Legislative Activity

The Seniors’ Access to Critical Medications Act of 2025 temporarily modifies the physician self-referral prohibition (Stark Law) to allow physician practices to dispense certain Medicare Part D prescription drugs directly to their patients between 2026 and 2030. This exception is subject to specific conditions regarding prescribing, patient history, and dispensing location. The bill also mandates a GAO study to examine trends in physician office drug dispensing and makes a minor adjustment to the allocation for the Medicare Improvement Fund.

This bill amends Medicare rules to cap the out-of-pocket coinsurance amount beneficiaries must pay for certain services provided in an Ambulatory Surgical Center (ASC). If the standard ASC coinsurance exceeds the annual inpatient hospital deductible, the beneficiary's cost will be limited to that deductible amount. The Secretary will cover the difference owed to the ASC.

The VARIANCE Act temporarily allows commercial trucks hauling specific dry bulk goods, like grain or gravel, to exceed standard weight limits on individual axles or axle groups by up to 110 percent. This change only applies to axle weight distribution and does not permit trucks to exceed the overall maximum gross vehicle weight limit. The exception is strictly for unpackaged, homogeneous, non-liquid materials transported in specialized trailers.

The SOAR Act of 2025 aims to significantly reform Medicare access to supplemental oxygen by removing it from the competitive bidding program and establishing new payment rates. The bill also mandates clearer documentation requirements for medical necessity using electronic templates and restores clinical judgment in claim audits. Finally, it establishes specific rights for oxygen beneficiaries and improves reimbursement for respiratory therapists.

This bill, the Protecting America’s Strategic Petroleum Reserve from China Act, strictly prohibits the sale or release of oil from the U.S. Strategic Petroleum Reserve (SPR) to any entity owned, controlled, or influenced by the Chinese Communist Party. Furthermore, it prevents the sale of SPR products to non-Chinese buyers if those products are intended for export to the People's Republic of China. The legislation aims to safeguard U.S. energy reserves from benefiting the Chinese government.

The Enhanced Iran Sanctions Act of 2025 aims to prevent Iran from obtaining nuclear weapons and countering its support for terrorism by imposing sanctions on those involved in Iran's energy sector and those who provide financial support for its destabilizing activities. It mandates sanctions on foreign entities involved in processing, exporting, or selling Iranian oil, gas, and petrochemicals, while also establishing an interagency working group to coordinate and enforce these sanctions. The Act also amends existing legislation to require the identification of individuals involved in sanctionable activities or sanctions evasion related to Iranian oil and gas sales.

The Affordable Housing Credit Improvement Act of 2025 updates federal housing tax credit allocations to reflect current economic realities and boosts minimum state allotments. It reforms tenant eligibility rules to stabilize tenancy and enhance protections for vulnerable residents, including victims of abuse. The bill also provides disaster relief for property owners, increases incentives for housing the extremely low-income, and directs greater resources toward Native American and rural housing needs. Finally, it streamlines administrative processes and signals a future focus on data transparency and discouraging restrictive local zoning.

The COMPLETE Care Act aims to improve mental healthcare access by providing Medicare incentives for primary care providers to integrate behavioral health services into their practices between 2027 and 2029. This legislation offers increased Medicare payments for specific integrated services during those years, ensuring these bonuses do not trigger cuts elsewhere in the Medicare budget. Additionally, the bill mandates technical assistance to help primary care offices successfully adopt these new integrated care models.

The Early Detection of Vision Impairments for Children Act of 2025 establishes federal funding to help states and eligible groups create comprehensive programs for early vision screening and intervention in children. These grants will support activities such as improving data collection, reaching underserved populations, and building coordinated public health systems for eye care. The bill also authorizes technical assistance grants through the CDC to support states in developing and improving their screening and intervention strategies. Funding is authorized at $5 million annually from fiscal years 2026 through 2030 for the main grant program.

The Revitalizing Downtowns and Main Streets Act establishes a new 20% federal tax credit for converting eligible, older commercial buildings into affordable housing. This incentive aims to increase housing supply by requiring that at least 20% of the converted units remain rent-restricted for low-income residents for 30 years. State agencies will allocate these credits, which are subject to a national cap of $12 billion, based on approved plans prioritizing financially necessary projects.

The Constitutional Concealed Carry Reciprocity Act of 2025 establishes a national standard for carrying concealed handguns across state lines. This act allows individuals legally permitted to carry in their home state to carry concealed in any other state that allows its residents to carry concealed firearms. The law does not override private property restrictions or prohibitions on government property, but it provides protections and legal recourse for those traveling in compliance with the new federal standard.

This joint resolution seeks to disapprove and nullify a recent final rule issued by the Environmental Protection Agency (EPA) concerning the reclassification of major pollution sources as area sources under the Clean Air Act. Congress is using its authority to reject this specific EPA regulation, preventing it from taking legal effect. If passed, the EPA's rule published on December 29, 2023, will be voided.

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.

This resolution expresses support for designating March 18, 2025, as "National Agriculture Day." It recognizes and celebrates the significant impact of agriculture as a leading industry in the United States.

The Innovative FEED Act of 2025 establishes a new regulatory category for "zootechnical animal food substances" intended to modify animal digestive byproducts or reduce foodborne pathogens without treating disease. This bill mandates that these new substances must undergo the standard food additive approval process with the FDA, requiring petitioners to provide extensive data on their intended effects. Approval is contingent upon proving the substance achieves its claimed function under proposed use conditions, and all resulting animal food must carry a specific disclaimer stating it is not for disease treatment.

The Physician Led and Rural Access to Quality Care Act revises physician self-referral rules to improve healthcare access in underserved areas. Specifically, it creates a new exception allowing physician self-referrals to hospitals located in designated rural areas that meet specific distance requirements. Furthermore, the bill removes existing restrictions that previously limited the expansion of services at physician-owned hospitals.

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.

This bill disapproves and nullifies the Environmental Protection Agency's rule regarding waste emissions charges for petroleum and natural gas systems. The rule outlined compliance procedures, netting, and exemptions, but will no longer be implemented.

The Baby Observation Act mandates that the Secretary of Health and Human Services conduct a comprehensive study on the effectiveness of home cardiorespiratory monitors in preventing sudden unexpected infant death (SUID). The resulting report must detail the monitors' performance, suggest new infant care practices, and provide recommendations on criteria for insurance coverage. This aims to determine if these vital sign monitors warrant broader health insurance reimbursement.

The Expel Illegal Chinese Police Act of 2025 mandates the President to impose immediate sanctions, including asset freezes and visa bans, on specific Chinese police departments, their senior leaders, and individuals involved in establishing illegal Chinese police presences in the U.S. These sanctions also extend to the immediate family members of sanctioned aliens. The bill aims to block financial transactions and entry into the U.S. for those connected to the targeted PRC law enforcement bodies.