To amend the title.

This bill aims to reduce fraud in Medicare's home health agency program by strengthening enrollment screening, increasing federal oversight, and adjusting payment rates. Home health agencies will face enhanced requirements including fingerprinting of administrators, proof of liability insurance, and more frequent inspections—particularly new agencies, those that have changed ownership, or those with suspicious billing patterns. The bill resets Medicare's standard payment rate for home health services to $2,382.87 starting in 2027 and suspends certain payment adjustments that may have been inflated by fraudulent claims. To implement these measures, the bill appropriates $550 million over fiscal years 2027 through 2031, with $300 million for Centers for Medicare & Medicaid Services program integrity efforts, $150 million for Justice Department and Inspector General fraud investigations, and $100 million for state survey agencies conducting inspections. Most new requirements take effect one year after the bill's enactment.

In the nature of a substitute.

Improving Access to Medicare Coverage Act of 2026This bill deems an individual receiving outpatient observation services in a hospital as an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility (SNF) services. (Generally, individuals must have been an inpatient at a hospital for at least three days in order to qualify for SNF services. An individual's time spent under observation at a hospital for purposes of determining whether the individual should be admitted does not count towards this requirement.)

This Senate resolution designates May 2026 as "Osteoporosis Prevention and Awareness Month" to highlight the serious public health impact of osteoporosis, a disease that weakens bones and increases fracture risk. According to the resolution, approximately 54 million Americans currently have osteoporosis or low bone mass, and about one in two women and up to one in four men over age 50 will experience a bone fracture from the disease. Osteoporosis costs the nation an estimated 57 billion dollars annually in fracture-related care for Medicare beneficiaries alone, with projections rising above 95 billion dollars by 2040. The resolution emphasizes that osteoporosis often goes undetected until a fracture occurs, and calls attention to the need for better screening, treatment, and post-fracture care to prevent additional breaks and reduce opioid addiction among seniors. The measure expresses Senate support for efforts by states, organizations, researchers, and caregivers to raise public and professional awareness about bone health throughout a person's lifetime.

This Senate resolution formally recognizes and thanks teachers across the United States for their contributions to the nation's civic, cultural, and economic well-being. The resolution coincides with National Teacher Appreciation Week, which was celebrated from May 4-8, 2026, and aims to raise public awareness of teachers' contributions while promoting greater respect for the teaching profession. The measure affects all teachers nationwide by providing official congressional recognition of their work and encouraging students, parents, school administrators, and public officials to acknowledge their efforts. The resolution is purely ceremonial and does not include any funding or create new programs, serving instead as a formal statement of appreciation from the Senate. It was introduced by Senator Collins along with 23 bipartisan co-sponsors and passed by the Senate on May 11, 2026.

The Catching Up Family Caregivers Act of 2026 allows family caregivers to make additional contributions to retirement accounts before reaching age 50, a benefit previously limited to workers age 50 and older. A "qualified family caregiver" is defined as someone who provided at least 500 hours of unpaid caregiving in the current or previous year while working less than 500 hours in paid employment, caring for children or adults with special needs including elderly individuals. This benefit applies to both employer-sponsored retirement plans and Individual Retirement Accounts, though individuals can claim this status for no more than five total tax years. The changes take effect for tax years beginning after December 31, 2026, and employers are allowed to rely on workers' written statements to verify their caregiver status rather than requiring extensive documentation.

This bill allows family caregivers who have limited paid employment to contribute to Roth IRAs for retirement savings. To qualify, an individual must complete at least 500 hours of unpaid caregiving work during the year while having fewer than 500 hours of paid employment, and must be caring for a child or an adult with special needs, including elderly adults requiring supervision due to age-related conditions. The bill permits these caregivers to contribute up to the standard annual Roth IRA limit even though they may have little earned income from traditional employment. The provision takes effect for tax years beginning after December 31, 2025, and also allows married couples where one spouse is a caregiver to make coordinated contributions under spousal IRA rules.

The amendment introduces new provisions that enhance existing regulations by adding stricter compliance requirements for certain entities and increasing penalties for violations. Additionally, it expands the scope of oversight to include previously exempt organizations, ensuring broader accountability.

The AFTER Act (Animal Freedom from Testing, Experiments, and Research Act) requires federal research facilities to retire animals no longer needed for research and place them in adoptive homes, animal sanctuaries, or shelters rather than euthanizing them. Within 90 days of the bill's enactment, federal agencies operating research facilities must develop regulations that facilitate and encourage adoption by rescue organizations, sanctuaries, shelters, or individuals, with special requirements that nonhuman primates go to sanctuaries. The bill applies to all animals except laboratory rats and mice, and only covers animals determined by a veterinarian to be mentally and physically healthy enough for retirement. The legislation does not override state or local animal welfare laws that are stricter than federal requirements, and it preserves existing chimpanzee sanctuary protections. The bill carries no explicit new federal funding authorization but requires agencies to use existing resources to implement the placement regulations.

