Legislative Activity

The Protecting Health Care and Lowering Costs Act of 2025 repeals specific prior reconciliation health provisions. This bill significantly expands eligibility for the Premium Tax Credit by eliminating the 400% Federal Poverty Level income cap. It also updates the subsidy calculation formula to ensure a smoother, linear adjustment of assistance across various income levels.

The Veteran Families Health Services Act of 2025 expands reproductive and fertility care for service members and veterans. Title I mandates comprehensive fertility preservation and treatment for active-duty personnel and their families. Title II formally establishes fertility treatment, counseling, and adoption assistance as covered benefits for eligible veterans through the VA. This bill aims to remove barriers and reduce financial burdens for military families seeking to start or expand their families.

The Restoring Essential Healthcare Act repeals an outdated ban that prevented Medicaid from making payments to certain healthcare providers. This legislation ensures that these previously prohibited entities will now be reimbursed for medical services rendered between the enactment of the original ban and the passage of this Act. In short, it restores payment eligibility and retroactively covers past services.

The Keep USGS Strong Act ensures the continued vital scientific work of the U.S. Geological Survey (USGS) by exempting it from federal hiring freezes and workforce reduction mandates. This legislation recognizes the USGS's critical role in monitoring natural hazards, managing water resources, and providing essential scientific data for public safety and resource management. The bill protects current staffing levels and property leases, safeguarding the agency's ability to serve the nation.

The Protecting Air Ambulance Services for Americans Act of 2025 aims to improve the Medicare payment system for emergency air ambulance services. This bill directs the Secretary of Health and Human Services to update payment rates using newly collected cost data from providers. Furthermore, it mandates the timely finalization of data collection rules and requires the GAO to study the true operating costs of air ambulance services to inform future payment adjustments.

The EATS Act of 2025 significantly updates eligibility for the Supplemental Nutrition Assistance Program (SNAP) by removing previous restrictions that often disqualified students. This legislation explicitly includes bona fide students enrolled at least half-time in recognized educational programs as eligible participants for food assistance. These changes take effect on January 2, 2026.

The ACO Assignment Improvement Act of 2025 updates the rules for assigning beneficiaries to Accountable Care Organizations (ACOs) within the Medicare Shared Savings Program. Specifically, it broadens the criteria for assignment by allowing primary care services from certain ACO professionals to count toward beneficiary linkage. These changes will take effect for performance years beginning on or after January 1, 2027.

The Health Care Fairness for Military Families Act of 2025 significantly improves the TRICARE Young Adult (TYA) program for military dependents. This legislation eliminates the age restriction for TYA eligibility and removes the separate premium requirement for coverage. These changes aim to provide broader and simpler healthcare access for adult children of service members.

The Parity for Tribal Law Enforcement Act aims to grant qualified Tribal law enforcement officers the authority to enforce federal law within their jurisdiction under specific federal contracts or compacts. This requires Tribal officers and their departments to meet rigorous federal training and procedural standards comparable to those of Bureau of Justice Services employees. When acting under this authority, these Tribal officers will receive the same legal protections and benefits as federal law enforcement officers. The bill also mandates the Department of Justice to improve coordination and accountability for public safety efforts on tribal lands.

The SAVES Act establishes a Department of Veterans Affairs (VA) pilot program to award grants to nonprofit organizations that provide service dogs to eligible veterans. These grants, up to $\$2,000,000$ each, will fund the training and provision of service dogs for veterans with qualifying conditions like PTSD or TBI. The bill also extends the expiration date for certain limits on veterans' pension payments until February 2033.

The Resident Physician Shortage Reduction Act of 2025 establishes a structured process for distributing up to 2,000 additional, federally funded residency positions annually between fiscal years 2026 and 2032. This distribution prioritizes hospitals serving in underserved areas, those already training above their limit, and those committed to primary care and general surgery training. The bill also mandates a study and report by the Comptroller General on effective strategies to increase diversity within the health professional workforce.

This bill establishes the Low-Income Household Water Assistance Program to provide grants to states and tribes. These funds will help public water systems cover the water and sewer bills for eligible low-income households. The program aims to supplement existing aid by assisting families whose income is at or below 150% of the poverty level or 60% of the state median income. Funding is authorized at $500 million annually from fiscal years 2026 through 2030.

The VISIBLE Act mandates that federal immigration enforcement officers, such as those from CBP and ICE, must clearly display their agency name and either their last name or badge number during all public-facing civil immigration enforcement activities. This requirement ensures officers are easily identifiable to the public from a distance, promoting transparency and public trust. The law also establishes disciplinary procedures for non-compliance and requires annual reporting to Congress on enforcement activities and violations.

The No Surprises Act Enforcement Act significantly increases financial penalties for group health plans and insurance issuers that violate balance billing protections. It establishes steep fines, including up to $\$10,000$ per affected individual for serious non-compliance. Furthermore, the bill imposes severe penalties, including triple the disputed amount plus interest, for failing to make required payments promptly after an Independent Dispute Resolution (IDR) determination. Finally, it mandates more frequent and detailed transparency reporting on enforcement actions and violations.

The Ally's Act mandates that certain private health insurance plans must cover auditory implant devices, related supplies, and necessary services for qualifying individuals. This coverage must be comparable to other medical and surgical benefits regarding cost-sharing and treatment limitations. Furthermore, plans cannot deny coverage if a physician or qualified audiologist determines the required hearing items or services are medically necessary. These new requirements take effect for plan years beginning on or after January 1, 2026.

The Living Donor Protection Act of 2025 prohibits life, disability, and long-term care insurance companies from denying coverage or increasing premiums solely because an individual is a living organ donor. This legislation ensures that living donors are not financially penalized for their altruistic act. Additionally, the bill requires the Secretary of HHS to update educational materials to accurately reflect the insurance protections afforded to living donors.

The EACH Act of 2025 aims to ensure equal access to abortion coverage by requiring all federally funded health programs and facilities to cover abortion services. This legislation prohibits federal interference with state or private insurance coverage of abortion and repeals Section 1303 of the Affordable Care Act. Ultimately, the bill seeks to eliminate financial and insurance barriers to abortion care, particularly for low-income individuals relying on programs like Medicaid.

This proposed constitutional amendment would eliminate immunity from criminal prosecution for federal officials, including the President, based on their official duties. It also explicitly prohibits the President from issuing a self-pardon for any federal crimes. If ratified, these changes would take effect immediately.

This bill amends the Family and Medical Leave Act (FMLA) to explicitly clarify that time taken off for an employee's own organ donation surgery qualifies as a serious health condition. This ensures both private and federal sector workers receive FMLA protection for recovery from organ donation. The legislation also specifies how federal employees must substitute existing paid leave when taking FMLA time for this purpose.

The Accelerating the Development of Advanced Psychology Trainees (ADAPT) Act aims to expand Medicare coverage for mental health services provided by qualified doctoral interns and postdoctoral residents under general supervision. This legislation directs the Secretary of Health and Human Services to establish necessary billing codes for Medicare reimbursement one year after enactment. Furthermore, the Act requires the Secretary to issue guidance to states on removing barriers to covering these trainee services under Medicaid and CHIP programs.