In God we trust
Transparency in Reporting of Adversarial Contributions to Education Act
The bill substantially increases parents’ and communities’ transparency into foreign‑funded materials and staffing in schools, trading clearer oversight for added administrative costs, privacy and legal risks for staff/partners, and the potential chilling of beneficial international partnerships.
American Dream Accounts Act of 2026
The bill creates a new tax-advantaged savings vehicle and rollover flexibility for savers, but also imposes contribution limits and additional compliance and reporting penalties that increase risk and administrative costs for users and custodians.
SMOOTH Payments Act
The bill clarifies that catastrophic plans are not eligible for premium tax credits—reducing administrative uncertainty—but it does so at the cost of higher out-of-pocket costs for people who choose or can only access those plans and added compliance burden for insurers and tax administrators.
Digital Assets Voluntary Disclosure Program Act
The bill offers a limited, time‑bound amnesty-like program allowing taxpayers to resolve prior unreported digital‑asset tax issues and avoid certain civil and criminal penalties if they fully disclose and pay, but it imposes substantial immediate costs, leaves undisclosed wrongdoing exposed to prosecution, and includes tight deadlines and confidentiality uncertainties.
DME Scammer Prevention Act of 2026
The bill standardizes and speeds Medicare durable medical equipment claims and strengthens oversight of screening technology, but imposes up-front costs on providers and risks initial denials that could disrupt provider cash flow and patient access.
Abolish the CMMI Act
Eliminating the federal Center for Medicare & Medicaid Innovation reduces administrative overhead and limits centrally imposed payment tests—giving states and providers more conventional regulatory pathways—but risks slowing or blocking testing and adoption of payment and delivery reforms, creating disruption and potential long-term cost and quality harms for beneficiaries, providers, and taxpayers.
HSA’s For All Act
The bill expands HSA eligibility to more health plans beginning in 2027—boosting tax‑advantaged savings and potentially lowering out‑of‑pocket costs for many—while increasing federal tax expenditures and raising distributional and compliance concerns.
Punishing Health Care Fraudsters Act
The bill increases penalties to deter large-scale healthcare fraud and strengthen privacy protections, but does so at the cost of higher taxpayer and provider burdens, greater criminal exposure for more actors, and risks of unequal or overly rigid punishment.
ICHRA Permanency Act
The bill clarifies and permits certain HRAs—giving workers more ways to pay health costs and reducing employer/regulatory uncertainty—but raises the risk that employers will shift to narrower plans, expands regulatory authority without fresh congressional review, and may increase enforcement costs for governments.
PROMPT Act
The bill improves transparency and speeds error/fraud detection for Medicare beneficiaries by requiring EOBs within 30 days, but does so at the cost of added administrative and IT burdens for Medicare, contractors, and providers and with a risk that some EOBs may be provisional or less detailed.