FECA Modernization and Cost Containment Act of 2026
Sponsored By: Representative Patronis, Jimmy [R-FL-1]
Introduced
Summary
This bill would shift FECA medical care into an employer-linked system of managed care networks and add standardized treatment rules plus expanded fraud detection to try to lower costs and speed recoveries.
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- Injured federal workers would generally have to get FECA care through their agency's contracted MCN except in medical emergencies. They would have out-of-network options when needed, access to a second opinion, and a Labor Department overseen dispute-resolution process.
- Heads of federal agencies would have to contract with MCNs and follow standardized treatment protocols set by the Secretary of Labor. The bill would require agencies to file transition plans within 1 year and directs the Secretary to issue implementing regulations within 6 months.
- MCN contracts must limit fees to the Department of Labor's fee schedule, keep providers geographically accessible, evaluate and remove underperforming providers when appropriate, and report annually on costs, provider performance, and anonymized outcomes. The Secretary could buy predictive analytics, including AI, to flag possible fraud and the Government Accountability Office would review cost, fraud, and administrative effects after a 5-year period.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 0 benefits, 0 costs, 2 mixed.
New care rules for injured federal workers
If enacted, FECA-covered employees would generally need to get non-emergency care through an agency contracted managed care network. The Secretary of Labor would set standardized treatment rules that networks must follow. You would be able to get a second opinion if you dispute a diagnosis or treatment, and a new dispute-review system would handle delays. Networks would be required to keep enough local providers and to evaluate and remove poor-performing providers.
Federal agency contracts, fees, oversight
If enacted, each federal agency would have to sign contracts with managed care networks and send a transition plan within one year after enactment. The bill would tie network fees to the OWCP fee schedule so networks could not charge more than that schedule. The Secretary of Labor would create a 16-member review board and require annual network reports on cost savings and outcomes. The Secretary would also have to issue implementation rules within six months after enactment and could hire predictive analytics or AI contractors to flag likely fraud.
Sponsors & CoSponsors
Sponsor
Patronis, Jimmy [R-FL-1]
FL • R
Cosponsors
Rep. Bean, Aaron [R-FL-4]
FL • R
Sponsored 7/22/2026
Roll Call Votes
No roll call votes available for this bill.
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