H.R.7148

H. R. 7148

January 20, 2026

Mr. Cole introduced the following bill; which was referred to the Committee on Appropriations, and in addition to the Committees on the Budget, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

A BILL

Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes.

1. Short title; 2. Table of contents; 3. References; 4. Explanatory statement; 5. Statement of appropriations; DIVISION A—DEPARTMENT OF DEFENSE APPROPRIATIONS ACT, 2026; Title I—Military Personnel; Title II—Operation and Maintenance; Title III—Procurement; Title IV—Research, Development, Test and Evaluation; Title V—Revolving and Management Funds; Title VI—Other Department of Defense Programs; Title VII—Related Agencies; Title VIII—General Provisions; DIVISION B—DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS ACT, 2026; Title I—Department of Labor; Title II—Department of Health and Human Services; Title III—Department of Education; Title IV—Related Agencies; Title V—General Provisions; DIVISION D—TRANSPORTATION, HOUSING AND URBAN DEVELOPMENT, AND RELATED AGENCIES APPROPRIATIONS ACT, 2026; Title I—Department of Transportation; Title II—Department of Housing and Urban Development; Title III—Related Agencies; Title IV—General Provisions—This Act; DIVISION E—AUTHORIZING EXTENDERS AND TECHNICAL CORRECTIONS; DIVISION F—HEALTH CARE EXTENDERS; DIVISION F—HEALTH CARE EXTENDERS; 6001. Table of contents; TITLE I—MEDICAID; 6101. Streamlined enrollment process for eligible out-of-State providers under Medicaid and CHIP; 6102. Removing certain age restrictions on Medicaid eligibility for working adults with disabilities; 6103. Medicaid State plan requirement for determining residency and coverage for military families; 6104. State studies and HHS report on costs of providing maternity, labor, and delivery services; 6105. Modifying certain disproportionate share hospital allotments; 6106. Modifying certain limitations on disproportionate share hospital payment adjustments under the Medicaid program; TITLE II—MEDICARE; 6201. Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals; 6202. Extension of the Medicare-dependent hospital (MDH) program; 6203. Extension of add-on payments for ambulance services; 6204. Extending incentive payments for participation in eligible alternative payment models; 6205. Extension of funding for quality measure endorsement, input, and selection; 6206. Extension of funding outreach and assistance for low-income programs; 6207. Extension of funding for Medicare hospice surveys; 6208. Extension of the work geographic index floor; 6209. Extension of certain telehealth flexibilities; 6210. Extending acute hospital care at home waiver flexibilities; 6211. In-home cardiopulmonary rehabilitation flexibility; 6212. Enhancing certain program integrity requirements for DME under Medicare; 6213. Guidance on furnishing services via telehealth to individuals with limited English proficiency; 6214. Inclusion of virtual diabetes prevention program suppliers in MDPP Expanded Model; 6215. Medication-induced movement disorder outreach and education; 6216. Report on wearable medical devices; 6217. Extension of temporary inclusion of authorized oral antiviral drugs as covered part D drugs; 6218. Extension of adjustment to calculation of hospice cap amount under Medicare; 6219. Adjustments to Medicare part D cost-sharing reductions for low-income individuals; 6220. Requiring Enhanced and Accurate Lists of (REAL) Health Providers Act; 6221. Medicare coverage of multi-cancer early detection screening tests; 6222. Medicare coverage of external infusion pumps and non-self-administrable home infusion drugs; 6223. Assuring pharmacy access and choice for medicare beneficiaries; 6224. Modernizing and ensuring PBM accountability; 6225. Requiring a separate identification number and an attestation for each off-campus outpatient department of a provider; 6226. Revising phase-in of medicare clinical laboratory test payment changes; 6227. Medicare sequestration; 6228. Medicare Improvement Fund; TITLE III—HUMAN SERVICES; 6301. Sexual risk avoidance education extension; 6302. Personal responsibility education extension; 6303. Extension of funding for family-to-family health information centers; 6304. Extension of the Temporary Assistance for Needy Families Program; TITLE IV—PUBLIC HEALTH AND OTHER EXTENDERS; 6401. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs; 6402. Extension of special diabetes programs; 6403. Extension of national health security programs; 6404. No Surprises Act implementation; 6411. 9/11 responder and survivor health funding corrections; TITLE V—PUBLIC HEALTH PROGRAMS; 6501. Preventing maternal deaths; 6502. Organ Procurement and Transplantation Network; 6503. Honor our living donors; 6504. Program for pediatric studies of drugs; 6505. Sickle cell disease prevention and treatment; 6506. Lifespan respite care; 6507. PREEMIE; 6508. Dr. Lorna Breen health care provider protection; TITLE VI—FOOD AND DRUG ADMINISTRATION; 6601. Research into pediatric uses of drugs; additional authorities of Food and Drug Administration regarding molecularly targeted cancer drugs; 6602. Ensuring completion of pediatric study requirements; 6603. FDA report on PREA enforcement; 6604. Extension of authority to issue priority review vouchers to encourage treatments for rare pediatric diseases; 6605. Limitations on exclusive approval or licensure of orphan drugs; 6611. Establishment of Abraham Accords Office within Food and Drug Administration; TITLE VII—LOWERING PRESCRIPTION DRUG COSTS; 6701. Oversight of pharmacy benefit management services; 6702. Full rebate pass through to plan; exception for innocent plan fiduciaries; 6703. Increasing transparency in generic drug applications

DEPARTMENT OF DEFENSE APPROPRIATIONS ACT, 2026

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS ACT, 2026

TRANSPORTATION, HOUSING AND URBAN DEVELOPMENT, AND RELATED AGENCIES APPROPRIATIONS ACT, 2026