H.R. 1768 · Where this bill is now
In committee
Introduced in the House, sent to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, the Budget, the Judiciary, and Education and Workforce, 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, Mar 3, 2025
What this bill does
In plain words · AI-written from the official summaryExpands health care and adds consumer protections
This bill makes several changes to health care programs and consumer rules. On the health side, it expands Medicaid eligibility, increases payments to certain doctors and hospitals, extends telehealth coverage, and requires drugmakers to pass rebates directly to health insurance plans. It also strengthens programs for public health emergencies, substance use treatment, and rare disease research. For consumers, the bill bans nonconsensual sharing of intimate images online, requires makers of internet-connected devices to disclose cameras and microphones before you buy, restricts certain food additives, and requires clearer pricing information for concert and hotel purchases. It also includes environmental initiatives like recycling grants and changes to ethanol fuel regulations.
How it affects you
If you're on Medicare or Medicaid, you may gain access to more services or providers. If you buy internet-connected devices, you'll get advance notice of built-in cameras or microphones. Everyone benefits from stronger protections against nonconsensual intimate image sharing and clearer pricing on concert tickets and hotel rooms. People struggling with substance use disorders or other serious health conditions may have access to expanded treatment programs. The bill's direct effects on most Americans' daily lives varies by the specific provisions, with some being quite targeted to particular groups or situations.
Read the official summary (Introduced in House, Mar 3, 2025)
Lower Costs for Everyday Americans Act
This bill reauthorizes and establishes programs and requirements regarding health, commerce, and the environment.
The bill reauthorizes and expands programs for health care, including by
• allowing individuals age 65 and over with a medically improved disability to qualify for Medicaid;
• extending payment increases for certain providers under Medicare, including physicians and rural hospitals;
• extending Medicare coverage of certain telehealth services;
• requiring pharmacy benefit managers to remit 100% of rebates for prescription drugs to group health plans;
• reauthorizing programs supporting health care in underserved communities, including the National Health Service Corps;
• expanding and reauthorizing programs for public health emergency preparedness and response, including pandemic preparedness;
• expanding and reauthorizing programs for prevention and treatment of certain conditions, including substance use disorders, traumatic brain injuries, and sickle cell disease; and
• expanding the Food and Drug Administration’s authority regarding research on rare pediatric diseases.
The bill also establishes requirements relating to commerce, including by
• prohibiting nonconsensual online publication of intimate visual depictions of individuals,
• requiring manufacturers of internet-connected devices to disclose whether the device has a camera or microphone prior to purchase,
• banning products containing 10% or more of sodium nitrite by weight, and
• requiring additional disclosures relating to the prices of concert tickets and hotel rooms.
Additionally, the bill establishes and reauthorizes programs relating to the environment, including grants for community recycling systems, drinking water infrastructure, and reducing diesel emissions. It also allows gasoline that is blended with 10% to 15% ethanol to be sold year-round.
Written by AI (Claude) using only the official summary by the Congressional Research Service, the Library of Congress’s nonpartisan research staff. It can miss nuance, so check the official summary and the bill text for details.
1st SessionH. R. 1768
A BILL
Lower Costs for Everyday Americans Act
Sponsor: Rep. Frank Pallone (D-NJ-6) · Introduced Mar 3, 2025 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Mar 3, 2025: “Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, the Budget, the Judiciary, and Education and Workforce, 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.”
