Legislative Activity

The **988 LGBTQ+ Youth Access Act of 2025** addresses the high rates of suicide risk among LGBTQ youth by strengthening specialized support through the national crisis hotline. This bill mandates that dedicated resources and services, such as a specific dialing option, must be maintained for LGBTQ individuals contacting 988. Furthermore, it requires that at least 9 percent of appropriated funds for the hotline be specifically reserved to ensure these specialized services for LGBTQ youth remain fully operational.

This bill establishes a six-year pilot program for hospitals to provide medically tailored, home-delivered meals and nutrition therapy to eligible Medicare patients upon discharge. The goal is to improve health outcomes and reduce hospital readmissions for individuals with diet-sensitive conditions who have difficulty with daily living activities. Participating hospitals will receive payment for these services, which must be provided at no out-of-pocket cost to the patient. The Secretary of Health and Human Services will evaluate the program's effectiveness using data collected from the participating sites.

This constitutional amendment seeks to grant Congress and the states the authority to regulate contributions and expenditures in political campaigns. It specifically allows for the establishment of public financing systems to offset the influence of private money in elections. The amendment ensures that any regulations enacted must not infringe upon the freedom of the press.

The FAMILY Act establishes a national Paid Family and Medical Leave Insurance program administered by a new office within the Social Security Administration. This program provides monthly benefits to eligible individuals who take time off for qualified caregiving reasons, including serious health conditions or victims of violence. The Act also sets forth detailed eligibility requirements, benefit calculation formulas, and job protection guarantees for employees utilizing the leave. Finally, it creates a funding mechanism to support existing state-level paid leave programs that meet federal standards.

The Pay Our Troops Act of 2026 ensures that active duty military personnel and essential civilian support staff continue to receive their pay if Congress has not yet passed the full budget for fiscal year 2026. This act provides automatic continuing appropriations from the Treasury to prevent a lapse in military salaries due to budget delays. The funding automatically terminates once a new budget or continuing resolution is passed, or on January 1, 2027, whichever comes first.

This act establishes the Fallen Servicemembers Religious Heritage Restoration Program to correct historical errors where Jewish service members killed in WWI and WWII were mistakenly buried under non-Jewish grave markers overseas. The American Battle Monuments Commission will contract with a nonprofit organization to identify these "covered members" and contact their survivors over a five-year period. The legislation also extends a deadline related to certain pension payments.

The Protecting Veteran Access to Telemedicine Services Act of 2025 allows authorized Department of Veterans Affairs (VA) healthcare professionals to prescribe and dispense controlled medications to eligible veterans via telemedicine. This provision removes the prior requirement for an initial in-person visit before prescribing these medications remotely. The VA is required to establish specific regulations detailing the process for this telemedicine delivery while ensuring compliance with existing federal drug control laws.

The George Floyd Justice in Policing Act of 2025 is a comprehensive bill designed to increase police accountability and transparency nationwide through federal mandates and funding incentives. It reforms standards for prosecuting civil rights violations, eliminates qualified immunity, and establishes national registries for police misconduct and use-of-force data. Furthermore, the Act bans specific dangerous police tactics like chokeholds and restricts the transfer of military equipment to local departments.

The Limiting ICE’s Nationwide Encroachment Act (LINE Act) prohibits federal health agencies, like CMS and HHS, from sharing the personally identifiable Medicaid enrollment data of individuals with U.S. Immigration and Customs Enforcement (ICE). This measure is designed to protect the private health information of Medicaid recipients from being used for immigration enforcement purposes.

The Indian Programs Advance Appropriations Act of 2025 establishes a system of advance appropriations for key Bureau of Indian Affairs (BIA), Bureau of Indian Education (BIE), and Indian Health Service (IHS) programs starting in fiscal year 2026. This legislation mandates that budget requests must include forward-looking funding estimates for the subsequent fiscal year to improve agency planning and transparency. Furthermore, the bill requires annual reporting to Congress on resource adequacy for these critical services after consultation with Tribal nations.

This resolution expresses the sense of the House of Representatives opposing the implementation of the proposed Wasteful and Inappropriate Service Reduction (WISeR) Model. The House believes this model would severely undermine beneficiary access to necessary healthcare by significantly expanding prior authorization requirements in traditional Medicare. It urges the Centers for Medicare and Medicaid Services to terminate the plan due to concerns over patient access and the poor track record of private entities managing these reviews.

The Tax Excessive CEO Pay Act of 2025 imposes a federal income tax penalty on corporations whose CEO-to-worker pay ratio exceeds 50-to-1, calculated using a five-year average. If the ratio is too high, the standard 21% corporate tax rate will increase according to a specified penalty table. This measure applies to tax years beginning after December 31, 2025, with exceptions for smaller companies below a $100 million revenue threshold.

The Reforming and Enhancing Sustainable Updates to Laboratory Testing Services Act of 2025 (RESULTS Act) aims to improve Medicare payment rates for clinical lab tests by mandating the collection of more accurate, real-world payment data directly from large, independent private insurance claims databases. This legislation updates definitions, collection timelines, and calculation methods to ensure Medicare payments for widely available tests reflect current market rates. It also establishes default payment rules if sufficient private payor data cannot be secured.

The Humane Transport of Farmed Animals Act strengthens oversight of animal transportation by establishing new inspection and investigation powers for federal agencies. It also strictly prohibits the interstate movement of livestock deemed unfit to travel, based on established international animal health standards. This ensures that only healthy and capable animals are shipped across state lines, with an exception made only for necessary veterinary care.

The HCBS Worker Protection Act of 2025 removes a federal payment limitation for certain home and community-based services (HCBS) waivers under Medicaid. This change grants states greater flexibility in receiving federal matching funds for these essential community services.

The PrEP and PEP are Prevention Act mandates that essential HIV prevention services, including FDA-approved medications like PrEP and PEP, must be covered at no cost to the patient across private insurance, Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits program. This law eliminates financial barriers such as deductibles, copays, and prior authorization requirements for these preventive treatments and necessary related care. The goal is to ensure universal, barrier-free access to critical HIV prevention tools.

The Home Health Stabilization Act of 2025 aims to ensure continued access to Medicare home health services by pausing automatic payment reductions scheduled for 2026 and 2027. This is achieved by mandating a positive adjustment to the standard payment rate to fully offset proposed cuts. Furthermore, the bill clarifies that these temporary payment increases will not negatively impact future rate calculations for providers.

The Quiet Communities Act of 2025 addresses the growing public health crisis caused by noise pollution by reestablishing the Environmental Protection Agency's (EPA) Office of Noise Abatement and Control. This office will be tasked with researching noise impacts, supporting state and local noise control efforts through technical assistance and grants, and conducting a specific study on aircraft noise. The Act authorizes \$25 million annually through Fiscal Year 2030 to fund these critical national noise reduction initiatives.

The Nationwide Right to Unionize Act eliminates federal permission for states to enact or enforce "right-to-work" laws by repealing Section 14(b) of the National Labor Relations Act. This action ensures that union security agreements negotiated between unions and employers are governed exclusively by federal labor law. Consequently, state laws that prohibit mandatory union membership or fee payment as a condition of employment will no longer apply where federal law permits such agreements.

The HIV Prevention Now Act secures **\$2.165 billion** in dedicated funding for the CDC's National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention for Fiscal Year 2026. This appropriation is specifically earmarked to support the center's prevention programs and activities. This funding is supplemental to, and cannot be transferred from, other existing appropriations.