👀 I’m Just a Bill — Medicaid HCBS Expansion Home and Community-Based Services A Liana Banyan “I’m Just a Bill” Bounty Poster What is this bill? A series of provisions in the 119th Congress to expand Medicaid funding for Home and Community-Based Services (HCBS) — services that allow seniors and people with disabilities to receive long-term care at home rather than in institutional settings. What does it actually do? HCBS funding: Increases federal matching funds for state HCBS programs. Home care worker wages: Provisions to raise minimum wages for direct-care workers; addresses workforce shortage. Caregiver support: Funding for family-caregiver respite, training, and counseling. Self-directed care: Expands member choice in selecting and managing their own care providers. Eligibility: Reduces or eliminates wait-lists in some states for HCBS waiver programs. Who votes when? Senate Finance + House Energy & Commerce: Active consideration Floor: Pending committee passage President: Signature expected if both chambers pass How does this affect cooperative-class families? Composes directly with three cooperative initiatives: ...

👀 I’m Just a Bill — Medicare Advantage Transparency Act A Liana Banyan “I’m Just a Bill” Bounty Poster What is this bill? Medicare Advantage (MA) transparency legislation in the 119th Congress, addressing documented patterns of denial-of-care, prior-authorization friction, and provider-network adequacy gaps in MA plans. What does it actually do? Prior authorization: Caps prior-auth response times; requires denial reasons in plain language. Network adequacy: Strengthens enforcement of provider-network requirements. Marketing transparency: Limits misleading marketing practices for MA plans. Star ratings: Modifies the CMS Star Ratings methodology to weight beneficiary-experience metrics more heavily. Risk adjustment: Addresses upcoding documented in OIG investigations. Who votes when? Senate Finance + House Ways & Means + Energy & Commerce active consideration. How does this affect cooperative-class families? The cooperative does not endorse positions on Medicare structural reform. The Council exists to provide accurate plain-language explanation of what bills do. ...

👀 I’m Just a Bill — Medicare Drug Price Negotiation Expansion A Liana Banyan “I’m Just a Bill” Bounty Poster What is this bill? Expansion of Medicare’s drug-price negotiation authority (established in the 2022 IRA) in the 119th Congress. Current proposals expand the number of drugs subject to negotiation and accelerate the implementation timeline. What does it actually do? Drug count: Increases the number of high-cost drugs CMS can negotiate annually Timeline: Accelerates eligibility-after-launch threshold Insulin/inhalers: Specific provisions for these drug classes Part B + Part D: Extends negotiation authority to Part B (physician-administered) drugs Penalties: Strengthens manufacturer-noncompliance penalties Who votes when? Senate Finance + House Ways & Means + Energy & Commerce active consideration How does this affect cooperative-class families? Composes with #6 Tatiana Schlossberg Health Accords drug-pricing transparency, #7 MSA Substitution-routing economics, and the Affordable Insulin Now Act + Lower Costs More Transparency Act Bounty Posters. ...

👀 I’m Just a Bill — Medicare Physician Payment Reform A Liana Banyan “I’m Just a Bill” Bounty Poster What is this bill? Medicare Physician Fee Schedule reform in the 119th Congress addressing the documented year-over-year physician payment reductions and primary-care valuation gaps. What does it actually do? Eliminates statutory physician fee-schedule reductions Inflation-adjustment for physician payments Primary-care valuation reform Rural and underserved area bonuses Composes with rural hospital legislation How does this affect cooperative-class families? Composes with #6 Tatiana Schlossberg Health Accords Galveston Legal Framework + #7 MSA (cooperative-class primary care availability depends on physician-payment economics). ...

👀 Mental Health Parity Enforcement Mental Health Parity Act enforcement 119th Congress: network-adequacy enforcement · reimbursement-parity audits · NQTL non-quantitative-treatment-limitation rules. Composes with Rural Mental Health Access + Medicare/Medicaid expansion + #5 Family Table. 🟡 Provisional. Help Each Other Help Ourselves.

👀 I’m Just a Bill — Diabetes Prevention Program Expansion A Liana Banyan “I’m Just a Bill” Bounty Poster What is this bill? National Diabetes Prevention Program (DPP) expansion in the 119th Congress addressing the documented Type 2 diabetes pre-diabetes pipeline. What does it actually do? Medicare DPP eligibility broadening Provider-network expansion Virtual-DPP coverage Community-Health-Worker DPP delivery Composing with Food Is Medicine framework How does this affect cooperative-class families? Composes with #1 Lets Make Dinner, #6 Tatiana Schlossberg Health Accords, #7 MSA, and Food Is Medicine + Affordable Insulin Bounty Posters. ...

👀 I’m Just a Bill — NEA + NEH Reauthorization A Liana Banyan “I’m Just a Bill” Bounty Poster What is this bill? National Endowment for the Arts + National Endowment for the Humanities reauthorization in the 119th Congress. What does it actually do? Reauthorizes NEA + NEH grant programs State-arts-agency partnership funding Tribal Arts and Humanities funding Rural arts access provisions Arts-education provisions composing with Department of Education How does this affect cooperative-class families? Composes with #13 JukeBox (cooperative-class music sector composing with public-arts funding) and #14 Didasko (arts-education access composing with cooperative-education). ...

👀 NFIP Reform What National Flood Insurance Program reauthorization + reform in the 119th Congress. What it does Actuarial-soundness vs. affordability balance · Risk Rating 2.0 modifications · cooperative-class housing-trust eligibility · Tribal coastal provisions. Composes Climate Disaster Resilience + Save-the-World Paper 3 (Universal Cooperative Shelter). 🟡 Provisional. Help Each Other Help Ourselves.

👀 I’m Just a Bill — National Popular Vote Interstate Compact Resolution A Liana Banyan “I’m Just a Bill” Bounty Poster What is this bill? Congressional resolutions in the 119th Congress addressing the National Popular Vote Interstate Compact (NPV) — an agreement among states to award their electoral votes to the national popular-vote winner. The compact has been ratified by states totaling approximately 209 electoral votes (61 short of 270 majority). ...

👀 I’m Just a Bill — Native American Self-Determination Act Amendments A Liana Banyan “I’m Just a Bill” Bounty Poster What is this bill? Amendments to the Indian Self-Determination and Education Assistance Act (ISDEAA) in the 119th Congress, expanding Tribal authority to administer federal programs and addressing the documented Tribal-sovereignty gaps in federal funding administration. What does it actually do? 638 contracts expansion — broadens federal programs eligible for direct Tribal administration Indirect cost coverage — full federal-coverage of indirect costs for 638-contracted programs Fee-to-trust process — streamlines land-into-trust applications Tribal climate adaptation — funding stream for Tribal climate-adaptation projects Public Law 280 states — addresses jurisdictional ambiguity in PL280 states Who votes when? House Natural Resources + Senate Indian Affairs active consideration How does this affect cooperative-class families? Composes with Save-the-World Paper 5 (Universal Earth Stewardship — Tribal sovereignty as cooperative-class partnership), Save-the-World Paper 7 (Health Care — Indian Health Service modernization composing), and Save-the-World Paper 9 (Universal Education — Tribal college and university funding). ...