The bill directs the U.S. Treasury to mint and issue commemorative coins honoring fallen firefighters and the National Fallen Firefighters Memorial. Three types of coins will be produced: up to 50,000 gold $5 coins, 400,000 silver $1 coins, and 750,000 half-dollar clad coins, all bearing designs selected in consultation with the Commission of Fine Arts and the National Fallen Firefighters Foundation. The coins will be available for sale only during 2029 and will include surcharges of $35, $10, and $5 per coin respectively, with all surcharge revenue going to the National Fallen Firefighters Foundation to support its programs. The bill ensures the minting produces no cost to the federal government, as the Treasury will recover all design and production expenses before any funds are distributed to the Foundation.

Medical Nutrition Therapy Act of 2026This bill expands Medicare coverage of medical nutrition therapy services.Currently, Medicare covers such services for individuals with diabetes or kidney disease under certain circumstances; such services must also be provided by a registered dietitian or nutrition professional pursuant to a physician referral. The bill extends coverage to individuals with other diseases and conditions, including obesity, eating disorders, cancer, and HIV/AIDS; such services may also be referred by a physician assistant, nurse practitioner, clinical nurse specialist, or (for eating disorders) a clinical psychologist.

This resolution designates the week of February 23-27, 2026, as "National Public Schools Week" to recognize the importance of public education in American democracy. The resolution acknowledges that 87 percent of U.S. children attend public schools, which play a crucial role in preparing students to contribute to society and the economy while teaching democratic values. It emphasizes that lawmakers should prioritize strengthening public schools by supporting school leaders, educators, and critical student services like counseling and mental health support. The resolution also calls for creating inclusive, safe learning environments where all students can succeed regardless of their background or location, and recognizes the vital work of teachers, administrators, and parents in improving educational outcomes across the country.

The We Can't Wait Act allows people approved for Social Security disability insurance benefits to receive reduced payments during the mandatory 5-month waiting period that normally applies before benefits begin. Currently, eligible disabled individuals must wait five months with no payments; this bill lets them opt to start receiving 94.25 percent of their full benefit amount immediately, with that reduced amount locked in for life. The legislation applies to people who haven't yet reached early retirement age and gives them multiple windows to make this election—when applying, at decision time, or during the appeals process. The Social Security Administration must update application forms within 180 days and create a calculator to help people understand how choosing early benefits would affect their long-term payments. The bill includes an actuarial review every five years to ensure the program doesn't significantly drain the Disability Insurance Trust Fund, and requires the Chief Actuary to report to Congress if the cost becomes unsustainable, with recommendations for adjustments.

The Accounting STEM Pursuit Act modifies the Student Support and Academic Enrichment Grant program—a federal funding stream for K-12 schools—to explicitly include accounting education and career awareness as eligible activities. The bill adds accounting to the list of subjects schools can use grant funds to support, with a specific emphasis on reaching students underrepresented in accounting careers through high-quality coursework. This change affects schools that receive these federal grants, as well as students who would gain access to accounting education as part of their well-rounded STEM learning experience. The bill does not establish new funding or appropriations; rather, it expands how existing grant money can be spent. Introduced in February 2026 by Senators Collins and Rosen, the legislation is intended to increase student awareness of accounting as a viable career path alongside other STEM fields.

The bill addresses issues related to the accessibility of specific resources, highlighting limitations and restrictions on the availability of certain information and services. It aims to clarify the implications of these restrictions and their impact on stakeholders. Overall, the legislation seeks to enhance transparency and improve access to essential resources.

This resolution designates December 13, 2025, as National Wreaths Across America Day and honors the Wreaths Across America project, patriotic escort units, the U.S. trucking industry, and the volunteers and donors involved in this tradition. Additionally, the resolution recognizes the service and sacrifices of veterans, members of the Armed Forces, and their families.

The bill addresses issues related to the accessibility and availability of specific resources and information, highlighting challenges in retrieving necessary data. It seeks to establish measures to improve resource allocation and ensure that essential information is readily accessible for effective governance. Overall, the bill aims to enhance transparency and efficiency in congressional operations.

The bill addresses the unavailability of a specific requested resource, indicating that the request cannot be fulfilled due to the absence of that resource. It highlights the challenges faced in meeting certain needs and the implications of resource limitations.

This bill establishes a grant program through the Department of Agriculture to help farmers and states address contamination from PFAS (a group of toxic chemicals commonly called "forever chemicals") on agricultural land and water. The program provides funding to states, territories, and Indian tribes to support affected farmers through various means, including health monitoring for workers and their families, purchasing contaminated farmland or crops, investing in equipment to help farms transition to safer practices, providing income replacement, and conducting research on soil and water remediation. The bill prioritizes helping farmers experiencing direct financial losses and requires at least 30 percent of annual funding to go to smaller states with populations under 3 million. Congress would authorize $500 million for this program over five fiscal years, from 2026 through 2030, with states required to submit annual reports to Congress describing how they use the funds and what additional support farmers need.

The Improving Access to Workers' Compensation for Injured Federal Workers Act of 2025 expands medical provider options under the federal workers' compensation system. The bill amends existing law to allow physician assistants and nurse practitioners to provide medical services to injured federal employees, working within the scope defined by state law. This change applies to the Federal Employees' Compensation Act, which covers workplace injuries for federal workers across the government. The Department of Labor must issue final regulations within six months of the bill's enactment to implement these changes. The legislation does not specify new funding amounts but aims to improve access to care and potentially reduce costs by allowing a broader range of qualified healthcare providers to treat injured federal workers.