Legislative Activity

The Safe Step Act establishes mandatory, transparent exception processes for health plans that use "step therapy" protocols for prescription drugs. This ensures patients or their doctors can quickly request coverage for a prescribed medication when specific clinical criteria are met, such as previous treatment failure or risk of harm. Plans must decide on standard requests within 72 hours and urgent requests within 24 hours, and approved exceptions must last for at least one year. Furthermore, insurers must report detailed data annually on exception requests, approvals, and denials to the Secretary of Health and Human Services.

This bill, the Welles Remy Crowther Congressional Gold Medal Act, authorizes the posthumous presentation of a Congressional Gold Medal to Welles Remy Crowther for his extraordinary heroism and sacrifice during the September 11, 2001, attacks. The medal will be presented to his mother, Alison Crowther, on behalf of Congress. The Act also permits the creation and sale of bronze duplicates to cover production costs.

The Community College Agriculture Advancement Act of 2025 establishes a new federal grant program to strengthen agriculture and natural resources programs at community colleges. These competitive grants will help two-year colleges build capacity for workforce training, education, and research. Priority will be given to colleges that partner with local agriculture businesses to provide students with hands-on experience. The Act authorizes $20 million annually to support these vital local and regional agricultural initiatives.

The Essential Workers for Economic Advancement Act establishes a new temporary visa category, H-2C, designed to allow registered employers in areas with low unemployment to hire foreign workers for specific, registered positions. This bill creates a comprehensive framework defining eligibility, setting numerical caps, and outlining strict requirements for both employers and workers to address labor shortages. It also includes provisions for worker protections, portability, and a mandatory study on the program's economic and social impact.

The Special Diabetes Program Reauthorization Act of 2025 extends critical funding for the Special Diabetes Programs supporting Type 1 diabetes research and prevention. This bill commits $160 million annually for the program from fiscal years 2026 through 2030. The legislation ensures continued support for these vital diabetes initiatives over the next five years.

This resolution expresses strong support for designating the week of September 20 through September 27, 2025, as "National Estuaries Week." It highlights the critical economic and environmental value of estuaries, which support millions of jobs and provide vital natural protection for coastal communities. The bill aims to raise public awareness about the need to protect and restore these essential ecosystems.

The "Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act" expands Medicare coverage to include FDA-approved multi-cancer early detection screening tests starting in 2028. It defines the criteria for these tests, sets payment guidelines, and establishes age and frequency limitations for coverage. The bill ensures that existing cancer screening coverage remains unaffected and allows for waivers of limitations based on recommendations from the United States Preventive Services Task Force.

The AM Radio for Every Vehicle Act of 2025 mandates that the Secretary of Transportation establish a rule requiring AM broadcast radio receivers to be installed as standard equipment in new passenger motor vehicles. This requirement aims to ensure public access to AM radio signals, which are often used for emergency alerts. The bill also directs a GAO study on the effectiveness of AM radio within the national emergency alert system compared to other technologies. Finally, the Act preempts state and local laws on this matter and includes a sunset provision eight years after enactment.

This resolution expresses strong support for and officially designates **September 17, 2025, as "Constitution Day."** It recognizes the profound historical importance of the U.S. Constitution as the nation approaches its 250th anniversary. The measure encourages all Americans to observe the day with suitable ceremonies reflecting on the freedoms and responsibilities the document grants.

The Nitazene Control Act of 2025 permanently classifies the entire class of highly potent synthetic opioids known as nitazenes (2-Benzylbenzimidazole opioids) as Schedule I controlled substances. This action is taken due to their extreme danger, high potential for abuse, and role in fatal overdoses across the country. By scheduling the entire chemical class at once, the bill aims to proactively stop the emergence of new, dangerous analogs. This permanent scheduling subjects nitazenes to the strictest federal controls, mirroring those applied to fentanyl.

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.

The Rural Veterans’ Improved Access to Benefits Act of 2025 aims to streamline how the Department of Veterans Affairs contracts with outside healthcare professionals to conduct medical disability examinations. This bill expands eligibility for temporary licensing arrangements for these contract workers and extends the authority for these contracts until September 30, 2031. Furthermore, it mandates that the VA report on the usage, cost, and quality of these contracted examination services.

The Health Professionals Scholarship Program Improvement Act of 2025 aims to strengthen the VA's healthcare workforce by mandating that the VA offer full-time clinical employment contracts to scholarship graduates within 90 days of their qualification. Additionally, this Act establishes a comprehensive, property-wide ban on all smoking and the use of electronic nicotine delivery systems within Veterans Health Administration facilities. The VA must also report regularly to Congress on the success of these new placement timelines.

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.

This resolution formally honors the victims of Hurricane Helene one year after the storm devastated western North Carolina. It expresses deep condolences to the affected communities and recognizes the heroic efforts of first responders and volunteers. Furthermore, the resolution affirms Congress's commitment to supporting ongoing recovery and rebuilding efforts in the region.

The Expanding Childcare in Rural America Act of 2025 establishes a new initiative to improve the availability, quality, and affordability of childcare in rural and agricultural areas. This program directs the Secretary of Agriculture to prioritize funding through existing rural development loan and grant programs for projects that address childcare needs. The initiative specifically favors farming-dependent counties and requires a comprehensive review of the program's impact.

This bill, the Congressional Tribute to Constance Baker Motley Act of 2025, posthumously awards the Congressional Gold Medal to the pioneering civil rights attorney and federal judge, Constance Baker Motley. The legislation recognizes her historic achievements, including her role in *Brown v. Board of Education* and her service as the first African-American woman appointed as a federal judge. The Secretary of the Treasury is authorized to strike the medal, and provisions are made for selling bronze duplicates to cover production costs.

The American Franchise Act aims to protect the traditional franchise business model by clarifying the definition of a "joint employer." This legislation establishes that a franchisor is only considered a joint employer if it exercises "substantial direct and immediate control" over the essential terms of employment for a franchisee's workers. This change specifically targets liability risks associated with maintaining brand standards, ensuring franchisors are not automatically held responsible for local labor practices. The new standard applies prospectively to future legal proceedings.

This resolution officially recognizes suicide as a serious public health crisis in the United States, highlighting the urgent need for prevention efforts across all demographics. It expresses strong support for designating September as "National Suicide Prevention Month" and September 10th as "World Suicide Prevention Day" to raise awareness. The measure calls for prioritizing comprehensive, tailored strategies to improve access to mental health and suicide prevention services nationwide.

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.