Buchanan is committed to preserving Medicare’s long-term solvency for senior citizens, as well as bringing down the cost of health care for all Americans. ... He will continue to be a strong advocate for protecting and strengthening Medicare for both today’s seniors and future generations.
Protect and strengthen Medicare, preserve its long-term solvency, and bring down the cost of health care for all Americans.
Occurrences
In 2026, as Chair of the Health Subcommittee on Ways and Means, I’ll keep pushing for prevention, value-based care and affordability.
The Healthcare Efficiency Through Flexibility Act offers a commonsense path forward to ease the burden of new reporting mandates on value-based Medicare providers.
we have worked for years to strengthen Medicare program integrity, protect Medicare beneficiaries and Medicare-participating health care providers, and support payment models that properly reward high-quality, efficient care.
we encourage ongoing consideration of how these policies intersect with accountable care benchmarks and financial methodologies.
we encourage CMS to continue exploring opportunities to support these ACOs in a targeted and programmatically consistent manner.
CMS should consider adopting guardrails similar to those outlined in the new LEAD Model that seeks to limit outlier cost growth and spending shocks to improve benchmark stability.
Lastly, we recognize the importance of timeliness and predictability in program integrity actions. As CMS continues to identify and respond to emerging FWA risks, minimizing the lag between the identification of concerning spending patterns and the implementation of corresponding policy adjustments will help reduce uncertainty for participating providers and support sustained engagement in accountable care models.
Buchanan questioned HHS Secretary Robert F. Kennedy Jr. about chronic disease, prevention, nutrition, and early detection to lower costs and improve outcomes.
Buchanan is committed to preserving Medicare’s long-term solvency for senior citizens, as well as bringing down the cost of health care for all Americans. Buchanan was awarded the “Champion for Healthy Seniors” award by a leading advocacy group for protecting Medicare and fighting for lower prescription drug costs. He will continue to be a strong advocate for protecting and strengthening Medicare for both today’s seniors and future generations.
Evidence
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The biography says Buchanan is "committed to preserving Medicare's long-term solvency" and to "bringing down the cost of health care for all Americans," and that he will continue to be a strong advocate for protecting and strengthening Medicare.
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Congress.gov shows Buchanan introduced H.R. 4313 on July 10, 2025. The bill extends Medicare's Acute Hospital Care at Home program through FY2030 and requires a CMS study on quality, costs, services, and patient demographics. The bill was reported by Ways and Means and passed the House on December 1, 2025, but the latest action shows it was received in the Senate and referred to Finance on December 2, 2025.
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Congress.gov shows Buchanan introduced H.R. 6130 on November 19, 2025, to provide Medicare coverage of blood-based dementia screening tests. The latest action is referral to House committees; the bill remains at the introduced stage.
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Congress.gov shows Buchanan introduced H.R. 133 on January 9, 2023, to require individualized Medicare coverage determinations for drugs and biologics. The bill was reported out of committee and later placed on the Union Calendar on December 19, 2024, but Congress.gov still lists the status as introduced and does not show enactment into law.
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Buchanan said his bipartisan Healthcare Efficiency Through Flexibility Act was marked up by the House Energy and Commerce Health Subcommittee. He said the bill would ease reporting burdens on value-based Medicare providers, reduce excess regulatory burden, and let providers focus on delivering high-quality, value-based care.
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The official Buchanan site listed a new bill introduced by Buchanan and Castor to expand hospital-at-home and lower health care costs.
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Congress.gov lists H.R.7148 as law, with latest action on 02/03/2026: Became Public Law No. 119-75. The related-bills table lists Buchanan-sponsored H.R.4313, the Hospital Inpatient Services Modernization Act, as related to H.R.7148.
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Buchanan's office said the Consolidated Appropriations Act enacted two Buchanan health care bills: H.R.1407, extending Medicare telehealth-from-home access through December 31, 2027, and H.R.4313, extending Hospital-at-Home through September 30, 2030. The release said these measures expand access, improve outcomes, and lower costs.
Assessments
Buchanan materially advanced and received enactment of some Medicare-related reforms in the same federal term, including extensions of telehealth-from-home access and Hospital-at-Home authority through the 2026 appropriations law. Those actions plausibly support access and cost-control aspects of the promise, and several other Medicare bills show serious legislative effort. However, the record does not show full delivery of the broader promise to protect and strengthen Medicare, preserve long-term solvency, and bring down health care costs for all Americans.
Buchanan showed sustained, serious legislative effort on Medicare-related issues, including sponsoring bills on hospital-at-home, provider reporting flexibility, individualized Medicare coverage determinations, and dementia screening. One major bill, H.R. 4313, passed the House in December 2025 but stalled in the Senate; other bills were introduced or advanced in committee without becoming law. Those actions show material effort, but they do not fulfill the much broader promise to protect and strengthen Medicare, preserve its long-term solvency, and lower health care costs for all Americans. On the available record, he pursued the promise during his term but did not deliver the promised outcome.
Buchanan made serious federal legislative efforts related to Medicare, including sponsoring bills on hospital-at-home coverage, Medicare coverage determinations, and dementia screening coverage. However, the cited measures did not become law, and the evidence does not show that he delivered the broader promised outcome of protecting and strengthening Medicare, preserving long-term solvency, or lowering health care costs for all Americans. The campaign biography restates intent but is not delivery evidence.
The evidence shows Buchanan continued to advocate for Medicare and introduced or advanced several Medicare-related bills, including measures on hospital-at-home services, dementia screening coverage, and individualized coverage determinations. However, the cited bills either remained in committee, passed only the House, or otherwise were not enacted. The broad promised outcome of protecting and strengthening Medicare, preserving long-term solvency, and reducing health care costs for all Americans is not shown as delivered. Because there were serious legislative efforts that did not achieve final enactment or the promised outcome, this is classified as never with an effort badge.