Legislative Activity

This resolution supports designating the week of September 21 through September 27, 2025, as "Gold Star Families Remembrance Week." The measure aims to officially recognize and honor the profound sacrifices made by families who have lost a loved one serving in the U.S. Armed Forces. It encourages communities nationwide to observe this week through acts of service and by celebrating the lives of these fallen service members.

This bill, the Special Diabetes Program for Indians Reauthorization Act of 2025, ensures continued funding for critical diabetes programs serving Native American communities. It extends the authorization for the Special Diabetes Program for Indians through fiscal year 2030. The legislation secures an annual appropriation of \$160 million for these essential services through that period.

The SHINE for Autumn Act of 2025 aims to significantly improve federal support for state-level stillbirth research and data collection. It authorizes grants for states to enhance surveillance, track risk factors, and build local capacity for analyzing stillbirth data, provided the information remains de-identified. Furthermore, the bill mandates the development of standardized guidelines and educational materials regarding stillbirth awareness and risk factors, developed in consultation with experts and bereaved families.

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.

The **988 LGBTQ+ Youth Access Act of 2025** addresses the high rates of suicide risk among LGBTQ youth by strengthening specialized support through the national crisis hotline. This bill mandates that dedicated resources and services, such as a specific dialing option, must be maintained for LGBTQ individuals contacting 988. Furthermore, it requires that at least 9 percent of appropriated funds for the hotline be specifically reserved to ensure these specialized services for LGBTQ youth remain fully operational.

This bill establishes a six-year pilot program for hospitals to provide medically tailored, home-delivered meals and nutrition therapy to eligible Medicare patients upon discharge. The goal is to improve health outcomes and reduce hospital readmissions for individuals with diet-sensitive conditions who have difficulty with daily living activities. Participating hospitals will receive payment for these services, which must be provided at no out-of-pocket cost to the patient. The Secretary of Health and Human Services will evaluate the program's effectiveness using data collected from the participating sites.

This Act, the Ensuring Patient Access to Critical Breakthrough Products Act, aims to speed up Medicare coverage for innovative, FDA-approved "breakthrough devices." It establishes a process for manufacturers to gain a four-year transitional coverage period for these devices, ensuring patients have timely access while long-term coverage decisions are finalized. The bill also allocates funding to CMS to manage these expedited reviews and allows for oversight of provider billing practices related to these new technologies.

The Fusion Advanced Manufacturing Parity Act amends the existing advanced manufacturing production credit to specifically include components used for fusion energy. This provides a temporary 25% tax credit on the sale price of qualifying fusion energy components, beginning after 2025. The credit is scheduled to phase out completely by the end of 2034. The bill also expands the list of eligible materials qualifying for the broader advanced manufacturing credit.

The Medical Student Education Authorization Act of 2025 establishes a new federal grant program to bolster primary healthcare in medically underserved communities. This funding, administered by HRSA, will support public medical colleges that train students committed to practicing in high-need areas like rural or Tribal regions. Grants will focus on developing community-based training, increasing faculty capacity, and providing direct student support to improve the primary care workforce pipeline.

The Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act amends the Social Security Act to provide Medicare Part B coverage for multi-cancer early detection screening tests starting January 1, 2028. This legislation establishes clear criteria for qualifying tests and outlines payment structures to ensure beneficiaries have access to these advanced diagnostic tools. Importantly, this coverage is designed to complement, rather than replace, existing Medicare-covered cancer screenings.

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 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.

The College Students Continuation of Mental Health Care Act of 2025 establishes a system for licensing reciprocity, allowing college mental health providers to offer telehealth services to their enrolled students across state lines. This streamlines care by generally adhering to the provider's home state licensing rules, while ensuring patient safety through required disclosures and identity verification. The Act also encourages interstate agreements to further facilitate this cross-state mental health support for students.

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 Indian Programs Advance Appropriations Act of 2025 establishes a system of advance appropriations for key Bureau of Indian Affairs (BIA), Bureau of Indian Education (BIE), and Indian Health Service (IHS) programs starting in fiscal year 2026. This legislation mandates that budget requests must include forward-looking funding estimates for the subsequent fiscal year to improve agency planning and transparency. Furthermore, the bill requires annual reporting to Congress on resource adequacy for these critical services after consultation with Tribal nations.

The Firefighter Learning And Management Education (FLAME) Act establishes new notification requirements for the Administrator of the U.S. Fire Administration when large-scale cancellations of National Academy for Fire Prevention and Control courses occur. It mandates timely notification to Congress and affected students regarding any significant course reductions. Furthermore, the bill allows fire departments to seek reimbursement for incurred expenses if a course is cancelled for reasons other than "good cause" and requires a GAO study on the impact of these cancellations.

The Healthcare Workforce Resilience Act aims to strengthen the U.S. healthcare system by recapturing unused employment-based immigrant visas from 1992 through 2024. This legislation specifically reserves up to 40,000 of these visas for professional nurses and physicians, ensuring they are not subject to annual country caps. The bill also mandates expedited processing for these healthcare professionals without imposing premium processing fees, while requiring employers to attest that hiring these workers will not displace U.S. employees.

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 Mental Health in Aviation Act of 2025 directs the FAA to update regulations to encourage aviation workers to seek mental health support without fear of stigma. The bill mandates annual reviews of the medical clearance process and allocates funding to hire more Aviation Medical Examiners. Furthermore, it requires the FAA to implement recommendations from a recent mental health task force and launch a public awareness campaign to reduce stigma.

The Advancing Toward Impact Aid Full Funding Act establishes a new, increasing schedule of authorized appropriations for key Impact Aid programs through fiscal year 2031. This legislation specifically sets funding levels for federal property acquisition, basic payments to heavily impacted school districts, payments for children with disabilities, and construction activities. The goal is to gradually increase federal support for these essential educational services.