Legislative Activity

The Pharmacy Benefit Manager Reform Act of 2025 aims to increase transparency and accountability across the prescription drug supply chain. It mandates fairer pharmacy network access for Medicare beneficiaries and imposes strict new financial reporting and service fee requirements on Pharmacy Benefit Managers (PBMs) working with Medicare and private health plans. Furthermore, the bill establishes new federal mechanisms to accurately track drug acquisition costs in Medicaid and explicitly bans the practice of "spread pricing" in state Medicaid contracts.

The Apples to Apples Comparison Act of 2025 mandates greater public transparency regarding Medicare spending by requiring the Secretary of HHS to publish detailed, machine-readable expenditure data broken down by county and beneficiary type. Furthermore, the bill requires the Medicare Payment Advisory Commission (MedPAC) to annually compare the average cost of Medicare Advantage enrollees versus traditional Medicare beneficiaries, accounting for plan differences and risk factors. Finally, the Medicare Trustees must also report detailed expenditure information categorized by specific beneficiary enrollment statuses.

This resolution strongly condemns the rise of antisemitism in the United States and around the world. It specifically honors the memory of Yaron Lischinsky and Sarah Milgrim, who were tragically murdered while promoting peace. Ultimately, Congress reaffirms its commitment to combating all forms of hate and ensuring the vigorous enforcement of laws protecting religious freedom.

The DEFIANCE Act of 2025 establishes a federal civil cause of action against the creation, possession with intent to share, or sharing of nonconsensual intimate digital forgeries, often known as deepfakes. This legislation updates existing law to specifically address image-based sexual abuse created through AI or digital manipulation, regardless of whether the image is labeled as fake. Victims can sue for significant statutory damages, attorney's fees, and injunctive relief to stop the spread of the harmful content. The Act ensures that this new federal standard does not preempt or limit stronger existing State or Tribal laws.

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 STOP Screwworms Act mandates the establishment of facilities to rear and release sterile New World screwworm flies in high-risk areas to combat infestations. The Secretary of Agriculture must build these modular facilities within 180 days of enactment and provide annual public reports on the threat and control efforts. The bill authorizes up to $300 million to fund these necessary actions.

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 MOMS Act aims to support expecting and new mothers through three main initiatives. It establishes a centralized federal resource website, Pregnancy.gov, to connect mothers with local support services and adoption agencies. The bill also creates grant programs to fund organizations offering positive alternatives to abortion and expanding access to at-home prenatal and postnatal telehealth care in underserved areas. Finally, it allows states to establish and enforce child support obligations against biological fathers for unborn children upon the mother's request.

The Veterans 2nd Amendment Protection Act restricts the Department of Veterans Affairs from automatically sharing a veteran's information with the DOJ for national background checks solely based on the appointment of a fiduciary. This bill prohibits the VA from classifying a veteran as a "mental defective" based only on an administrative finding of incompetence or the need for a fiduciary. Furthermore, the VA must notify the Attorney General if previously shared information based on fiduciary status is no longer valid.

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.

The Safeguard American Voter Eligibility Act (SAVE Act) significantly amends federal law to require individuals registering to vote in federal elections to present documentary proof of U.S. citizenship. This legislation mandates that states actively clean their voter rolls and cooperate with federal agencies to verify citizenship status. It establishes new criminal penalties for officials who fail to enforce these documentation requirements.

The FEMA Loan Interest Payment Relief Act establishes a program for FEMA to reimburse local governments and electric cooperatives for interest paid on specific disaster recovery loans. This reimbursement is capped at the lesser of the actual interest paid or the interest calculated using the Federal Reserve's prime rate. The law mandates FEMA to quickly establish procedures for states to apply for reimbursement of qualifying interest paid up to nine years prior to enactment.

The POWER Act of 2025 establishes a new, temporary tax credit of up to $500 for individuals who purchase an emergency generator for their primary residence. To qualify, homeowners must have experienced at least two major disasters in their area within the last five years and personally received federal assistance for one of those events. The credit amount is subject to phase-out based on the taxpayer's modified adjusted gross income.

The SHORT Act aims to reform federal firearms regulations by redefining what constitutes a "firearm" for tax purposes, largely excluding antique or collector's items. It eliminates disparate federal treatment for short-barreled rifles and shotguns used lawfully and preempts state and local governments from imposing special taxes or registration requirements on these specific weapons. Furthermore, the bill mandates the destruction of certain existing federal registration and transfer records related to defined firearms.

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.

The HELPER Act of 2025 establishes a new FHA mortgage insurance program to assist first responders, educators, and law enforcement officers in purchasing homes. This program offers eligible first-time homebuyers 100% financing with no down payment required. Instead of monthly premiums, borrowers pay an upfront FHA insurance premium at closing.

The Fair and Open Competition Act of 2025 ensures fair competition on federally funded construction projects by prohibiting the government from requiring or penalizing bidders based on union agreements. This legislation aims to keep federal agencies neutral in labor relations while promoting cost savings and opening opportunities for all businesses. Exceptions to this neutrality rule are strictly limited to specific public health, safety, or national security emergencies.

The Fair Access to Agriculture Disaster Programs Act creates an exception to income limits for certain federal agriculture disaster payments. This exception applies to individuals or businesses where at least 75% of their average adjusted gross income is derived from farming, ranching, or forestry. Consequently, these deeply involved agricultural producers will not be subject to standard payment caps on specific disaster assistance programs.

The Major Richard Star Act ensures that military retirees with combat-related disabilities can receive both their military retirement pay and VA disability compensation concurrently without reduction. This law removes previous restrictions that caused military retirement pay to be offset by VA disability payments for these specific cases. The changes take effect on the first day of the month following the Act's enactment.

The Credit for Caring Act of 2025 establishes a new, non-refundable federal income tax credit for working family caregivers who incur significant expenses caring for a relative with long-term care needs. Eligible caregivers can claim a credit equal to 30% of qualified expenses exceeding \$2,000, up to a maximum annual credit of \$5,000. The bill specifies detailed requirements for the care recipient's needs, the types of allowable expenses, and includes income phase-out limits for claiming the benefit.