Legislative Activity

The Access to Genetic Counselor Services Act of 2026 ensures that Medicare beneficiaries will have coverage for genetic counseling services starting January 1, 2027. This legislation establishes clear definitions for qualified genetic counselors and mandates that these providers accept Medicare's approved amount as full payment. The bill sets a specific payment rate for these covered services, calculated as 80% of the lesser of the actual charge or 85% of the applicable physician fee schedule amount.

The American Voices in Federal Lands Act revises public involvement procedures for rulemaking on federal lands managed by the BLM and the U.S. Forest Service. This bill mandates that only comments from U.S. citizens be considered for new Bureau of Land Management regulations. Additionally, it requires the use of CAPTCHA technology to prevent automated submissions during the public comment period for these lands.

The Less Than Lethal Act aims to reduce the tax burden on certain non-lethal defense and safety devices. This bill exempts qualifying less-than-lethal projectile devices from the federal excise tax on firearms and ammunition. Furthermore, it removes these specific devices from the regulatory requirements of the National Firearms Act. The legislation establishes clear criteria for what qualifies as an exempt device, focusing on projectile speed and design intent.

This bill delays the implementation of a proposed rule concerning the importation of sheep, goats, and related products. It mandates the Secretary of Agriculture to conduct a comprehensive study on the potential economic and industry impacts of the rule. The prohibition on enforcing the rule remains in effect until one year after the required study report is submitted to Congress.

The ACO Assignment Improvement Act of 2025 aims to enhance beneficiary assignment under the Medicare Shared Savings Program. Beginning in 2026, the bill mandates the inclusion of primary care services provided by nurse practitioners, physician assistants, and clinical nurse specialists when assigning Medicare beneficiaries to an Accountable Care Organization (ACO). This change broadens the scope of providers considered for ACO assignment.

The Retirement Rollover Flexibility Act simplifies retirement savings by allowing individuals to directly roll over funds from an eligible Roth IRA into a designated Roth account within a workplace plan, like a 401(k). This transfer is tax-free and treated as a valid rollover contribution. The bill also clarifies how the five-year holding period for tax-free earnings is calculated for these transferred funds.

The 988 Lifeline Location Improvement Act of 2025 establishes an advisory committee to address challenges in transmitting precise location information with calls to the 988 Suicide and Crisis Lifeline. This committee, composed of experts from telecommunications, public safety, and mental health sectors, will study policy, technical, and cost issues related to geolocation data. The committee must then report its findings and recommend legislative actions to Congress and the FCC within one year.

This resolution officially designates November 20, 2025, as "National Rural Health Day." It recognizes the unique healthcare challenges faced by rural communities, including provider shortages and hospital vulnerability. The Senate expresses support for rural health providers and commits to advancing policies that improve healthcare access and affordability in these areas.

This bill mandates the Secretaries of HUD and Agriculture to withdraw their recent final determination on energy efficiency standards for federally financed housing. It prohibits the implementation of these withdrawn standards or any substantially similar ones across HUD, USDA, and VA programs. Furthermore, the legislation restricts the Federal Housing Finance Agency from finalizing new energy efficiency rules and requires consideration of existing state-level energy codes.

The Ski Hill Resources for Economic Development Act allows the Forest Service to retain and reinvest fees collected from ski area permits. These funds will be used to improve ski area program administration, reduce wildfire risk, repair and maintain facilities, and support recreational activities. This act ensures that revenue generated from ski areas directly benefits those areas and other National Forest System units. It specifies how the funds are to be distributed and prohibits their use for wildfire suppression or land acquisition.

The Grasslands Grazing Act of 2025 makes a technical update to federal law regarding grazing leases and permits by aligning the land reference in the Federal Land Policy and Management Act of 1976 with the current definition of "National Forest System land." This change clarifies terminology without altering existing regulations or the application of other laws governing national grasslands.

The MAPWaters Act of 2025 mandates federal land and water management agencies to standardize and digitize geospatial data regarding public access points and restrictions on federal waterways. This legislation requires the creation of a centralized, publicly accessible online database detailing current fishing rules, access status, and navigation limitations. The Act ensures that existing state and federal authority over water regulation and fishery management remains unchanged.

The Taxpayer Notification and Privacy Act of 2025 requires the IRS to provide taxpayers with much more specific notices detailing exactly what information they plan to request from third parties. This law generally mandates that taxpayers receive at least a 45-day window to provide the information themselves before the IRS contacts external sources. These enhanced notification requirements aim to increase transparency and protect taxpayer privacy during information gathering.

This resolution officially designates July 26, 2025, as the "National Day of the American Cowboy." It recognizes the historical and ongoing contributions of cowboys and cowgirls, celebrating the values of honesty, courage, and hard work they represent. The bill encourages all Americans to observe this day with appropriate ceremonies honoring this vital part of American culture.

The Ending Lending to China Act of 2025 establishes a new U.S. policy opposing further financial assistance to the People's Republic of China from multilateral development banks. Citing China's status as a high-income economy with massive foreign reserves, the bill directs the Treasury Secretary to use U.S. influence to block new loans to China. Furthermore, the Secretary must advocate for ending assistance to all countries that have surpassed the established income threshold for graduation. The Treasury Department is also required to submit annual reports detailing compliance and U.S. actions taken.

This bill mandates that the United States Postal Service (USPS) assign new, single, and unique ZIP Codes to the specific communities of Mills and Star Valley Ranch in Wyoming. The USPS is required to complete this designation within 270 days of the bill becoming law. This action will ensure these communities no longer share a ZIP Code with a larger surrounding area.

The Accelerating the Development of Advanced Psychology Trainees (ADAPT) Act expands Medicare coverage for mental health services provided by advanced psychology trainees under the general supervision of a licensed psychologist. This allows doctoral interns and postdoctoral residents to bill for services, improving access to care. The bill also directs the Secretary of Health and Human Services to issue guidance to states on covering these trainee services under Medicaid and CHIP.

The ORPHAN Cures Act modifies the Drug Price Negotiation Program by adjusting how the time a drug has been on the market is calculated for negotiation eligibility. Specifically, it excludes the period during which a drug was designated as treating a rare disease (an "orphan drug") from counting toward the negotiation clock. This ensures that drugs developed for rare conditions receive an extended period of market exclusivity before price negotiation can begin.

The Expanding Seniors Access to Mental Health Services Act aims to improve mental health care for seniors in skilled nursing facilities (SNFs). This bill revises Medicare payment rules to allow clinical social workers to provide and bill for a broader range of diagnostic and treatment services for mental illnesses within these facilities. These changes will take effect for services provided on or after January 1, 2026.

This Act mandates that the U.S. government actively oppose restrictions imposed by major international financial institutions on financing for fossil fuel and civil nuclear energy projects. The Treasury Secretary must direct U.S. representatives to reverse current policies blocking these energy sources and promote financing for reliable, affordable power in developing nations. Furthermore, U.S. funding to the World Bank's lending arm may be significantly reduced until it certifies the removal of these financing bans and adopts policies promoting these energy projects.