Legislative Activity

The Improving Seniors’ Timely Access to Care Act of 2025 aims to streamline and modernize the prior authorization process within Medicare Advantage plans. This bill mandates the adoption of electronic prior authorization systems and significantly increases transparency regarding approval rates and decision times starting in 2027. Furthermore, it establishes new enrollee protections and grants the Secretary authority to enforce faster decision timeframes for medical services.

The Protecting Older Workers Against Discrimination Act of 2025 significantly lowers the standard of proof required for employment discrimination claims under major federal laws like the ADEA, Title VII, and the ADA. It establishes that an illegal factor only needs to be a "motivating factor" in an employer's decision, rather than the sole cause. While this makes it easier to prove discrimination, remedies like damages are limited if the employer can prove they would have made the same decision regardless. These new standards apply immediately to all pending claims upon enactment.

The AGRITOURISM Act establishes a new Office of Agritourism within the Department of Agriculture, led by a dedicated Director. This office is tasked with promoting and supporting farm-based tourism activities across the nation. The goal is to boost rural economies by helping agricultural businesses diversify through educational, recreational, and direct-sale opportunities.

The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 establishes mandatory minimum registered nurse-to-patient ratios across various hospital units to enhance patient safety and care quality. This legislation requires hospitals to implement detailed staffing plans, ensures enforcement through federal programs like Medicare and Medicaid, and supports the nursing workforce through expanded financial aid and retention initiatives. Furthermore, the bill protects nurses who refuse unsafe assignments and establishes clear mechanisms for reporting violations.

The Water Affordability, Transparency, Equity, and Reliability Act of 2025 establishes a dedicated federal Trust Fund, financed by an increase in the corporate tax rate, to support water infrastructure and affordability programs nationwide. The bill mandates a comprehensive EPA report analyzing water affordability, civil rights compliance, and public participation in water planning. It also significantly increases funding for household water well systems and revises state revolving loan fund rules to expand eligible projects, including lead line replacement and PFAS contamination cleanup. Finally, the Act creates new job training grants for the water sector and enhances drinking water assistance for colonias.

The GHOST Act of 2025 establishes a new Federal Interstate Firearm Parts Reporting System to track the shipment of specific gun components, including barrels, slides, and bolts, across state or international lines. Shippers must pre-register these covered components with the Attorney General, detailing sender, recipient, and shipping method, and later confirm delivery. The system allows for retroactive registration but imposes significant penalties for knowingly circumventing these tracking requirements.

The Born in the USA Act of 2025 declares that Executive Order 14160, which attempted to restrict birthright citizenship, is unconstitutional and contrary to the 14th Amendment. This Act prohibits the use of any federal funds to implement or enforce that Executive Order. It affirms the established constitutional right to birthright citizenship for nearly everyone born on U.S. soil.

This resolution officially recognizes and celebrates the 60th anniversary of SkillsUSA, a leading organization dedicated to preparing students for skilled careers through Career and Technical Education (CTE). Congress commends SkillsUSA for empowering over 440,000 students annually in personal, workplace, and technical skills. The bill encourages communities to support the organization's vital mission of developing America's future workforce.

The Child Care Infrastructure Act establishes federal grants to help states upgrade and improve child care facilities nationwide, focusing on safety and capacity. This funding aims to support the building, renovation, and expansion of centers, prioritizing those serving low-income families and infants. The bill also authorizes grants to intermediary organizations to provide technical assistance and financing tools to providers. Overall, $10 billion is authorized to improve the physical infrastructure supporting early childhood education.

The Ensuring Lasting Smiles Act mandates that group health plans and insurance policies provide comprehensive coverage for medically necessary treatment related to congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. This coverage must include services needed to restore normal function and appearance, including necessary dental and orthodontic support. Plans must apply cost-sharing rules no more restrictive than those for other medical benefits, excluding purely cosmetic procedures.

The Child Care Workforce Development Act establishes two key initiatives to strengthen the early childhood education field. First, it creates a loan assistance program to help repay student debt for experienced educators who commit to five years of service. Second, it sets up a grant program to provide financial aid to individuals pursuing degrees or certificates in early childhood education, contingent upon a future service commitment. These measures aim to reduce educator debt and increase the pipeline of qualified professionals in the childcare sector.

The Therapeutic Fraud Prevention Act of 2025 declares that practices attempting to change an individual's sexual orientation or gender identity for payment constitute an unfair and deceptive business practice. Citing professional consensus on the ineffectiveness and harm of such "conversion therapy," the bill prohibits its provision and advertising. Enforcement authority is granted to the Federal Trade Commission (FTC), and the law allows both the U.S. Attorney General and State Attorneys General to file civil actions against violators.

This resolution expresses the support of Congress for designating July 16, 2025, as "Glioblastoma Awareness Day." It highlights the devastating impact and slow progress in treating glioblastoma, the deadliest common brain tumor. The bill urges increased public awareness, research funding, and collaboration to develop better treatments and improve patient outcomes.

This resolution officially supports the goals and ideals of National Nurses Week, observed annually from May 6th through May 12th. It recognizes the critical, front-line contributions nurses make to patient safety, healthcare quality, and public health across the nation. The bill encourages the public to observe this week with appropriate ceremonies and activities to honor the profession.

This resolution expresses strong support for designating May 4 through May 10, 2025, as Wildfire Preparedness Week. The measure aims to raise public awareness about the dangers of wildfires and promote essential fire safety and community preparedness education. It highlights the need for proactive measures, such as evacuation planning and better land management, to mitigate the growing threat posed by these destructive events.

The PFAS Alternatives Act aims to protect firefighters by funding research and development for next-generation turnout gear that eliminates harmful PFAS chemicals. The bill establishes grants through NIOSH to create safer, PFAS-free protective equipment and separate funding for training programs on the proper care of this new gear. Ultimately, this legislation seeks to reduce occupational illness and injury among fire and EMS personnel.

This resolution formally recognizes the vital role of elementary and secondary school teachers in strengthening the civic, cultural, and economic well-being of the United States. It designates the week of May 5 through May 9, 2025, as National Teacher Appreciation Week. The bill encourages public awareness and respect for the teaching profession and its essential contributions to the nation.

This resolution expresses the House of Representatives' support for designating May 5, 2025, as the "National Day of Awareness for Missing and Murdered Indigenous Women and Girls." It highlights the severe crisis of violence against Native women and girls and calls for remembrance and support for affected families. Additionally, the bill urges the Department of Justice to conduct an updated study on the data surrounding this ongoing national tragedy.

The Reduction in Force Review Act subjects federal agency decisions regarding workforce reductions (RIFs) to formal Congressional review, treating them as legislative "rules." Agencies must now submit detailed justification packages explaining the reasons for the cuts, the operational impact, and alternatives considered. This ensures greater transparency and scrutiny over significant staff reductions affecting federal employees.

The Community Services Block Grant Improvement Act of 2025 aims to strengthen federal efforts to combat poverty by updating the core goals and operational rules of the Community Services Block Grant program. The bill revises definitions, sets a specific annual funding authorization through Fiscal Year 2032, and tightens requirements for state plans and local agency governance, including mandating tripartite boards. Ultimately, these changes seek to ensure grant funds are effectively used by local entities to promote the self-sufficiency of low-income individuals and families.