Legislative Activity

The Urban Indian Health Parity Act ensures that urban Indian organizations providing healthcare services under contract with the Indian Health Service can receive the same enhanced federal medical assistance matching funds (FMAP) currently available to tribes. This change expands access to federal healthcare dollars for these vital community organizations. The bill aims to achieve parity in federal funding for urban Indian healthcare providers.

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.

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 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.

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 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 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.

The Small Business Payment for Performance Act of 2025 ensures that small businesses receive prompt interim payments when the government mandates changes to their existing construction contracts. Upon requesting an equitable adjustment for contract modifications, the agency must issue an immediate partial payment covering at least 50% of the estimated additional costs. This legislation also mandates that prime contractors promptly pass these interim funds down to affected subcontractors.

The 340B PATIENTS Act of 2025 clarifies and strengthens the existing 340B drug discount program for covered entities like hospitals and clinics. It explicitly prohibits drug manufacturers from placing restrictions on how or where these entities purchase or dispense discounted outpatient drugs, including through contract pharmacies. The bill also establishes significant civil monetary penalties for manufacturers who intentionally violate these non-restriction rules. Ultimately, this legislation aims to ensure that covered entities can fully utilize 340B savings to expand patient care.

The Medicare Orthotics and Prosthetics Patient-Centered Care Act aims to enhance protections for Medicare beneficiaries receiving custom braces and artificial limbs. This bill ensures that payment will not be made for certain devices shipped directly to a patient without required training from a qualified practitioner. Additionally, it expands exemptions from competitive bidding for certain providers and clarifies access to replacement custom orthotic devices.

The Farmers First Act of 2025 significantly strengthens support for agricultural producers by enhancing the Farm and Ranch Stress Assistance Network. This legislation increases annual funding for the network and mandates the inclusion of dedicated crisis lines within supported programs. Furthermore, it formalizes partnerships between grant recipients and various healthcare providers to ensure comprehensive access to mental health and substance use treatment for farmers and ranchers.

The Child Care for Working Families Act establishes comprehensive federal programs to ensure access to high-quality, affordable child care and universal preschool for young children. The legislation creates an entitlement program for child care, mandates that provider reimbursement rates cover actual costs and ensure living wages for staff, and establishes free, universal preschool for 3- and 4-year-olds. Additionally, it provides dedicated funding to stabilize childcare providers and extend the operating hours and compensation for Head Start staff.

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.

The GLOBE Act of 2025 establishes a comprehensive U.S. strategy to champion and protect the human rights of LGBTQI people globally through diplomacy, targeted sanctions, and foreign assistance reforms. The bill mandates enhanced reporting on violence and discrimination while creating new interagency roles and funds to support international advocacy and development efforts. Furthermore, it reforms immigration law to better protect LGBTQI asylum seekers and ensures inclusive implementation of U.S. global health programs like PEPFAR.

This bill, the Prohibition of Medicaid Funding for Conversion Therapy Act, prohibits Medicaid plans from using federal funds to pay for conversion therapy services. Conversion therapy is defined as any paid practice aimed at changing an individual's sexual orientation or gender identity. This legislation ensures that taxpayer dollars do not support efforts to alter a person's core identity.

This resolution expresses the House's support for the rights and freedoms of LGBTQI+ individuals across the United States. It recognizes key Supreme Court decisions that advanced equality and highlights the ongoing need for comprehensive legal protections against discrimination. Finally, the bill proposes designating June 26th as "LGBTQI+ Equality Day" to commemorate these legal victories.

The Ruthie and Connie LGBTQI Elder Americans Act of 2025 aims to improve services and support for older adults who identify as LGBTQI. This bill establishes a new Office of LGBTQI Inclusion within the Administration on Aging and mandates the creation of a National Resource Center on LGBTQI Aging. Furthermore, it updates definitions, ensures eligibility for federal grants, and requires specific data collection on discrimination faced by this population in aging services.

The Ensuring Fee-Free Benefit Transactions Act of 2025 prohibits states and their contractors from charging SNAP-authorized retailers any fees for processing basic Supplemental Nutrition Assistance Program (SNAP) EBT transactions. This ban does not apply to fees specifically charged for the rental of necessary transaction equipment, such as card readers. These new provisions will take effect on October 1, 2025, overriding previous related regulations.

This resolution formally recognizes the history, achievements, and ongoing struggles of the LGBTQIA+ community in the United States. It serves as a declaration by Congress affirming that LGBTQIA+ rights are human rights and encouraging the celebration of Pride Month. The bill highlights key historical milestones, legal victories, and acknowledges the persistent challenges and violence faced by the community. Ultimately, it commits the U.S. to continuing the pursuit of full equality for all citizens.

The Equal Dignity for Married Taxpayers Act modernizes the Internal Revenue Code by replacing gendered language with gender-neutral terms for all legally married couples. This sweeping update ensures consistency across tax rules regarding filing status, deductions, and credits, regardless of the spouses' genders. The bill clarifies that married couples are often treated as a single entity for specific tax purposes. Ultimately, this legislation updates terminology to reflect equal dignity for all married taxpayers.