Legislative Activity

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.

The Fair and Open Competition Act of 2025 ensures fair competition on federally funded construction projects by prohibiting the government from requiring or penalizing bidders based on union agreements. This legislation aims to keep federal agencies neutral in labor relations while promoting cost savings and opening opportunities for all businesses. Exceptions to this neutrality rule are strictly limited to specific public health, safety, or national security emergencies.

The Recycling Infrastructure and Accessibility Act of 2025 establishes a new EPA pilot grant program to improve recycling access, focusing specifically on underserved communities. These competitive grants will fund infrastructure projects, such as building transfer stations or expanding curbside service, using a "hub-and-spoke" model. Priority is given to projects located far from existing materials recovery facilities, with grants ranging from $\$500,000$ to $\$15$ million.

The Choice in Automobile Retail Sales Act of 2025 restricts the Environmental Protection Agency (EPA) from issuing tailpipe emission regulations that mandate specific vehicle technologies or limit the availability of new motor vehicles based on engine type. This ensures manufacturers maintain flexibility in meeting performance standards set by the EPA. The Act requires the EPA to update existing rules within two years to comply with these new limitations.

The Block Organ Transplant Purchases from China Act of 2025 bans federal programs like Medicare and Medicaid, as well as private insurance, from covering organ transplants performed in China or involving organs not sourced through the U.S. network, effective January 1, 2026. Healthcare providers who knowingly perform these "prohibited organ transplants" face criminal penalties and substantial civil fines. The law aims to stop the funding and performance of transplants utilizing organs obtained through unethical or non-transparent means.

The HELPER Act of 2025 establishes a new FHA mortgage insurance program to assist first responders, educators, and law enforcement officers in purchasing homes. This program offers eligible first-time homebuyers 100% financing with no down payment required. Instead of monthly premiums, borrowers pay an upfront FHA insurance premium at closing.

The Radiation Oncology Case Rate Value Based Program Act of 2025 establishes a new Medicare payment system that pays providers a single, set rate for an entire episode of radiation therapy care, rather than paying for individual services. This program aims to incentivize high-quality, efficient care while achieving cost savings for Medicare. It also includes specific provisions to support patient access, such as a health equity bonus for addressing transportation insecurity. Finally, the bill exempts the savings generated by this new payment structure from standard Medicare budget neutrality adjustments.

The Save Our Shrimpers Act prohibits the U.S. from providing federal funds to international financial institutions that use that money to finance foreign shrimp farming, processing, or export operations. Furthermore, the bill mandates an annual report from the Government Accountability Office (GAO) to Congress detailing whether U.S. representatives at these institutions are following instructions to oppose assistance for commodities already in global surplus. This legislation aims to protect domestic shrimpers by restricting U.S. financial support for foreign competition.

The Maintaining Cooperative Permitting Act of 2025 secures the existing state-run dredge and fill material permitting programs for Michigan, New Jersey, and Florida, preventing the EPA from unilaterally withdrawing approval for these specific programs. It establishes a 90-day transition period for Florida permitting authority and clarifies the process for approving future state programs similar to these established ones. Essentially, the bill locks in the current cooperative federalism structure for wetland permitting in these three states.

This resolution expresses the sense of Congress that Nigeria should be designated as a Country of Particular Concern due to severe violations of religious freedom. It urges the Nigerian government to protect religious minorities, prosecute those responsible for violence, and ensure religious freedom. The resolution also calls for increased U.S. diplomatic efforts and potential sanctions on individuals and groups responsible for religious freedom violations in Nigeria.

The Crucial Communism Teaching Act mandates the development of a high school civic education curriculum focused on the history and dangers of communism. This curriculum must detail the death toll caused by communist regimes and highlight ongoing human rights abuses. The Act also requires the creation of "Portraits in Patriotism" oral history resources featuring victims of oppressive political systems.

Tyler's Law mandates a comprehensive study by the Secretary of Health and Human Services on the frequency, cost, and impact of fentanyl testing in hospital emergency departments during overdose cases. Following the study, the Secretary must issue guidance on whether routine fentanyl testing should become standard practice for overdose patients. This guidance will also address staff training regarding existing drug test panels and the long-term health implications of such testing.

This Act authorizes the creation and sale of special commemorative gold and silver coins to mark the 25th anniversary of the September 11th attacks. The coins will feature designs honoring the victims and first responders, with the phrase "Never Forget" required on at least one design. All surcharges collected from the sale of these coins will be donated to support the ongoing operations and maintenance of the National September 11 Memorial and Museum. The Treasury must ensure the entire coin program results in no net cost to the Federal Government.

This bill supports the designation of April 5, 2025, as "Barth Syndrome Awareness Day" to raise awareness, encourage early diagnosis, and promote research for this rare and life-threatening genetic disorder. It recognizes the challenges in diagnosis and treatment, while also acknowledging the role of the Orphan Drug Act and the importance of patient perspectives. The bill aims to advance research, develop new treatments, and improve regulatory pathways for ultra-rare diseases like Barth syndrome.

The TREAT PTSD Act mandates the Department of Veterans Affairs and the Department of Defense to provide stellate ganglion block (SGB) to veterans and members of the Armed Forces diagnosed with PTSD who elect to receive it after being fully informed of its risks and benefits. It allows the treatment to be furnished through VA or military medical facilities, or qualified healthcare providers. The bill also requires updating the VADOD Clinical Practice Guideline for PTSD management to include SGB as a therapy option.

The BAH Restoration Act aims to restore the Basic Allowance for Housing (BAH) to cover 100% of service members' housing costs. This will be done by amending title 37 of the United States Code, ensuring that the monthly BAH is equivalent to the determined monthly cost of adequate housing based on pay grade, dependency status, and location. The Secretary of Defense will determine the specific housing costs in each area.

The JUDGES Act of 2025 aims to address the increasing caseloads in district courts by creating new judgeships in multiple states over the next decade, as well as a temporary judgeship in the Eastern District of Oklahoma. It also authorizes appropriations to support these new positions and adjusts the organization of district courts in Texas and California. Additionally, the Act mandates Government Accountability Office (GAO) reports to evaluate workload measures, judicial activities, and the effectiveness of policies regarding senior judges, as well as the needs and efforts to acquire federal detention space. Finally, the Act ensures public accessibility to the Judicial Conference's recommendations for Article III judgeships by requiring the Administrative Office of the U.S. Courts to publish these reports on its website.

The Turkey Diplomatic Realignment Act mandates the relocation of Turkey's diplomatic oversight within the State Department from the European Bureau to the Near Eastern Affairs Bureau. This change reflects Congress's view that Turkey's current geopolitical alignment is shifting away from traditional Western partnerships toward the Middle East. The Secretary of State must complete this administrative transfer within 90 days.

The SPEED for BEAD Act amends the Infrastructure Investment and Jobs Act to streamline broadband deployment grants. It renames the "Equity" program to "Expansion," allows funds for workforce development, and permits removal of high-cost locations from project areas. The act also prohibits certain conditions related to labor, climate change, and network management, and ensures consideration of all broadband technologies.

The Saving Gig Economy Taxpayers Act seeks to reinstate the previous, higher reporting thresholds for third-party payment processors issuing Form 1099-K. This means payment networks will only be required to report earnings to the IRS if a user exceeds both a \$20,000 total payment amount and 200 separate transactions in a calendar year. Furthermore, the bill applies this "de minimis" standard to backup withholding rules for these network payments starting in 2025.