Sections
Division A — Recycling, Water, and Environment Related Provisions · 5
- Sec. 101Recycling and composting accountabilityNo change
- Sec. 102Recycling Infrastructure and Accessibility ProgramNo change
- Sec. 103Drinking water infrastructure risk and resilienceNo change
- Sec. 104Reauthorization of Diesel Emissions Reduction ActNo change
- Sec. 105Nationwide Consumer and Fuel Retailer Choice ActNo change
Division B — Commerce · Title I — Youth Poisoning Prevention · 2
Division B — Commerce · Title II — Consumer Product Safety Standard for Certain Batteries · 1
Division B — Commerce · Title III — Foreign Adversary Communications Transparency Act · 2
Division B — Commerce · Title IV — Promoting Resilient Supply Chains · 7
- Sec. 401Short titleNo change
- Sec. 402Additional responsibilities of Assistant Secretary of Commerce for Industry and AnalysisNo change
- Sec. 403Critical supply chain resilience working groupNo change
- Sec. 404Department of Commerce capability assessmentNo change
- Sec. 405No additional fundsNo change
- Sec. 406SunsetNo change
- Sec. 407DefinitionsNo change
Division B — Commerce · Title V — Deploying American Blockchains · 4
Division B — Commerce · Title VI — FUTURE Networks Act · 3
Division B — Commerce · Title VII — Secure Space Act · 2
Division B — Commerce · Title VIII — TAKE IT DOWN Act · 5
Division B — Commerce · Title IX — Rural Broadband Protection Act · 2
Division B — Commerce · Title X — American Music Tourism · 2
Division B — Commerce · Title XI — Informing Consumers about Smart Devices · 5
Division B — Commerce · Title XII — Securing Semiconductor Supply Chains Act · 6
- Sec. 1201Short titleNo change
- Sec. 1202SelectUSA definedNo change
- Sec. 1203FindingsNo change
- Sec. 1204Coordination with State-level economic development organizationsNo change
- Sec. 1205Report on increasing foreign direct investment in semiconductor-related manufacturing and productionNo change
- Sec. 1206No additional fundsNo change
Division B — Commerce · Title XIII — Hotel Fees Transparency Act · 2
Division B — Commerce · Title XIV — Transparency In Charges for Key Events Ticketing · 8
- Sec. 1401Short titleNo change
- Sec. 1402All inclusive ticket price disclosureNo change
- Sec. 1403Speculative ticketing banNo change
- Sec. 1404DisclosuresNo change
- Sec. 1405Refund requirementsNo change
- Sec. 1406Report by the Federal Trade Commission on BOTS Act of 2016 enforcementNo change
- Sec. 1407EnforcementNo change
- Sec. 1408DefinitionsNo change
Division B — Commerce · Title XV — ROUTERS Act · 2
Division B — Commerce · Title XVI — NTIA Reauthorization · 6
- Sec. 1601Short titleNo change
- Sec. 1602DefinitionsNo change
- Sec. 1611Reauthorization of the National Telecommunications and Information Administration Organization ActNo change
- Sec. 1612NTIA Consolidated Reporting ActNo change
- Sec. 1621Office of Spectrum ManagementNo change
- Sec. 1631Office of International AffairsNo change
Division C — Health · Title I — Medicaid · 13
- Sec. 101Streamlined enrollment process for eligible out-of-state providers under Medicaid and CHIPNo change
- Sec. 102Making certain adjustments to coverage of home or community-based services under MedicaidNo change
- Sec. 103Removing certain age restrictions on Medicaid eligibility for working adults with disabilitiesNo change
- Sec. 104Medicaid State plan requirement for determining residency and coverage for military familiesNo change
- Sec. 105Ensuring the reliability of address information provided under the Medicaid programNo change
- Sec. 106Codifying certain Medicaid provider screening requirements related to deceased providersNo change
- Sec. 107Modifying certain State requirements for ensuring deceased individuals do not remain enrolledNo change
- Sec. 108One-year delay of Medicaid and CHIP requirements for health screenings, referrals, and case management services for eligible juveniles in public institutions; State interim work plansNo change
- Sec. 109State studies and HHS report on costs of providing maternity, labor, and delivery servicesNo change
- Sec. 110Modifying certain disproportionate share hospital allotmentsNo change
- Sec. 111Modifying certain limitations on disproportionate share hospital payment adjustments under the Medicaid programNo change
- Sec. 112Ensuring accurate payments to pharmacies under MedicaidNo change
- Sec. 113Preventing the use of abusive spread pricing in MedicaidNo change
Division C — Health · Title II — Medicare · 29
