Us Congress 2025-2026 Regular Session

Us Congress House Bill HB143

Introduced
2/7/25  

Caption

Unauthorized Spending Accountability ActThis bill reduces budgetary levels for certain federal programs that are funded through the annual appropriations process and do not have an authorization of appropriations.Under the bill, budgetary levels are spending allocations provided to the congressional appropriations committees by a congressional budget resolution or a deeming resolution. The allocations are provided under the Congressional Budget Act of 1974 and are often referred to as 302(a) allocations.The bill applies to programs included in the Congressional Budget Office's (CBO's) annual report listing programs that are funded through the appropriations process and have an authorization of appropriations that has either expired or will expire during the year. If a program is listed in the CBO report, the bill requires specified reductions to be implemented over a three-year period and terminates the unauthorized programs at the end of the third unauthorized year.

Impact

If enacted, the bill will have significant implications for Medicare beneficiaries suffering from primary immune deficiency diseases and the newly included conditions. It may help reduce hospital visits and associated costs for patients requiring IVIG, thus promoting a more patient-centered approach to care. The proposal to allow variances in payment for these treatments based on the conditions treated is expected to help enhance cost-effectiveness and ensure that Medicare can adequately support diverse patient needs. Moreover, this legislation marks a progressive step toward addressing the requirements of patients with chronic conditions, thus enhancing the healthcare framework within the state and potentially beyond.

Summary

House Bill 1143, known as the Medicare IVIG Access Enhancement Act of 2025, seeks to amend Title XVIII of the Social Security Act to expand the coverage of in-home administration of intravenous immune globulin (IVIG) under the Medicare program. The bill aims to provide better healthcare access for patients requiring such treatments by allowing the inclusion of chronic inflammatory demyelinating polyneuropathy (CIDP) and multifocal motor neuropathy in the covered conditions beginning January 1, 2027. This expansion not only acknowledges the growing need for such treatments but also aims to improve the quality of life for affected patients by facilitating their ability to receive care in a home setting.

Contention

While there is robust support for the expansion of IVIG coverage, discussions around HB 1143 may also involve concerns regarding the financial implications for the Medicare program and the sustainability of such coverage. Opponents might argue about the potential for increased federal expenditure as a result of expanded coverage. Additionally, there might be discussions surrounding the adequacy of existing healthcare infrastructures to support the proposed changes, and how well the provisions of this bill align with broader healthcare reforms aimed at reducing costs while improving access to care.

Congress_id

119-HR-143

Policy_area

Economics and Public Finance

Introduced_date

2025-01-03

Companion Bills

No companion bills found.

Previously Filed As

US HCR117

Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.

US SCR41

A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2025 and setting forth the appropriate budgetary levels for fiscal years 2026 through 2034.

US HB361

Stop Inflationary Spending Act This bill requires the Congressional Budget Office (CBO) to provide inflation projections for bills that Congress considers using the budget reconciliation process. Specifically, the CBO must estimate the impact on inflation that will occur from implementing each reconciliation bill, including the impact on inflation that will occur during each of the first five years after the enactment of the bill.

US HB362

Budgetary Accuracy in Scoring Interest Costs Act of 2023 or the BASIC Act This bill requires cost estimates prepared by the Congressional Budget Office or the Joint Committee on Taxation to include the costs of servicing the public debt.

US HB9777

To amend the Congressional Budget and Impoundment Control Act of 1974 to require any cost estimate for a bill or joint resolution prepared by the Congressional Budget Office to include the cost to each United States citizen for carrying out such measure, and for other purposes.

US HB135

No Pay Raise for Congress Act This bill cancels the automatic adjustment to the pay of Members of Congress that is based on the employment cost index if the Congressional Budget Office determines that there was a federal budget deficit in the last fiscal year.

US HB111

Budget Process Enhancement Act This bill modifies the federal budget process to withhold the salaries of Members of Congress and cancel the salaries of certain employees of the Office of Management and Budget when certain budget process requirements are not met. The bill also changes the assumptions that the Congressional Budget Office uses to calculate its baseline for discretionary spending to eliminate certain adjustments for inflation and other factors. (A baseline is a projection of federal spending and receipts during a fiscal year under current law.)

US SB5159

A bill to amend the Congressional Budget and Impoundment Control Act of 1974 to require any cost estimate for a bill or joint resolution prepared by the Congressional Budget Office to include the cost to each United States citizen for carrying out such measure, and for other purposes.

US HB260

Nickel Plan Act This bill modifies the federal budget process to establish and enforce new spending caps. The bill establishes an outlay cap (less net interest payments) for FY2024 of $5.953 trillion, less 5%. For each year from FY2025-FY2027, the outlay cap is 5% less than the previous year's outlay cap. For FY2028 and subsequent years, total outlays (including net interest payments) may not exceed 17.5% of the gross domestic product (GDP) for that year as estimated by the Office of Management and Budget (OMB). Beginning in FY2029, total projected outlays for any year may not be less than the total projected outlays for the preceding year. The OMB must enforce the spending caps using a sequester to eliminate any excess spending through automatic cuts. The bill eliminates the existing exemptions from sequestration. If the OMB projects a sequester, the congressional budget committees may report a resolution directing congressional committees to change existing law to achieve the spending reductions necessary to meet the outlay limits. The bill also establishes procedures for Congress to enforce the outlay caps established by this bill.

US HB225

No Budget, No Pay Act This bill withholds the salaries of Members of a chamber of Congress that has not agreed to a budget resolution for FY2024 by April 15, 2023, as required by the Congressional Budget Act of 1974. Salaries are withheld from April 16, 2023, until the earlier of (1) the day on which the chamber of Congress agrees to a budget resolution, or (2) the last day of the 118th Congress.

Similar Bills

No similar bills found.