In 2026, Congress is focusing on how to improve health insurance for Americans. As health care costs continue to rise, there’s still no consensus among leaders on making it more affordable.
On January 8, 2026, the House Energy & Commerce Committee held a hearing titled “Legislative Proposals to Support Patient Access to Medicare Services.” Later, on January 22, health insurance CEOs will testify about making health care more accessible for patients. The expiration of enhanced Affordable Care Act (ACA) subsidies at the end of 2025 is a major concern, potentially driving up insurance premiums for millions.
House Republicans emphasized the need for a better approach, pointing out that past policies didn’t work. They aim to reduce costs and improve patient choice.
The CEOs expected to speak include leaders from major health insurance companies:
- Stephen Hemsley, UnitedHealth Group
- David Joyner, CVS Health
- David Cordani, Cigna Health
- Gail Boudreaux, Elevance Health
- Paul Markovich, Ascendiun
These companies serve millions, generating substantial profits. For instance, in the third quarter of 2025, UnitedHealth Group saw revenues hit $113.4 billion—up 12% compared to the previous year—while CVS Health reported $102.9 billion in revenue, a 7.8% increase.
While some lawmakers advocate for resolving health care issues, others raise alarms about rising costs. For example, Rep. Diana DeGette pointed out that a family of four in her district could see a $14,000 increase in premiums if ACA subsidies end.
The hearing on Medicare policy also highlighted outdated payment systems. Susan Van Meter, president of the American Clinical Laboratory Association, explained that Medicare relies on old data from 2016 to determine reimbursements for diagnostic tests. These tests play a crucial role in patient care, informing around 70% of medical decisions.
Additionally, legislators are considering improving access to home infusions for patients with complex conditions. Many patients currently face barriers in accessing necessary treatments, especially in rural areas. Connie Sullivan from the National Home Infusion Association noted that revising Medicare’s coverage for these services could significantly enhance patient access and outcomes.
Home medical equipment is another critical area. Tom Ryan, president of the American Association for Home Care, emphasized the importance of ensuring that Medicare beneficiaries can access necessary medical equipment while staying at home, which lowers hospital visit rates and promotes independence.
Concerns were also raised about new prior authorization models introduced by the CMS. These could complicate access to care, as seen in Medicare Advantage plans where many patients face unnecessary delays in receiving treatments.
In summary, there’s a complex mix of urgent issues in health care policy, from soaring costs to access barriers. Lawmakers are wrestling with how best to support patient needs as they navigate these challenges. For ongoing updates on Medicare and health care policies, you can check out resources like the Center for Medicare Advocacy for in-depth information.
