Legislative Activity

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 Citizen Only Updated National Tally Act (COUNT Act) mandates that federal agencies must assist the Department of Commerce in gathering comprehensive administrative records to accurately determine the citizenship status of the U.S. population. This data collection effort aims to provide policymakers with precise facts regarding immigration's impact. Furthermore, the bill requires the addition of a citizenship question to the 2030 decennial census and terminates the Census Bureau's use of differential privacy for data protection six months after enactment.

The FEMA Act of 2025 establishes the Federal Emergency Management Agency (FEMA) as an independent, cabinet-level agency to lead a unified, all-hazards approach to national emergency management. The bill enacts sweeping reforms across Public Assistance, Individual Assistance, and Mitigation programs to accelerate recovery, streamline funding, and reduce bureaucratic hurdles for disaster survivors and communities. Furthermore, it mandates significant new transparency measures, including public data reporting and GAO oversight, to ensure accountability for federal disaster spending.

This resolution expresses strong support for designating September 2025 as National Prostate Cancer Awareness Month to combat this widespread disease. It highlights the critical need for increased public awareness, emphasizing that early detection through screening drastically improves survival rates. The bill encourages greater research efforts and improved access to quality care to reduce the significant impact of prostate cancer on American men.

The Enduring Welcome Act of 2025 establishes a permanent Office of the Coordinator for Afghan Relocation Efforts within the State Department to streamline and support the resettlement of Afghan allies. This Act mandates the creation of a secure, centralized database to track all applicants, beneficiaries, and relocation progress, ensuring accountability to Congress. The Coordinator will manage interagency efforts, resolve family reunification roadblocks, and provide integration support for covered persons. This entire framework is set to automatically expire five years after enactment unless otherwise specified.

The Create Accountable Respectful Environments (CARE) for Children Act officially recognizes and integrates "cottage family homes" into federal foster care regulations. This allows these specialized homes to receive federal maintenance payments if they meet strict standards focused on family connection, trauma-informed care, and prohibiting harmful restraints. The bill ensures states maintain flexibility in utilizing these placements while upholding high standards for child well-being.

The CLEAN Pacific Act of 2025 establishes the Pacific Counternarcotics Initiative to help partner nations in the Pacific combat illegal drug production chemicals. This program focuses on improving the seizure, destruction, and safe disposal of seized chemicals while boosting international law enforcement cooperation. The Secretary of State must submit a detailed five-year implementation plan to Congress outlining strategy, benchmarks, and funding, followed by annual progress reports. Funding for the initiative will be redirected from existing authorizations under the Foreign Assistance Act of 1961.

The District of Columbia Sister City Integrity Act prohibits the District from establishing new Sister City relationships with any city or region located in a country designated as a foreign adversary. Existing partnerships with such nations must be terminated within 180 days or upon the agreement's expiration. Furthermore, the District cannot use federal funds for international liaison services without certifying compliance with this Act to the President.

This bill, the Protecting Patient Access to Cancer and Complex Therapies Act, establishes a new mandatory rebate system for manufacturers of certain drugs selected for Maximum Fair Price (MFP) negotiation under Medicare. Manufacturers must pay quarterly rebates based on the difference between the standard Medicare payment and the lower negotiated MFP for units sold under Part B. These changes also adjust beneficiary coinsurance calculations to reflect the lower MFP, ensuring patient out-of-pocket costs are based on the negotiated price.

The Association Health Plans Act amends federal law to allow certain groups or associations of employers to sponsor a single group health plan, treating them as a single employer for coverage purposes. This aims to expand access to health coverage by enabling broader risk pooling across different industries. The bill establishes specific criteria these associations must meet to qualify, including minimum size and operational standards. Finally, it outlines rules for setting premium rates and prohibits discrimination based on health status for plans established under this Act.

The Undersea Cable Protection Act of 2025 streamlines the permitting process for undersea fiber optic cables within National Marine Sanctuaries. It prohibits sanctuaries from requiring separate permits if the cable project already holds authorization from another Federal or State agency. This legislation also simplifies existing regulations by removing specific restrictions related to special use permits within these protected areas.

The Securing America’s Critical Minerals Supply Act mandates the Department of Energy (DOE) to define and prioritize "critical energy resources" essential for U.S. energy security. It requires the DOE to regularly assess domestic and foreign supply chains for vulnerabilities, including reliance on adversarial nations. Finally, the bill directs the DOE to develop strategies to strengthen these supply chains through domestic production, diversification, and recycling efforts.

This resolution supports the designation of June 2025 as "National Men's Health Month" to raise awareness about significant health disparities affecting American men. It highlights lower life expectancy, higher rates of certain chronic diseases, and barriers to seeking preventive care. The goal is to encourage early detection and treatment for male-specific health issues through public education.

The Poarch Band of Creek Indians Parity Act officially confirms the tribe's status under the Indian Reorganization Act of 1934, treating them as if they were under federal jurisdiction since that date. This legislation also validates and confirms all land previously taken into trust by the Secretary of the Interior for the benefit of the tribe. Essentially, the bill ensures parity and legal certainty regarding the tribe's historical relationship with the federal government concerning land and recognition.

The LEDGER Act mandates the creation of a comprehensive, centralized system managed by the Secretary of the Treasury to track every expenditure made by all branches of the U.S. Government. This new system must detail exactly where federal funds are spent and how long those funds were available for obligation. The goal is to significantly enhance the traceability and transparency of government spending.

This joint resolution expresses Congressional disapproval of the Environmental Protection Agency's (EPA) rule regarding California's "Advanced Clean Cars II" vehicle pollution standards. By rejecting this rule, Congress is effectively canceling the EPA's decision to grant California a waiver allowing it to set stricter emission standards than federal law typically permits. Consequently, the approved California standards will not take effect.

This joint resolution seeks to disapprove and nullify a specific rule issued by the Environmental Protection Agency (EPA) regarding California's stringent motor vehicle and engine pollution control standards, known as the "Omnibus Low NOX Regulation." By exercising disapproval under the Congressional Review Act, this measure prevents the EPA's decision on waiving federal preemption for these California standards from taking legal effect. If passed, the EPA's rule will be entirely canceled.

The Patient Access to Higher Quality Health Care Act of 2025 aims to repeal specific provisions within the Affordable Care Act and related legislation that limited exceptions to the prohibition on certain physician referrals to hospitals under Medicare. This action effectively restores pre-ACA rules regarding physician referrals for hospital services. The bill focuses on modifying existing Medicare regulations concerning physician-hospital relationships.

This resolution supports the designation of the week of June 9 through June 15, 2025, as "National Men's Health Week." It aims to raise national awareness about preventable health issues affecting men and boys, who often delay seeking medical care. The goal is to encourage increased participation in preventive screenings and early detection for serious conditions. Congress formally asks the President to issue a proclamation encouraging nationwide observance of this week.

This resolution formally condemns the Chinese Communist Party for the 1989 Tiananmen Square massacre and its ongoing crackdown on human rights and freedoms in mainland China and Hong Kong. It demands that the PRC cease censorship regarding the massacre and uphold its commitments to Hong Kong's autonomy. Furthermore, the resolution expresses solidarity with victims and calls for accountability regarding abuses in Xinjiang and the suppression of democracy.