versionSen. Bernie Sanders04/29/2025Referred 04/29/2025FinanceSenate version of “Medicare for All.” (Congress.gov)

How to use this tracker (simple workflow)

  1. Watch “Latest Action” dates on Congress.gov weekly (committee hearings/markups are the first sign a bill is moving).
  2. Track three “movement signals”:
    • Committee hearing scheduled
    • Markup held / bill reported
    • Bill text incorporated into a “must-pass” package (funding, reconciliation, Medicare extenders)
  3. For Medicare audiences, tag each bill by beneficiary impact:
    • Access (telehealth, MA prior auth)
    • Affordability (drug costs/PBM)
    • Provider network stability (physician payment)
    • Benefit expansion (DVH)

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