- Sec. 201Extension of increased inpatient hospital payment adjustment for certain low-volume hospitalsNo change
- Sec. 202Extension of the Medicare-dependent hospital (MDH) programNo change
- Sec. 203Extension of add-on payments for ambulance servicesNo change
- Sec. 204Extending incentive payments for participation in eligible alternative payment modelsNo change
- Sec. 205Temporary payment increase under the Medicare physician fee schedule to account for exceptional circumstancesNo change
- Sec. 206Extension of funding for quality measure endorsement, input, and selectionNo change
- Sec. 207Extension of funding outreach and assistance for low-income programsNo change
- Sec. 208Extension of the work geographic index floorNo change
- Sec. 209Extension of certain telehealth flexibilitiesNo change
- Sec. 210Requiring modifier for use of telehealth to conduct face-to-face encounter prior to recertification of eligibility for hospice careNo change
- Sec. 211Extending acute hospital care at home waiver flexibilitiesNo change
- Sec. 212Enhancing certain program integrity requirements for DME under MedicareNo change
- Sec. 213Guidance on furnishing services via telehealth to individuals with limited English proficiencyNo change
- Sec. 214In-home cardiopulmonary rehabilitation flexibilitiesNo change
- Sec. 215Inclusion of virtual diabetes prevention program suppliers in MDPP Expanded ModelNo change
- Sec. 216Medication-induced movement disorder outreach and educationNo change
- Sec. 217Report on wearable medical devicesNo change
- Sec. 218Extension of temporary inclusion of authorized oral antiviral drugs as covered part D drugsNo change
- Sec. 219Extension of adjustment to calculation of hospice cap amountNo change
- Sec. 220Multiyear contracting authority for MedPAC and MACPACNo change
- Sec. 221Contracting parity for MedPAC and MACPACNo change
- Sec. 222Adjustments to Medicare part D cost-sharing reductions for low-income individualsNo change
- Sec. 223Requiring Enhanced and Accurate Lists of (REAL) Health Providers ActNo change
- Sec. 224Medicare coverage of multi-cancer early detection screening testsNo change
- Sec. 225Medicare coverage of external infusion pumps and non-self-administrable home infusion drugsNo change
- Sec. 226Assuring pharmacy access and choice for Medicare beneficiariesNo change
- Sec. 227Modernizing and Ensuring PBM AccountabilityNo change
- Sec. 228Requiring a separate identification number and an attestation for each off-campus outpatient department of a providerNo change
- Sec. 229Medicare sequestrationNo change
Division C — Health · Title III — Other matters · 3
Division C — Health · Title IV — Public health extenders · 3
Division C — Health · Title V — SUPPORT Act Reauthorization · 32
- Sec. 501Short titleNo change
- Sec. 511Prenatal and postnatal healthNo change
- Sec. 512Monitoring and education regarding infections associated with illicit drug use and other risk factorsNo change
- Sec. 513Preventing overdoses of controlled substancesNo change
- Sec. 514Support for individuals and families impacted by fetal alcohol spectrum disorderNo change
- Sec. 515Promoting state choice in PDMP systemsNo change
- Sec. 516First responder training programNo change
- Sec. 517Donald J. Cohen National Child Traumatic Stress InitiativeNo change
- Sec. 518Protecting suicide prevention lifeline from cybersecurity incidentsNo change
- Sec. 519Bruce’s lawNo change
- Sec. 520Guidance on at-home drug disposal systemsNo change
- Sec. 521Assessment of opioid drugs and actionsNo change
- Sec. 522Grant program for State and Tribal response to opioid use disordersNo change
- Sec. 531Residential treatment program for pregnant and postpartum womenNo change
- Sec. 532Improving access to addiction medicine providersNo change
- Sec. 533Mental and behavioral health education and training grantsNo change
- Sec. 534Loan repayment program for substance use disorder treatment workforceNo change
- Sec. 535Development and dissemination of model training programs for substance use disorder patient recordsNo change
- Sec. 536Task force on best practices for trauma-informed identification, referral, and supportNo change
- Sec. 537Grants to enhance access to substance use disorder treatmentNo change
- Sec. 538State guidance related to individuals with serious mental illness and children with serious emotional disturbanceNo change
- Sec. 539Reviewing the scheduling of approved products containing a combination of buprenorphine and naloxoneNo change
