Improving MA SNP Act of 2026

HR1 — An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

A household-budget shakeup - changing how much help some families get for groceries, and for parents, reshaping the child tax credit and child/dependent care breaks that can move refund sizes and take-home pay, while also tightening some energy incentives and immigration fees and pumping new money into defense, border operations, health, and student aid. - Grocery help & eligibility: Updates the formula used to set SNAP (food stamp) benefits and tweaks work/utility rules—so benefit amounts could shift for some households. It also tightens eligibility for certain immigrants. - Refunds for families: Reworks key family tax breaks—especially the child tax credit and child/dependent care credits—which could change the size and timing of tax refunds (and in some cases take-home pay) for parents. - Energy bills & “made in America” rules: Scales back or ends several clean-energy and manufacturing tax credits and adds tougher domestic-content/foreign-entity limits—changes that can ripple into utility rates, home-upgrade costs, and where new jobs/investment land. - New fees + big funding shifts: Sets new immigration service fee schedules and moves major federal dollars toward defense, border operations, health, and student aid—reshaping who pays fees and where government spending shows up. Raises federal borrowing authority by 5 trillion dollars, and potentially more budget pressure later.

HR4317 — PBM Reform Act of 2025

Greater PBM transparency and tighter contract rules would require pharmacy benefit managers (PBMs) to disclose detailed per‑drug revenues and rebates, protect small "essential" retail pharmacies, and change Medicaid and group plan payment rules across the drug supply chain. The bill would layer reporting, audit rights, pass‑through pricing, and enforcement across Medicare Part D, ERISA/group plans, and Medicaid to spotlight hidden payments and affiliate flows. - Patients and community pharmacies: Would create an "essential retail pharmacy" label for pharmacies in underserved areas and require network access standards and biennial public data starting in 2028, helping small pharmacies show reimbursement and cost differences to plans. - PBMs, plans, and auditors: Would force PBMs to adopt flat bona fide service fees, disclose per‑drug claims, rebates, retained revenue, and affiliate dispensing shares, and give sponsors audit rights and remedies for improper remuneration. - States and Medicaid programs: Would require monthly national acquisition‑cost surveys, ban spread pricing in State Medicaid contracts, and mandate pass‑through pricing with itemized reporting and penalties for false data. Would increase federal spending for implementation by about $336 million in FY2025 and fund ongoing oversight including a $9 million annual IG appropriation.

HR2395 — SHORT Act

Reclassifies short‑barreled rifles and shotguns under federal law and limits state oversight. The SHORT Act would change the Internal Revenue Code and Title 18 to treat certain short‑barreled weapons differently, create a federal safe harbor for people who comply with Chapter 44, preempt state taxes and registration rules, and require destruction of some National Firearms Registration and Transfer Record entries. - Owners who follow federal Chapter 44 rules would be regarded as meeting any state or local registration or licensing requirement for short‑barreled rifles and shotguns. - States and localities would be barred from imposing taxes other than general sales or use taxes, or from requiring markings, recordkeeping, or registration for short‑barreled rifles and shotguns that affect interstate commerce. - The Attorney General would have to destroy within 365 days certain NFRTR registrations and transfer and maker applications that identify owners or makers of those weapons.

HR1262 — Mikaela Naylon Give Kids a Chance Act

Speeds and strengthens pediatric cancer drug development. It expands which cancer products companies must study in children, reshapes organ transplant network governance and fees, and adds new FDA international and transparency steps. - Children with cancer and researchers: Requires pediatric studies that produce clinically meaningful data on dosing, safety, and early effectiveness and widens the kinds of drug combinations studied. It also sets aside $25 million for pediatric drug studies in each of fiscal years 2026, 2027, and 2028. - Transplant patients and transplant network members: Changes Organ Procurement and Transplantation Network governance and financing by allowing quarterly registration fees, requiring those fees fund OPTN operations, improving electronic health record integration, and calling for a GAO review within two years. - FDA partners and drug makers: Creates an Abraham Accords Office to boost regulatory coordination and technical assistance abroad, and forces more transparency during generic (ANDA) reviews about whether generics are qualitatively and quantitatively the same as listed drugs. It also raises the Medicare Improvement Fund amount from $1.4 billion to $2.6 billion. Increases federal outlays by roughly $1.3 billion, driven by a $1.2 billion boost to the Medicare Improvement Fund and $75 million for pediatric studies, adding to federal spending.

HR21 — Born-Alive Abortion Survivors Protection Act

Mandates care and penalties for infants born alive after an abortion. This bill would set standards of care, require reporting, create criminal penalties, and allow civil suits when an infant is born alive following an abortion. - Women and families: A woman on whom an abortion is performed may sue anyone who violates the law and recover objectively verifiable medical and psychological damages, punitive damages, and statutory damages equal to three times the cost of the abortion. Courts must award reasonable attorney's fees to prevailing plaintiffs and may award fees to defendants if a suit is frivolous. - Health care practitioners and facility employees: Any practitioner present at a birth resulting from an abortion must exercise the same professional skill, care, and diligence as for any other live-born infant of the same gestational age. Practitioners or employees who know of a failure to comply must immediately report the violation to appropriate State or Federal law enforcement. - Criminal and statutory consequences: Violators face fines, up to 5 years in prison, or both, and anyone who intentionally kills a born-alive infant is punished under the murder statute. The bill also updates chapter headings and adds statutory definitions for "abortion" and "attempt."

HR1383 — Secure Rural Schools Reauthorization Act of 2025

Extends Secure Rural Schools payment authority and program tools while adding a temporary, targeted adjustment for 2024–2025. The bill would preserve funding pathways for counties with Federal land and keep local project and advisory authorities in place through the late 2020s.