Legislative Activity

The Hospital Inpatient Services Modernization Act extends the popular Acute Hospital Care at Home program through September 2030. It also mandates a comprehensive new study comparing the quality, outcomes, and costs of home-based acute care versus traditional inpatient hospital care. Finally, the bill makes a minor adjustment to the funding level of the Medicare Improvement Fund.

The Alzheimer’s Screening and Prevention Act of 2025 (ASAP Act) amends Medicare to cover early detection screening tests for Alzheimer's disease and related dementias starting in 2028. This coverage applies to FDA-cleared tests, including genomic sequencing and other equivalent diagnostic methods, designed to detect pre-symptomatic or early-stage conditions. The bill ensures these screenings are added to the list of covered medical services under Medicare.

The To Inform Families First Act of 2025 establishes a grant program through the National Highway Traffic Safety Administration (NHTSA) to help states create voluntary systems for collecting emergency contact information linked to driver's licenses. This assistance requires states to implement strong data security and restrict access to authorized emergency personnel only. The bill ensures that providing this information remains voluntary and does not need to appear on physical identification cards.

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 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 "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.