- Sec. 541Building communities of recoveryNo change
- Sec. 542Peer support technical assistance centerNo change
- Sec. 543Comprehensive opioid recovery centersNo change
- Sec. 544Youth prevention and recoveryNo change
- Sec. 545CAREER ActNo change
- Sec. 546Addressing economic and workforce impacts of the opioid crisisNo change
- Sec. 551Delivery of a controlled substance by a pharmacy to a prescribing practitionerNo change
- Sec. 552Technical correction on controlled substances dispensingNo change
- Sec. 553Required training for prescribers of controlled substancesNo change
- Sec. 554Extension of temporary order for fentanyl-related substancesNo change
Division C — Health · Title VI — Pandemic and All-Hazards Preparedness and Response · 32
- Sec. 601Short titleNo change
- Sec. 611Temporary reassignment of State and local personnel during a public health emergencyNo change
- Sec. 612Public Health Emergency Preparedness programNo change
- Sec. 613Hospital Preparedness ProgramNo change
- Sec. 614Facilities and capacities of the Centers for Disease Control and Prevention to combat public health security threatsNo change
- Sec. 615Pilot program to support State medical stockpilesNo change
- Sec. 616Enhancing domestic wastewater surveillance for pathogen detectionNo change
- Sec. 617Reauthorization of Mosquito Abatement for Safety and Health programNo change
- Sec. 621All-Hazards Emergency Preparedness and ResponseNo change
- Sec. 622National Health Security StrategyNo change
- Sec. 623Improving development and distribution of diagnostic testsNo change
- Sec. 624Combating antimicrobial resistanceNo change
- Sec. 625Strategic National Stockpile and material threatsNo change
- Sec. 626Medical countermeasures for viral threats with pandemic potentialNo change
- Sec. 627Public Health Emergency Medical Countermeasures EnterpriseNo change
- Sec. 628Fellowship and training programsNo change
- Sec. 629Regional biocontainment research laboratoriesNo change
- Sec. 629ALimitation related to countries of concern conducting certain researchNo change
- Sec. 631Improving access to certain programsNo change
- Sec. 632Supporting at-risk individuals during emergency responsesNo change
- Sec. 633National advisory committeesNo change
- Sec. 634National Academies study on prizesNo change
- Sec. 641Medical countermeasure priority review voucherNo change
- Sec. 642Epidemic Intelligence ServiceNo change
- Sec. 643Monitoring and distribution of certain medical countermeasuresNo change
- Sec. 644Regional health care emergency preparedness and response systemsNo change
- Sec. 645Emergency system for advance registration of volunteer health professionalsNo change
- Sec. 646Ensuring collaboration and coordination in medical countermeasure developmentNo change
- Sec. 647Military and civilian partnership for trauma readinessNo change
- Sec. 648National Disaster Medical SystemNo change
- Sec. 649Volunteer Medical Reserve CorpsNo change
- Sec. 650Epidemiology-laboratory capacityNo change
Division C — Health · Title VII — Public Health Programs · 14
- Sec. 701Action for dental healthNo change
- Sec. 702PREEMIENo change
- Sec. 703Preventing maternal deathsNo change
- Sec. 704Sickle cell disease prevention and treatmentNo change
- Sec. 705Traumatic brain injuriesNo change
- Sec. 706Lifespan respite careNo change
- Sec. 707Dr. Lorna Breen health care provider protectionNo change
- Sec. 708Conforming amendment to Internal Revenue Code of 1986No change
- Sec. 709SCREENS for CancerNo change
- Sec. 710DeOndra Dixon INCLUDE ProjectNo change
- Sec. 711IMPROVE InitiativeNo change
- Sec. 712Organ Procurement and Transplantation NetworkNo change
- Sec. 713Honor Our Living DonorsNo change
- Sec. 714Program for pediatric studies of drugsNo change
Division C — Health · Title VIII — Food and Drug Administration · 6
- Sec. 801Research into pediatric uses of drugs; additional authorities of Food and Drug Administration regarding molecularly targeted cancer drugsNo change
- Sec. 802Ensuring completion of pediatric study requirementsNo change
- Sec. 803FDA report on PREA enforcementNo change
- Sec. 804Extension of authority to issue priority review vouchers to encourage treatments for rare pediatric diseasesNo change
- Sec. 805Limitations on exclusive approval or licensure of orphan drugsNo change
- Sec. 811Establishment of Abraham Accords Office within Food and Drug AdministrationNo change