Pell Grant Preservation and Expansion Act of 2026
The bill substantially increases and stabilizes Pell aid and expands eligibility—making college more affordable for many low‑income and underserved students—at the cost of significantly higher federal spending and added administrative burdens that could strain institutions, create allocation tradeoffs, and introduce new implementation and equity challenges.
Tax the Grift Act
The bill provides statutory clarity and enforcement authority to tax qualified settlement fund payments—improving administration and certainty—but does so by creating potential new tax liabilities, added compliance costs, and greater enforcement/litigation risk for recipients and payors.
Save Medicare Act
The bill trades clearer, enforceable naming rules that protect beneficiaries from deceptive marketing and preserve legal continuity for the costs and risks of a mandated rebranding—large fines and compliance expenses that could confuse consumers short-term and raise costs for plans and beneficiaries.
Audit the Pentagon Act of 2026
The bill strengthens DoD financial accountability and transparency and creates fiscal incentives to fix audit failures, but those gains come with risks of program funding cuts, higher administrative costs, reduced transparency for classified programs, and increased pressure on DoD personnel.
PrEP Access Act
The bill expands Medicare coverage to let pharmacists provide and be paid for HIV prevention services—improving access and protecting patients from surprise bills—but lower reimbursement rates, state scope‑of‑practice limits, and "reasonable and necessary" coverage rules may limit provider participation and create uneven access.
To amend title XVIII of the Social Security Act to require the Secretary of Health and Human Services to maintain a website for Medicare beneficiaries to search for providers participating in MA plans and traditional Medicare.
The bill improves beneficiaries' ability to find and compare in-network providers—potentially reducing surprise bills and improving plan choice—at the cost of new federal implementation expenses and a risk that inaccurate or outdated data could still mislead patients.
To prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program.
The bill protects Medicare beneficiaries' choice by blocking automatic MA enrollments, at the cost of reducing administrative flexibility and potentially affecting MA enrollment rates and provider/insurer financial planning.
To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program.
The bill trades simpler, less cluttered Medicare Advantage choices for many beneficiaries against reduced plan variety and potential market consolidation that could raise costs or limit options for some, while adding administrative enforcement burdens for government agencies.
To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans.
The bill trades reduced excess Medicare Advantage payments and taxpayer savings for a risk of narrower plan availability and benefits—potentially disrupting coverage and access for some Medicare beneficiaries.
To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan.
The bill increases transparency about Medicare Advantage prior‑authorization denials—helping beneficiaries compare plans and potentially improving access—while imposing reporting costs, risks of consumer misinterpretation, and privacy/proprietary concerns.