Legislative Activity

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 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 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 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.

The DIGNIDAD Act of 2025 is a comprehensive bill that significantly overhauls U.S. immigration policy across five major divisions. Division A focuses on aggressive border security enhancements, infrastructure modernization, and increased criminal penalties for immigration offenses, while Division B establishes pathways to legal status for long-term residents who entered as children and creates a temporary protection program for others. Finally, Division C aims to improve legal immigration by reducing green card backlogs, streamlining employment and student visas, and providing new discretionary relief for family separation cases.

The Pharmacy Benefit Manager Reform Act of 2025 aims to increase transparency and accountability across the prescription drug supply chain. It mandates fairer pharmacy network access for Medicare beneficiaries and imposes strict new financial reporting and service fee requirements on Pharmacy Benefit Managers (PBMs) working with Medicare and private health plans. Furthermore, the bill establishes new federal mechanisms to accurately track drug acquisition costs in Medicaid and explicitly bans the practice of "spread pricing" in state Medicaid contracts.

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 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 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.

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 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.

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 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 FIGHT Act of 2025 significantly strengthens federal prohibitions against animal fighting ventures, specifically targeting the sponsorship, exhibition, and gambling associated with these events. This legislation clarifies the definition of a rooster for legal purposes and bans the interstate transport of roosters for fighting. Furthermore, it empowers private citizens to file lawsuits against violators, allowing for civil penalties and the potential seizure of property used to facilitate illegal animal fighting.