S. 5496

Health CARE Act of 2026

Sponsor: Mark R. Warner · 0 cosponsors

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I Restoring health care and lowering costs

II Pathway to universal coverage

Sec. 204. Participating providers

(a) Requirement To participate in order To be enrolled under Medicare. Beginning January 1, 2028, the Secretary may require a health care provider enrolled under the Medicare program under section 1866(j) of the Social Security Act (42 U.S.C. 1395cc(j)) to be a participating provider under the health plan.

(b) Requirement To participate in order To participate in Medicaid. Beginning January 1, 2028, the Secretary may require a health care provider under a State Medicaid plan under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) to also be a participating provider under the health plan.

III Strengthening Medicaid

IV Lowering drug costs

V Ensuring quality health insurance and removing barriers to care

VI Lowering the cost of care

VII Reforming PBMs and Protecting Pharmacies