Legislative Activity

The TAKE IT DOWN Act establishes federal criminal penalties for the intentional sharing of both real and digitally forged nonconsensual intimate images, with stricter penalties for images involving minors. It mandates that covered online platforms create a clear process for victims to request the removal of such content within 48 hours. Failure by platforms to reasonably comply with these removal requests will be treated as an unfair or deceptive practice enforced by the Federal Trade Commission (FTC).

The Flexible Savings Arrangements for a Healthy Robust America Act allows individuals to make qualified distributions from their Flexible Spending Arrangements (FSAs) or Health Reimbursement Arrangements (HRAs) directly into a Health Savings Account (HSA) under specific conditions. This transfer is subject to annual dollar limits based on cafeteria plan contribution limits. The bill also adjusts annual HSA contribution limits based on any amount distributed and requires specific reporting on the W-2 form for these transactions, effective for distributions after December 31, 2025.

This bill establishes the Innovative Therapies Centers of Excellence Act of 2025, directing the Department of Veterans Affairs (VA) to designate at least five medical facilities as specialized hubs for cutting-edge treatments. These Centers of Excellence must focus on research, training partnerships, and clinical evaluation of innovative therapies for covered conditions like PTSD and chronic pain. The legislation specifically names substances such as MDMA and Psilocybin as part of the therapies to be explored, supported by dedicated annual funding.

The Maximum Pressure Act dramatically tightens and expands U.S. sanctions against Iran across its military, missile, and economic sectors, codifying existing restrictions and severely limiting the President's authority to grant sanctions relief. It mandates immediate sanctions on top Iranian officials and increases penalties for international parties aiding Iran's weapons programs. Furthermore, the bill enhances oversight by requiring numerous detailed reports to Congress regarding Iran's terrorism financing, nuclear timeline, and economic influence, while also redirecting certain frozen Iranian funds to victims of state-sponsored terrorism.

The Right Drug Dose Now Act of 2025 aims to reduce adverse drug events by updating the national prevention plan to incorporate modern pharmacogenomic science. It mandates education for healthcare professionals on using genetic testing to prevent harmful drug reactions. Furthermore, the bill requires improvements to Electronic Health Record (EHR) systems to automatically flag potential drug-gene conflicts during prescribing and streamline adverse event reporting to the FDA.

The Portable Ultrasound Reimbursement Equity Act of 2025 updates Medicare coverage to include diagnostic ultrasound tests. This legislation mandates that Medicare establish separate payments for the transportation and setup of portable ultrasound equipment, mirroring existing payments for portable X-ray services. These changes are set to take effect starting January 1, 2027.

The VA Home Loan Awareness Act of 2025 mandates the addition of a disclaimer on standard mortgage applications, informing applicants who indicate military service that they may qualify for a VA Home Loan. This ensures veterans and service members are immediately directed to explore their VA loan eligibility when applying for a mortgage. The bill also requires the GAO to study the effectiveness of this new disclaimer requirement among lenders.

This resolution supports the designation of March 2025 as Endometriosis Awareness Month to highlight the severe impact of this common, painful condition. It recognizes the urgent need to reduce the long diagnostic delays and significant personal and economic burdens caused by endometriosis. The bill encourages public education, better provider training, and continued commitment to research for improved treatments and a potential cure.

The FEHB Protection Act of 2025 aims to improve the integrity of the Federal Employees Health Benefits (FEHB) Program by verifying the eligibility of family members enrolled in health plans. It mandates the Director to establish processes for verifying qualifying life events, conduct comprehensive audits of covered family members, and disenroll ineligible individuals. The Act also allocates specific funding for oversight, audits, and the Office of the Inspector General to ensure proper implementation and prevent fraud within the FEHB Program.

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 SHARE Act of 2025 establishes new federal requirements for the FBI to share criminal history record information with states participating in professional licensing interstate compacts. This information sharing is strictly for the purpose of conducting background checks on applicants seeking to practice a profession in another compact state. States receiving this data are severely restricted on how they can use or further disseminate the detailed criminal history, generally only being permitted to report a binary "satisfactory" or "unsatisfactory" determination back to the compact's Commission.

This bill, the National Weather Service Communications Improvement Act, mandates the replacement of the current NWSChat instant messaging system with a modern, commercially available, public cloud-hosted solution by October 1, 2027. The new system must meet standards for scalability and usability. Funding for this upgrade, up to \$3 million annually from 2026 to 2029, will be sourced from the existing NWS Operations, Research, and Facilities budget.

The No 340B Savings for Transgender Care Act prohibits healthcare providers participating in the 340B drug pricing program from using their savings to pay for sex reassignment surgeries or hormone treatments for transgender individuals. This legislation specifically restricts the use of discounted outpatient drug savings for gender transition-related medical services.

The Preserving Patient Access to Home Infusion Act updates Medicare coverage and payment rules for home infusion therapy starting in 2026 to ensure continued patient access. The bill explicitly adds pharmacy services to covered home infusion care and clarifies payment calculations for suppliers, including transitional rules based on infusion hours. Furthermore, it expands who can establish and review patient care plans to include nurse practitioners and physician assistants. Finally, the Act modifies definitions and payment rules for certain non-pump infusion drugs and stops separate Medicare payment for specific disposable supplies when infusion therapy is already being reimbursed.

The Safe Vehicle Access for Survivors Act mandates that providers of connected vehicle services must quickly terminate an abuser's remote access to a survivor's vehicle upon request, without imposing fees or requiring co-owner consent. This legislation requires providers to secure the survivor's information, offer clear instructions for regaining sole control, and establish specific notification procedures for all actions taken. The FCC is tasked with creating detailed regulations to ensure survivor safety and data confidentiality within two years of the bill's enactment.

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 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 Reimbursing Border Communities Act of 2025 establishes a grant program to help local governments within 200 miles of the U.S.-Mexico border cover specific security-related costs. To qualify, communities cannot be designated as "sanctuary jurisdictions" that limit cooperation with federal immigration enforcement. Grants are capped at $500,000 per year and strictly prohibit funding for non-citizen basic needs or legal representation.

This bill expresses support for the recognition of "Detransition Awareness Day" to increase understanding and support for individuals who have detransitioned or are detransitioning back to their biological sex. It calls for comprehensive mental health services, informed consent regarding the risks of sex trait modification interventions, and extended statutes of limitations for related medical malpractice claims. The bill also urges the Department of Health and Human Services to review and revise guidelines to promote ethical medical standards and protect patient rights. It encourages states to adopt similar resolutions and initiatives to support detransitioning individuals.