Legislative Activity

The Health Care Efficiency Through Flexibility Act ensures Accountable Care Organizations (ACOs) have necessary data collection options for quality reporting through 2029 and clarifies rules regarding data completeness. It also establishes a pilot program from 2028 to 2032 allowing selected ACOs to digitally report on only two quality measures, exempting them from other reporting requirements for those years. This legislation aims to streamline quality data submission and assess digital reporting feasibility.

The Hospital Inpatient Services Modernization Act extends the acute hospital care at home waiver flexibilities until 2030. It also mandates a comprehensive study and report by September 2028 comparing the quality, costs, and patient outcomes of hospital care provided at home versus traditional inpatient settings. This legislation ensures continued flexibility while requiring rigorous evaluation of the "Hospital at Home" model.

The DETECT Act of 2025 mandates a report from the Comptroller General assessing the potential for the IRS to utilize artificial intelligence (AI) to enhance the detection of tax fraud. This report must be delivered to key Congressional committees within 180 days of the Act's enactment. Essentially, the bill initiates a study on leveraging AI for improved tax compliance tracking.

The Small Nonprofit Retirement Security Act of 2025 allows tax-exempt nonprofit organizations to claim valuable federal retirement plan startup and auto-enrollment tax credits. Instead of receiving a refund, eligible nonprofits can apply these credits directly against their required payroll tax obligations. This measure aims to encourage small tax-exempt employers to establish retirement plans for their employees.

This Act temporarily suspends certain duties on imported bicycle parts for a 10-year period to encourage domestic assembly and manufacturing. Importers must declare their intent to use the parts for building complete bicycles in the U.S. to qualify for this duty exclusion. The law also mandates a report to Congress evaluating progress toward specific annual domestic production targets.

The FORCE-FIT Act establishes a five-year TRICARE pilot program requiring certain service members with metabolic health concerns to use continuous glucose monitoring (CGM) technology. This program aims to study how real-time metabolic tracking impacts service member well-being and military readiness. Crucially, the health data collected during this pilot is strictly limited in its use and cannot be used for separation or discharge decisions. The Act also mandates training for medical staff and requires comprehensive reporting on the program's effectiveness.

The Alzheimer’s Law Enforcement Education Act of 2025 mandates the creation of a free, online training course for law enforcement and corrections personnel regarding Alzheimer's disease and related dementias. This course will teach officers how to recognize symptoms, communicate effectively, use alternatives to physical restraints, and identify potential abuse of affected individuals. The bill encourages states to accept completion of this specialized training toward required professional development hours.

The Fair Accounting for Condominium Construction Act updates tax accounting rules by replacing the term "home construction contract" with "residential construction contract" within the Internal Revenue Code. This change modifies the requirements for using the percentage of completion accounting method for certain residential construction projects. The bill also updates related references in the Alternative Minimum Tax provisions. These new rules apply only to contracts entered into after the date of enactment.

The Middle Class Mortgage Insurance Premium Act of 2025 permanently extends the deduction for mortgage insurance premiums and significantly raises the income limits for eligibility. This change allows more middle-class taxpayers to deduct these costs on their federal income taxes. These provisions will apply to tax years beginning after December 31, 2025.

The Protecting Local Communities from Harmful Algal Blooms Act amends federal law to officially recognize harmful algal blooms as a qualifying disaster event. This change ensures that communities affected by severe algal blooms can access federal emergency assistance under the Robert T. Stafford Disaster Relief and Emergency Assistance Act, similar to aid provided for droughts.

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.

This bill directs the Secretary of Defense to develop a comprehensive strategy to treat obesity as a recognized disease within the Army, Navy, Marine Corps, Air Force, and Space Force. The legislation mandates the creation of an educational campaign to raise awareness among service members and medical staff about diagnosing and treating obesity. Furthermore, it requires reports to Congress detailing obesity's impact on military readiness and the effectiveness of current DOD health programs.

This bill directs the Secretary of Defense to conduct several comprehensive studies regarding the impact of obesity within the Armed Forces. These studies will examine the link between obesity, service member injuries and discharges, the quality of military food procurement, and the overall effect on national security readiness. The resulting reports must be submitted to Congress within one year of enactment.

The "Protecting American Students Act" amends the Internal Revenue Code to change how certain students are counted when determining if private colleges and universities are subject to an excise tax on net investment income. It stipulates that only students meeting specific eligibility requirements under the Higher Education Act of 1965 are to be included in this calculation. The Act also mandates that these institutions report the number of students used before and after adjustments when calculating the tax. These provisions are set to take effect for taxable years beginning after December 31, 2025.

The Chronic Disease Flexible Coverage Act allows individuals with health savings accounts to use those funds for certain services and items that help manage chronic conditions. These services and items will be treated as preventive care under IRS guidelines. The Act does not change any other existing or future rules regarding preventative services as long as they remain consistent with the Act.

The American Innovation Act of 2025 modifies the tax code to simplify and expand deductions for start-up and organizational expenditures for new businesses, allowing businesses to deduct up to $20,000 in start-up costs in the first year. The Act also preserves start-up net operating losses and tax credits after an ownership change, with specific conditions to ensure the continuation of the business. These changes aim to support new businesses by providing more immediate tax relief and ensuring that their losses and credits are not entirely forfeited after an ownership change. The provisions of this act generally apply to businesses starting after December 31, 2025.

The SAFE Act of 2025 amends existing legislation to explicitly prohibit the slaughter of horses for human consumption, reinforcing protections for these animals. This bill seeks to prevent the inhumane treatment of American equines by closing loopholes that allow their slaughter and export for human consumption.

The "Permanent Telehealth from Home Act" aims to make telehealth access easier and more permanent for Medicare recipients. It eliminates the current expiration dates for telehealth services, ensuring that patients can continue to receive care at home. By removing geographic restrictions, the bill broadens access to telehealth services, allowing more individuals to benefit from remote healthcare options. These changes will remain in effect even after the end of the COVID-19 public health emergency.

The "Lung Cancer Screening and Prevention Act of 2025" expands Medicare coverage to include additional FDA-approved lung cancer screening tests. This allows the Secretary to cover these new tests as preventive services, using expert recommendations for coverage decisions. These changes will be effective immediately upon the enactment of the Act.

The "Enhancing Domestic Drug Manufacturing Competitiveness Act" mandates a study by the Comptroller General to identify regulatory barriers hindering pharmaceutical manufacturing in the U.S. compared to other countries. The study will assess the impact of regulations on costs, delays, and supply chain resilience. It will also explore technological solutions and policy recommendations to streamline regulations and boost domestic pharmaceutical manufacturing. A report with findings and recommendations must be submitted to Congress within one year.