Legislation

The No 340B Savings for Transgender Care Act prohibits healthcare providers participating in the 340B drug pricing program from using their savings to pay for sex reassignment surgeries or hormone treatments for transgender individuals. This legislation specifically restricts the use of discounted outpatient drug savings for gender transition-related medical services.

The Major Richard Star Act ensures that military retirees with combat-related disabilities can receive both their military retirement pay and VA disability compensation concurrently without reduction. This law removes previous restrictions that caused military retirement pay to be offset by VA disability payments for these specific cases. The changes take effect on the first day of the month following the Act's enactment.

This bill establishes a 23-member Commission tasked with studying the feasibility and planning for the creation of a National Museum of Irish American History in Washington, D.C. The Commission must develop comprehensive plans for the museum's establishment, operation, and governance, including a strategy to fund it without relying on future federal tax dollars for maintenance. The Commission is authorized specific funding for two fiscal years and will terminate 30 days after submitting its final required reports to Congress and the President.

The Protecting Individuals with Down Syndrome Act prohibits performing an abortion solely because an unborn child has been diagnosed with Down syndrome. This law establishes criminal penalties for providers who violate the prohibition and allows civil lawsuits to be brought by qualified relatives. It also requires medical professionals to report suspected violations.

This bill reauthorizes and extends key U.S.-Israel energy cooperation programs, including BIRD Energy, through 2031 and expands the scope of joint research. It increases funding authorizations for strategic partnership projects and the Energy Center. Furthermore, the legislation adds crucial modern energy areas like hydrogen, fusion, and grid modernization to the official list of eligible cooperative fields through 2035.

The Ending China’s Unfair Advantage Act of 2025 seeks to halt U.S. funding for key international environmental agreements, specifically the Montreal Protocol and the UNFCCC. Funding will remain prohibited until the President certifies that China has been removed from the "developing country" status under the Protocol and formally added to Annex I of the Climate Change Convention. This legislation ties U.S. financial support for these treaties directly to China's classification within them.

The IMPACT Act 2.0 aims to reduce pollution from highway projects by incentivizing states to use low-emissions building materials through new Federal Highway Administration grants and technical assistance. It also establishes an advance purchase commitment program, allowing states to secure future supplies of innovative, domestically produced, cleaner road materials at fixed prices. This legislation seeks to accelerate the adoption of greener construction standards across the nation's road network.

The Preserving Patient Access to Home Infusion Act updates Medicare coverage and payment rules for home infusion therapy starting in 2026 to ensure continued patient access. The bill explicitly adds pharmacy services to covered home infusion care and clarifies payment calculations for suppliers, including transitional rules based on infusion hours. Furthermore, it expands who can establish and review patient care plans to include nurse practitioners and physician assistants. Finally, the Act modifies definitions and payment rules for certain non-pump infusion drugs and stops separate Medicare payment for specific disposable supplies when infusion therapy is already being reimbursed.

The Feed Hungry Veterans Act of 2025 expands eligibility for certain food assistance benefits for veterans. It updates the criteria for veterans based on service-connected disability ratings and adds specific categories of disabled or pensioned veterans who will now qualify. These changes are scheduled to take effect on October 1, 2030.

This bill amends federal law to require the Coast Guard to retain certain enlisted members who have served 18 or more, but less than 20, years of service. It prevents the involuntary separation or non-reenlistment of these long-serving members until they reach 20 years of service for retirement eligibility. This provision applies to both Regular and Reserve enlisted personnel serving on active duty.

The Cerebral Palsy Research Program Authorization Act of 2025 establishes a dedicated research program for cerebral palsy (CP) within the CDC. This program will focus on improving diagnosis, treatment, prevention, and understanding the public health impact of CP. The Act authorizes $5 million annually from 2026 through 2031 to fund these critical research efforts.

The Baby Observation Act mandates that the Secretary of Health and Human Services conduct a comprehensive study on the effectiveness of home cardiorespiratory monitors in preventing sudden unexpected infant death (SUID). The resulting report must detail the monitors' performance, suggest new infant care practices, and provide recommendations on criteria for insurance coverage. This aims to determine if these vital sign monitors warrant broader health insurance reimbursement.

This bill amends the Internal Revenue Code to establish a new process for taxpayers to receive refunds for taxes previously paid on certain indelibly dyed fuels that are actually exempt from that tax. Specifically, it adds a new section allowing the Secretary to repay the tax paid on eligible dyed diesel fuel or kerosene that qualified for an exemption under existing law. These provisions apply to fuel removed from a terminal 180 days after the Act is enacted.

The No Tax on Length of Service Award Programs Act significantly increases the tax-free exclusion limit for qualified payments from $\$50$ to $\$1,000$. This legislation also explicitly clarifies that payments received through length of service award programs qualify as "qualified payments" for tax purposes. These changes apply to awards granted after the date the Act becomes law.

The Pilot Certificate Accessibility Act allows pilots to present a digital copy of their airman certificate to an FAA inspector, in addition to the traditional paper version. This change modernizes proof of certification by accepting digital formats stored on an electronic device or cloud service. The FAA is required to update its regulations within one year to officially recognize these digital options.

The Veteran Caregiver Reeducation, Reemployment, and Retirement Act aims to support family caregivers as they transition out of their roles. This bill extends medical care coverage for 180 days post-designation and mandates job assistance, including fee reimbursement and access to training resources. Furthermore, it requires the VA to study the feasibility of establishing retirement savings options and creating "returnship" programs for former caregivers.

The SIGN Pardons Act mandates that the President must personally affix their signature to every pardon or reprieve issued, as permitted under the U.S. Constitution. This legislation explicitly prohibits the delegation of this final signing authority.

The Safe Routes Act of 2025 grants the Secretary the authority to waive federal vehicle weight limits for covered logging vehicles transporting raw forest products. This exemption applies only when these trucks operate within 150 air miles on the Interstate system and adhere to existing state-level weight tolerances for such materials. Essentially, the bill allows logging trucks to operate under established state rules rather than stricter federal limits for short hauls.

The Restore Protections for Dialysis Patients Act aims to prevent private health insurance plans from discriminating against patients with End-Stage Renal Disease (ESRD). This legislation clarifies that plans cannot offer worse benefits or unfairly limit coverage for dialysis treatments compared to other medical services. Furthermore, it stops these plans from shifting the primary financial responsibility for ESRD care onto Medicare. The bill maintains existing rules ensuring fair treatment while preserving a health plan's ability to select its network of dialysis providers.

This bill amends the Internal Revenue Code to restore and modify the asset test for Real Estate Investment Trust (REIT) taxable REIT subsidiaries (TRSs). Specifically, it increases the allowable percentage for certain assets held by a TRS from 20 percent to 25 percent. This change will take effect for tax years beginning after December 31, 2025.