H.R. 10138 was introduced on August 24, 2026 by Rep. Jake Auchincloss (D-MA-4) with 2 Republican and 1 Democratic cosponsors. The text for this legislation has not yet been released. A summary will be generated when there is text available.

The Alzheimer's Early Detection Act of 2026 requires private health insurance plans and Medicaid to cover Alzheimer's biomarker testing, which includes blood tests and other diagnostic procedures used to detect, diagnose, and monitor Alzheimer's disease. The bill applies to all group health plans, individual health insurance policies, and state Medicaid programs, ensuring that people with insurance have access to these early detection tests. Insurance companies cannot impose stricter cost-sharing or prior authorization requirements for these tests than they do for other medical procedures, and they must approve or deny authorization requests within 24 to 72 hours. The coverage requirements take effect one year after the bill becomes law for private insurance and one year after enactment for Medicaid. Additionally, the National Institutes of Health must conduct a study through the National Academies of Sciences, Engineering, and Medicine to assess the effectiveness of biomarker testing in detecting and treating Alzheimer's disease, with reports due annually for three years.

The Hot Rock Act establishes federal programs to research and develop "hot dry rock" geothermal energy—an advanced technology that taps into extremely hot underground reservoirs to generate electricity and heat. The bill authorizes $107 million in funding across fiscal years 2027 through 2031, directed primarily through the Department of Energy, the U.S. Geological Survey, and the Department of Labor to support research grants, build testing facilities, conduct risk monitoring, and train workers in geothermal technology. Eligible recipients include National Laboratories, universities, and private companies that will focus on overcoming technical challenges like drilling at extreme temperatures, managing reservoir systems, and developing new equipment and materials. The legislation also affects oil and gas industry workers, technicians, and union members in designated "energy communities" who can participate in cross-training programs to transition into the geothermal sector, while streamlining federal permitting processes on public lands to accelerate hot dry rock project development.

H.R. 6837 would establish that pharmacy benefit managers (PBMs) must be treated as fiduciaries under federal employee retirement and health plan laws, meaning they would have legal obligations to act in the best interest of workers and retirees rather than prioritizing their own profits. The bill requires PBMs and third-party administrators to disclose all compensation they receive—both direct and indirect—and prohibits them from being indemnified or protected from liability for breaching their duties. The legislation also clarifies that PBMs cannot serve as the responsible fiduciary making disclosure decisions for plans, with a narrow exception for PBMs managing their own employee plans. The changes would take effect 12 months after the bill becomes law and would apply to all group health plans including those covering federal employees and private sector workers. This legislation aims to increase transparency and accountability in how PBMs negotiate drug prices and manage prescription drug benefits on behalf of health plans.

The Pharmacists Fight Back in Medicare and Medicaid Act establishes new federal requirements for pharmacy benefit managers (PBMs) that manage prescription drug coverage under Medicare Part D and Medicaid, effective January 1, 2027. The bill requires PBMs to reimburse pharmacies based on the national average drug acquisition cost plus 4% (or $50, whichever is less), pay dispensing fees matching state Medicaid rates, and pass manufacturer rebates directly to patients at the point of sale to reduce out-of-pocket costs. The legislation prohibits PBMs from steering patients to affiliated pharmacies and mandates annual compliance reporting and expanded pharmacy surveys with publicly available national drug pricing data. The bill establishes significant enforcement mechanisms, including criminal penalties of up to 10 years imprisonment and $1 million fines, plus civil penalties of $1 million per violation, for PBMs that knowingly violate the payment and rebate requirements.

This bill restricts how pharmacy benefit managers (PBMs)—companies that manage prescription drug benefits—can operate within the Federal Employee Health Benefits Program. The legislation requires PBMs to reimburse pharmacies based on actual drug acquisition costs plus a small markup or fee, match state Medicaid dispensing fees, and pass manufacturer rebates to patients at the point of sale rather than keeping them. The bill prohibits PBMs from directing patients to affiliated pharmacies, restricting which pharmacies can participate in networks, or engaging in practices that limit drug distribution. Federal agencies administering employee health plans cannot contract with PBMs that violate these rules. The bill establishes enforcement mechanisms including civil penalties up to $10,000 per violation (capped at $100,000 per PBM per carrier over 10 years) and debarment from federal contracts after 10 violations within a decade, with hearings and court appeals available. The bill takes effect one year after enactment and affects federal employee health insurance plans and the pharmacy benefit managers serving them.

