Legislative Activity

The Essential Caregivers Act of 2025 protects the rights of residents in long-term care facilities to designate an essential caregiver who can provide support and companionship. This legislation ensures that these caregivers maintain in-person access to residents even during public health emergencies when general visitation is restricted. By establishing clear protocols and an appeals process, the bill aims to prevent the harmful effects of isolation and ensure residents continue to receive vital care and advocacy.

This bill, the Miracle on Ice Congressional Gold Medal Act, officially authorizes Congress to award Congressional Gold Medals to the 1980 U.S. Men's Olympic Ice Hockey Team for their historic "Miracle on Ice" victory. The medals will be struck by the Treasury and permanently displayed at specific national sports museums. The Act also permits the sale of duplicate bronze medals to cover production costs.

The Veteran Fraud Reimbursement Act of 2025 ensures that veterans whose benefits are misused by a fiduciary will have those funds promptly reissued by the Department of Veterans Affairs. The bill mandates the VA to make a good faith effort to recover the misused funds from the fiduciary after reimbursing the veteran. Furthermore, it establishes procedures for payment if the veteran dies before reimbursement and requires the VA to assess potential negligence in benefit oversight.

This bill establishes new federal requirements for Pharmacy Benefit Managers (PBMs) contracting with Medicare Part D and Medicaid plans, effective in 2027. It mandates specific payment standards for pharmacies, requires PBMs to pass manufacturer rebates directly to patients and plan sponsors, and strictly prohibits steering patients toward specific pharmacies. Additionally, the legislation enhances transparency by expanding drug price reporting requirements for all types of pharmacies within the Medicaid program.

This bill establishes the Mental Health Professionals Workforce Shortage Loan Repayment Act of 2025 to address critical shortages in mental health care. It creates a federal program administered by HRSA to repay student loans for eligible mental health professionals. In exchange, participants must commit to up to six years of full-time service in designated mental health professional shortage areas. The program aims to incentivize practitioners to serve in underserved communities through significant loan forgiveness, capped at $250,000 per individual.

The Bus Operator Safety and Security Act mandates that new fixed-route buses purchased with federal funds, meeting specific size and lifespan criteria, must be equipped with a protective barrier around the operator's workstation. This barrier must fully enclose the area without obstructing the driver's line of sight. This requirement can be waived if the relevant labor union agrees to the waiver for the specific bus purchase.

This bill, the Pharmacists Fight Back in Federal Employee Health Benefit Plans Act, establishes new rules for Pharmacy Benefit Managers (PBMs) administering prescription drug benefits for federal employees. It mandates specific reimbursement rates for pharmacies and prohibits PBMs from engaging in anti-competitive practices like steering patients to affiliated pharmacies. The legislation also institutes civil monetary penalties and potential debarment for PBMs that fail to comply with these new requirements.

The Helping Improve Recruitment and Retention Efforts for Prosecutors Act of 2025 establishes a federal grant program to assist state, local, territorial, and tribal governments in hiring, retaining, and training prosecutors and support staff. Administered by the Attorney General, the program will award competitive grants, prioritizing offices in underserved or budget-impacted areas. This initiative is authorized with $10 million annually from 2026 through 2030, requiring a 25% non-federal match unless waived.

This bill exempts specific, carefully defined less-than-lethal projectile devices and their ammunition from the federal excise tax on firearms and ammunition. It also removes these qualifying devices from regulation under the National Firearms Act. The legislation establishes clear criteria, including velocity limits and design restrictions, to ensure the exemption applies only to tools intended for de-escalation rather than lethal force. Manufacturers can request official classification for their products to confirm eligibility for these tax and regulatory benefits.

The CommonGround for Affordable Health Care Act extends enhanced premium tax credits for Marketplace health insurance through 2026, while also establishing strict new penalties and verification processes to combat fraud by agents and brokers in health insurance exchanges. Furthermore, the bill imposes significant new transparency and accountability requirements on Pharmacy Benefit Managers (PBMs) contracting with Medicare Part D plans. Finally, it extends the 2026 open enrollment period and creates a fast-track legislative process for future premium tax credit reform bills.

