Health care
Coverage, costs, Medicaid and Medicare, prescription drugs, and reproductive health.
Health policy is split further than almost any other subject. Congress sets Medicare and the rules and funding for Medicaid; your state decides who Medicaid actually covers, licenses hospitals and insurers, and runs the insurance marketplace. Writing to the wrong one is the most common mistake people make here.
Who decides this
- Congress
- Medicare, the federal share and rules of Medicaid, drug pricing, FDA approval, and subsidies for marketplace plans.
- Your state
- Medicaid eligibility and expansion, insurance regulation, hospital and clinic licensing, scope of practice, and reproductive health law.
- Your city or county
- Public hospitals and clinics, county health departments, and emergency medical services.
In Congress Senate Finance · Senate Health, Education, Labor and Pensions · House Energy and Commerce · House Ways and Means
9 open questions
Question 6 · NV
Should Nevada write abortion rights into the state constitution? (Question 6)
Question 6 on Nevada's November 3, 2026 ballot would establish a state constitutional right to abortion until fetal viability, or when needed to protect the patient's life or health. Nevada statute already permits abortion up to 24 weeks under a 1990 voter referendum, which the Legislature cannot change without another public vote. Supporters say the amendment would lock existing protections into the constitution; opponents say its language goes further than current law. Voters approved it 64-36 in 2024; this is the second, final vote. Where do you stand?
H.R. 3514
Should Congress Speed Up Medicare Advantage Prior-Authorization Decisions?
The bill would require Medicare Advantage plans to streamline prior authorization. Supporters cite faster care; opponents cite plan costs and utilization. Where do you land?
S. 3886
Should Congress Restore Federal Minimum Staffing Standards for Nursing Homes?
The bill would restore federal nursing-home staffing minimums repealed in 2025. Supporters cite resident safety; opponents cite workforce shortages and cost. Where do you land?
H.R. 8540
Should Medicaid Be Required to Cover Home and Community-Based Care?
The bill would make Medicaid home and community-based services a mandatory benefit. Supporters cite ending waitlists; opponents cite state cost. Where do you land?
S. 2035
Should Congress Establish a Nationwide Right to IVF?
The bill would create a statutory right to access IVF and other fertility treatment. Supporters cite family-building access; opponents cite federalism and ethical concerns. Where do you land?
S. 422
Should Congress Guarantee a Federal Right to Contraception?
The bill would create a statutory right to obtain and use contraceptives. Supporters cite securing access; opponents raise concerns about scope and conscience protections. Where do you land?
H.R. 5068
Should Congress Fully Legalize Marijuana at the Federal Level?
The MORE Act would remove marijuana from the federal Controlled Substances Act. Supporters cite states' rights and criminal-justice reform; opponents cite public-health and youth-access concerns. Where do you land?
Federal policy
Should Medicare Negotiate More Drug Prices?
Medicare has begun negotiating prices on a small set of drugs. Congress could expand that authority to many more medications — or pull it back. Americans pay more for prescriptions than any other wealthy country. Where do you stand?
Federal policy
Should Congress Restore the Enhanced ACA Subsidies?
Enhanced Affordable Care Act premium subsidies expired at the start of 2026, and marketplace premiums are rising sharply for many enrollees. Some want Congress to extend the subsidies to keep coverage affordable; others point to the cost and question their design. Where do you land?
Common questions
- Who decides whether Medicaid covers me?
- Your state does, within federal rules. Eligibility thresholds and whether a state expanded Medicaid under the ACA are state decisions, which is why coverage differs so much across state lines.
- Can my member of Congress lower my insurance premium?
- Indirectly. Congress sets the subsidies that reduce marketplace premiums and the rules insurers follow, but rate review and approval happen at your state insurance department.
- Who regulates drug prices?
- Congress. Medicare drug price negotiation, patent rules and import policy are all federal. Some states add their own transparency and affordability boards on top.