The Parents Over Platforms Act requires app stores and app developers to implement age verification systems to protect minors on mobile devices like smartphones and tablets. App stores must ask users to declare their age, provide developers with "age signals" when users consent to sharing their age information, and give parents the ability to block their children from downloading age-inappropriate apps. Developers of apps that offer different experiences for adults versus minors must use commercially reasonable efforts to verify users' ages, obtain parental consent for age-restricted content, and prohibit targeted advertising to minors. The Federal Trade Commission will enforce the law as violations of consumer protection rules, with violations treated as unfair or deceptive practices. The legislation preempts conflicting state laws and takes effect within 24 months of passage, while providing liability protections for companies that make good-faith compliance efforts.

The Deepfake Liability Act amends federal law to hold online platforms more accountable for hosting deepfakes and cyberstalking content while expanding protections against nonconsensual intimate imagery. The bill modifies Section 230 of the Communications Act—which currently shields platforms from liability for user-generated content—by requiring platforms to implement reasonable safeguards against deepfakes, cyberstalking, and intimate privacy violations, including processes to prevent such content, respond to removal requests, and preserve data for legal proceedings. The legislation also strengthens the existing TAKE IT DOWN Act by expanding the definition of prohibited content to include sexually explicit deepfakes and cyberstalking, reducing exceptions to those prohibitions, and requiring platforms to remove qualifying content within 48 hours of receiving a valid removal request from affected individuals. Platforms that remove such content in good faith are protected from liability. The Federal Trade Commission must issue implementing regulations within 180 days, and the law applies to all covered platforms and interactive computer services beginning upon enactment.

The Education Not Endless Scrolling Act would impose a 50 percent tax on large digital advertising companies—those earning more than $2.5 billion annually from hosting ads on websites and apps—starting in 2026. The revenue generated would be divided equally among three education-focused trust funds: one-third supporting local journalism through tax credits for news outlets and journalists, one-third funding one-on-one tutoring programs in Title I schools (schools serving low-income students), and one-third supporting career and technical education programs. The Department of Education would have 180 days after enactment to establish a competitive grant program awarding money to states for individual tutoring initiatives in eligible schools. The bill targets the advertising practices of major tech and digital platforms while using the tax revenue to support educational initiatives and journalism, which lawmakers describe as alternatives to excessive social media use.

The ACA Copay CAP Act of 2025 would add a new cap on how much patients have to pay out-of-pocket for prescription drugs under health insurance plans. Beginning in 2027, individuals with self-only coverage would face an annual limit of $2,000 in drug copays and cost-sharing, while families with other coverage types would have a $4,000 annual cap. These dollar limits would increase each year based on premium adjustment percentages, rounded down to the nearest $50. Once a patient reaches their annual cap, their health plan would cover the full cost of prescription drugs for the rest of that year. The bill applies to all health plans regulated under the Affordable Care Act and takes effect for plan years beginning January 1, 2027.

The Power of the Mint Act would prohibit the Federal Reserve and the Treasury Department from issuing a central bank digital currency (CBDC) without explicit authorization from Congress. The bill defines a CBDC as digital money denominated in U.S. currency that is a direct liability of the Federal Reserve. The legislation is based on the constitutional principle that only Congress holds the power to coin money and regulate its value, and it aims to ensure that any decision to create a digital version of U.S. currency must come directly from lawmakers rather than being undertaken by federal agencies acting alone. The bill applies to both the Federal Reserve's independent actions and any directive from the Treasury Secretary to the Federal Reserve. No specific funding or implementation timeline is outlined in the bill, as it primarily serves to restrict regulatory authority rather than authorize new spending or programs.

Supporting Transit Commutes Act This bill provides employers a tax deduction for certain transportation fringe benefits given to employees.Under the bill, employers may deduct costs for providing employees transportation in a commuter highway vehicle (e.g., van pool) between the employee’s home and place of work or a transit pass. The amount of the deduction cannot exceed the aggregate exclusion amount for such fringe benefits ($325 per month per employee in 2025 and adjusted annually). Further, under the bill, the deduction cannot exceed 50% of such amount for transportation fringe benefits provided under a salary reduction agreement.