Legislative Activity

The Sickle Cell Disease Comprehensive Care Act enables states to establish specialized Medicaid health homes focused exclusively on individuals with sickle cell disease starting in 2026. If a state adopts this program, it must provide mandatory dental and vision coverage to enrolled patients, regardless of standard state Medicaid policies. States implementing these health homes will also be required to report on patient outcomes, access to care, and expenditures.

The Treatment Continuity Act of 2025 expands federal support for treatment by explicitly including serious mental illness alongside substance use disorders under key grant programs. This legislation prioritizes funding for services utilizing long-acting injectable medications and requires updated annual reporting to Congress on treatment outcomes. These changes aim to ensure continuous, evidence-based care for individuals with these significant health needs.

The Connecting Communities Post Disasters Act of 2025 aims to accelerate post-disaster recovery by streamlining infrastructure rebuilding. This act exempts covered communications projects—those replacing or improving damaged facilities within five years of a major disaster declaration—from lengthy environmental reviews under NEPA and historic preservation reviews under NHPA. The goal is to quickly restore essential communication services to affected communities.

This bill proposes a comprehensive ban on all forms of smoking and the use of electronic nicotine delivery systems on the premises of any facility operated by the Veterans Health Administration (VHA). The legislation clarifies that this prohibition applies to all VHA-controlled land and buildings, ensuring a smoke-free environment for veterans and staff. It also makes necessary technical updates to existing federal laws to reflect this new policy.

The Streamlined FEMA Cost Exemption Act shortens the government's timeline to recoup mistaken disaster assistance payments and grants the President new authority to waive duplication rules upon a Governor's request. Additionally, the bill allows the FEMA Administrator to waive the requirement for recipients to repay small overages (up to 5%) on covered disaster projects. Finally, it directs the FEMA Administrator to establish an acceptable error ratio for determining disaster assistance eligibility.

The Ensuring Lasting Smiles Act mandates that group health plans and insurance policies provide comprehensive coverage for medically necessary treatment related to congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. This coverage must include services needed to restore normal function and appearance, including necessary dental and orthodontic support. Plans must apply cost-sharing rules no more restrictive than those for other medical benefits, excluding purely cosmetic procedures.

The Secure U.S. Leadership in Space Act of 2025 aims to bolster the commercial space industry by treating spaceports similarly to airports under tax-exempt bond rules. This allows qualifying spaceport facilities to access crucial financing benefits typically reserved for public infrastructure. The Act specifically defines what constitutes a spaceport for these purposes, including manufacturing and operational facilities, regardless of public access. This measure is designed to encourage investment in the infrastructure necessary for U.S. leadership in space activities.

The FEMA Loan Interest Payment Relief Act establishes a program for FEMA to reimburse local governments and electric cooperatives for interest paid on specific disaster recovery loans. This reimbursement is capped at the lesser of the actual interest paid or the interest calculated using the Federal Reserve's prime rate. The law mandates FEMA to quickly establish procedures for states to apply for reimbursement of qualifying interest paid up to nine years prior to enactment.

The 10th Amendment Restoration Act of 2025 establishes the Constitutional Government Review Commission to examine every federal agency's authority against the U.S. Constitution. The Commission will recommend the repeal of any agency whose powers are not explicitly granted to the federal government. If repeal is recommended, the bill mandates an expedited legislative process for Congress to consider the changes and distribute resulting federal savings to the states. The Commission is set to terminate five years and 180 days after the Act's enactment.

The Ending China’s Unfair Advantage Act of 2025 seeks to halt U.S. funding for key international environmental agreements, specifically the Montreal Protocol and the UNFCCC. Funding will remain prohibited until the President certifies that China has been removed from the "developing country" status under the Protocol and formally added to Annex I of the Climate Change Convention. This legislation ties U.S. financial support for these treaties directly to China's classification within them.

The Block Organ Transplant Purchases from China Act of 2025 bans federal programs like Medicare and Medicaid, as well as private insurance, from covering organ transplants performed in China or involving organs not sourced through the U.S. network, effective January 1, 2026. Healthcare providers who knowingly perform these "prohibited organ transplants" face criminal penalties and substantial civil fines. The law aims to stop the funding and performance of transplants utilizing organs obtained through unethical or non-transparent means.

This bill amends the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications. It requires the Secretary of Health and Human Services to inform potential generic drug applicants whether their drug is qualitatively and quantitatively the same as the original, and to disclose the reasons for any differences. The bill also sets guidelines for determining sameness and prevents the Secretary from changing a determination of sameness unless there are safety or effectiveness concerns, or an error has been identified. These changes will take effect immediately upon enactment.

The "Right to Equitable and Professional Auto Industry Repair Act" or the "REPAIR Act" ensures vehicle owners and independent repair shops have access to necessary vehicle data, repair information, and tools, preventing manufacturers from creating barriers to repairs. It establishes an advisory committee to address competition issues in the auto repair industry and mandates that car buyers are informed of their rights to choose repair options. The Federal Trade Commission (FTC) is empowered to enforce the Act, protecting consumers from unfair restrictions on vehicle repair and ensuring control over their vehicle data.

The "PSA Screening for HIM Act" aims to improve early detection of prostate cancer by requiring group health plans and health insurance issuers to cover prostate cancer screenings without cost-sharing for high-risk men aged 40 and over, including African-American men and those with a family history of the disease. This coverage mandate ensures that high-risk individuals have access to potentially life-saving screenings, aligning with the goal of reducing prostate cancer-related deaths and improving treatment outcomes. The Act defines "men with a family history of prostate cancer" as those with a first-degree relative with prostate cancer, associated cancers, or genetic alterations linked to increased risk. This provision is set to take effect for plan years starting on or after January 1, 2026.

This bill disapproves and nullifies the Environmental Protection Agency's rule concerning the phasedown of hydrofluorocarbons, specifically addressing the management of certain hydrofluorocarbons and their substitutes as outlined in the American Innovation and Manufacturing Act of 2020.

This bill disapproves and nullifies the Environmental Protection Agency's rule concerning the phasedown of hydrofluorocarbons, specifically addressing the management of certain hydrofluorocarbons and their substitutes as outlined in the American Innovation and Manufacturing Act of 2020.

This bill allows the State Department to waive fees for U.S. citizens evacuated from dangerous situations abroad, such as war or terrorist attacks. This waiver applies to the repayment of repatriation loans, easing the financial burden on those fleeing life-threatening circumstances.

The "Secretary General Jens Stoltenberg Congressional Gold Medal Act" authorizes the Speaker of the House and the President pro tempore of the Senate to award Jens Stoltenberg a Congressional Gold Medal. This medal recognizes Stoltenberg's contributions to the security, unity, and defense of NATO. The Act directs the Secretary of the Treasury to create the gold medal and allows for the creation and sale of bronze duplicates to cover production costs.