The Bipartisan Health Insurance Affordability Act aims to lower healthcare costs by extending and enhancing premium tax credits for Marketplace insurance through 2027. It also institutes strict new anti-fraud measures and verification processes for agents and brokers enrolling consumers in Exchange plans. Furthermore, the bill imposes significant transparency and accountability requirements on Pharmacy Benefit Managers (PBMs) in Medicare Part D and mandates a full pass-through of rebates in certain private health plans. Finally, it expands access to Health Savings Accounts (HSAs) for certain Exchange enrollees.

The CARING for Our Veterans Health Act of 2025 aims to significantly improve how the Department of Veterans Affairs (VA) manages community care provided to veterans. This bill mandates the VA to develop clear guidance and set performance goals for VA medical centers to ensure timely and complete collection of medical documentation from community providers. Furthermore, it requires regular reporting to Congress on the progress of implementing these new coordination and training standards.

The HELP Copays Act requires that financial assistance provided by non-profit organizations and drug manufacturers must count toward a patient's deductible, copayments, and out-of-pocket maximums for prescription drugs. This change ensures that patient assistance dollars directly reduce the amount a patient must pay before their coverage fully kicks in. The legislation specifically applies to specialty drugs and those subject to utilization management. These provisions will take effect for plan years beginning on or after January 1, 2026.

The Energy Choice Act places federal restrictions on state and local governments, preventing them from enacting regulations that prohibit or limit energy service based on its type or source. This means local governments cannot ban or restrict access to energy services sold in interstate commerce. The legislation aims to ensure consistent access to various energy sources across jurisdictions.

The Mikaela Naylon Give Kids a Chance Act focuses primarily on improving pediatric drug development and ensuring patient access to necessary treatments. This legislation mandates new research requirements for molecularly targeted pediatric cancer drugs, strengthens FDA enforcement of pediatric study completion, and extends incentives for developing drugs for rare pediatric diseases. Additionally, the bill updates organ transplant network functions and establishes an Abraham Accords Office within the FDA to enhance international regulatory cooperation.

This Concurrent Resolution formally denounces the ideology of socialism based on its historical outcomes. It asserts that socialist principles have consistently led to totalitarian regimes, mass atrocities, and economic collapse worldwide. The resolution contrasts these failures with the founding principles of the United States, concluding with a statement opposing the implementation of socialist policies domestically.

The Charlie Kirk Congressional Gold Medal Act authorizes the posthumous award of the Congressional Gold Medal to Charles "Charlie" Kirk in recognition of his life, service, and dedication to the United States. The bill honors his legacy as the founder of Turning Point USA and his commitment to promoting traditional American values, faith, and civil discourse.

This bill, the Large-Scale Water Recycling Reauthorization Act, extends the authorization period for a key water recycling program established under the Infrastructure Investment and Jobs Act. Specifically, it doubles the program's authorization from five years to ten years. This action supports continued investment in large-scale water recycling infrastructure.

This Act authorizes the Secretary of the Treasury to mint and issue a series of commemorative gold, silver, and clad coins in 2029 to celebrate the centennial of the United States Foreign Service. The coins will feature designs representing the importance of American diplomacy and the contributions of the Foreign Service. All surcharges collected from the sale of these coins will be paid to the Association for Diplomatic Studies and Training to support its historical preservation work. The Treasury must ensure that the minting and issuance of these coins result in no net cost to the U.S. government.

The Alzheimer’s Screening and Prevention Act of 2025 (ASAP Act) amends Medicare to cover early detection screening tests for Alzheimer's disease and related dementias starting in 2028. This coverage applies to FDA-cleared tests, including genomic sequencing and other equivalent diagnostic methods, designed to detect pre-symptomatic or early-stage conditions. The bill ensures these screenings are added to the list of covered medical services under Medicare.