Legislative Activity

This bill, the Access to Prescription Digital Therapeutics Act of 2025, establishes coverage and payment pathways for FDA-cleared Prescription Digital Therapeutics (PDTs) under Medicare Part B starting in 2026. It mandates the Secretary to develop payment methodologies based on private payer rates and requires manufacturers to report utilization and pricing data to ensure fair reimbursement. Furthermore, the Act expands Medicaid's authority to cover these software-based medical treatments when prescribed to beneficiaries.

The Research Advancing to Market Production for Innovators Act aims to accelerate the commercialization of federally funded small business research. It enhances the SBIR/STTR programs by requiring commercialization expertise in proposal reviews and speeding up review timelines. The bill also establishes Technology Commercialization Officials within agencies and mandates detailed reporting on the market success of award recipients. Finally, it increases flexibility for technical assistance funding and provides prioritized patent examination services through the USPTO for awardees.

The Ensuring Community Access to Pharmacist Services Act expands Medicare Part B coverage to include services provided by pharmacists starting January 1, 2026. This coverage is specifically for testing or treatment related to COVID-19, the flu, RSV, strep throat, or during a declared public health emergency. The bill outlines payment structures, generally covering 80% of the cost, and prohibits pharmacists from balance billing Medicare patients for these covered services.

The Transparency and Honesty in Energy Regulations Act establishes strict definitions for various social cost metrics related to greenhouse gas emissions. The core provision of the bill prohibits federal agencies from using these specific social cost estimates—including the social cost of carbon, methane, and nitrous oxide—in their required cost-benefit analyses for rulemaking and official actions. Furthermore, the Act mandates that federal agencies must report to Congress on all past uses of these climate-related cost figures in their decision-making processes since 2009.

This resolution expresses the strong support of Congress for designating May 2025 as Motorcycle Safety Awareness Month. It acknowledges the significant role motorcyclists play in transportation while highlighting the critical need for increased safety awareness. The bill encourages proper rider training, the use of protective gear, and mutual road safety between motorcyclists and other drivers.

The "Prove It Act of 2025" aims to reduce regulatory burdens on small businesses by requiring agencies to consider indirect costs when creating new rules, allowing small businesses to petition for reviews of agency certifications, and mandating agencies to publish guidance documents and allow comments on rules with a significant economic impact on small businesses. Additionally, the Act amends the periodic review process for rules, requiring agencies to consider indirect costs and providing a mechanism for the Small Business Administration to address rules not reviewed within a 10-year period. The Act specifies that no additional funds will be allocated for its implementation.

The Rural Patient Monitoring Access Act aims to improve access to remote patient monitoring (RPM) for rural Medicare beneficiaries. It establishes a minimum payment floor for the geographic indices used to calculate practice expense and malpractice costs for RPM services starting in 2026. Furthermore, the bill sets new quality requirements for RPM providers to qualify for Medicare payment, including real-time clinical availability and data interoperability. Finally, it mandates a future report analyzing the actual cost savings generated by these enhanced RPM services.

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 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 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 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.