Legislative Activity

The Safe Step Act establishes mandatory, transparent exception processes for health plans that use "step therapy" protocols for prescription drugs. This ensures patients or their doctors can quickly request coverage for a prescribed medication when specific clinical criteria are met, such as previous treatment failure or risk of harm. Plans must decide on standard requests within 72 hours and urgent requests within 24 hours, and approved exceptions must last for at least one year. Furthermore, insurers must report detailed data annually on exception requests, approvals, and denials to the Secretary of Health and Human Services.

The Tyler Clementi Higher Education Anti-Harassment Act of 2025 mandates that colleges receiving federal funds update their policies to explicitly prohibit and detail procedures for addressing harassment based on protected characteristics, including technology-facilitated abuse. The bill also establishes a competitive grant program, funded up to $50 million annually, to support campus efforts in harassment prevention, training, and support services. This legislation adds new requirements without superseding existing civil rights protections.

The Responsible Retirement of Law Enforcement Firearms Act of 2025 (RRLEF Act) amends the Edward Byrne Memorial Justice Assistance Grant Program to require state and local agencies to cease firearm transfers with licensed dealers flagged by the ATF. Dealers are placed on a restricted list if a significant number of their traced firearms show a "short time-to-crime." Furthermore, the Act mandates increased public disclosure of firearm tracing data by the ATF, removing previous statutory restrictions on making this information public.

This House Resolution strongly condemns all forms of political violence and threats against elected officials and public figures, regardless of political affiliation. It affirms that disagreements must be resolved through peaceful and democratic means, not intimidation or force. The resolution urges law enforcement to prosecute those who commit or encourage such violence. Finally, it calls on all leaders to cease using dehumanizing rhetoric and promote civil discourse.

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 Billionaires Income Tax Act fundamentally changes how the wealthiest Americans are taxed by eliminating the ability to defer taxes on investment gains, requiring annual recognition of appreciation on covered assets. This legislation treats transfers like gifts or death as taxable sales and imposes stricter tax rules across various investment and compensation scenarios for "applicable taxpayers." Ultimately, the bill aims to ensure immediate taxation on wealth accumulation for high-net-worth individuals and associated entities starting in 2026.

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 **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.

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 FAMILY Act establishes a national Paid Family and Medical Leave Insurance program administered by a new office within the Social Security Administration. This program provides monthly benefits to eligible individuals who take time off for qualified caregiving reasons, including serious health conditions or victims of violence. The Act also sets forth detailed eligibility requirements, benefit calculation formulas, and job protection guarantees for employees utilizing the leave. Finally, it creates a funding mechanism to support existing state-level paid leave programs that meet federal standards.

The FAIR Act of 2025 invalidates pre-dispute arbitration agreements and class action waivers for employment, consumer, antitrust, and civil rights claims. This law restores the right for individuals to pursue these disputes in court or through collective legal action. The provisions apply to all covered disputes arising on or after the date the Act is enacted.

The George Floyd Justice in Policing Act of 2025 is a comprehensive bill designed to increase police accountability and transparency nationwide through federal mandates and funding incentives. It reforms standards for prosecuting civil rights violations, eliminates qualified immunity, and establishes national registries for police misconduct and use-of-force data. Furthermore, the Act bans specific dangerous police tactics like chokeholds and restricts the transfer of military equipment to local departments.

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.

This proposed constitutional amendment grants Congress and the states the authority to establish reasonable limits on campaign spending by candidates and outside groups to ensure fair elections. It allows for different spending regulations for individuals versus corporations or other entities. Crucially, this new power cannot be used to restrict the freedom of the press.

The Union Auto Workers Job Protection Act mandates increased transparency for federal vehicle assembly contracts by requiring bidders to disclose detailed information about their plants, wages, and labor violations. It strictly controls where contract work can be performed and prohibits the Postal Service from purchasing new delivery vehicles until specific union neutrality and compliance agreements are secured with the manufacturer. In essence, the bill ties federal vehicle contracts to detailed operational disclosures and commitments regarding fair labor practices and union neutrality.

This resolution officially recognizes suicide as a serious public health crisis in the United States, highlighting the urgent need for prevention efforts across all demographics. It expresses strong support for designating September as "National Suicide Prevention Month" and September 10th as "World Suicide Prevention Day" to raise awareness. The measure calls for prioritizing comprehensive, tailored strategies to improve access to mental health and suicide prevention services nationwide.

The Pakistan Freedom and Accountability Act expresses strong U.S. support for democracy and human rights in Pakistan, citing concerns over military influence and recent election interference. This legislation directs the President to identify and impose sanctions on Pakistani officials responsible for undermining democratic processes or committing serious human rights abuses. The Act emphasizes the need for civilian control over the military and sets an expiration date for its provisions in September 2030.

The Reauthorizing Support and Treatment for Officers in Crisis Act of 2025 extends crucial federal funding for programs supporting law enforcement officers in crisis. This bill specifically reauthorizes existing support and treatment initiatives for an additional five years, running from 2025 through 2029. It ensures continued resources are available for officers needing mental health and wellness assistance.

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.

This resolution expresses support for designating September 9, 2025, as "National Firearm Suicide Prevention Day." The goal is to raise awareness about the growing crisis of firearm suicides across the United States. It emphasizes that safe and secure firearm storage is a critical component of suicide prevention efforts. The resolution encourages professionals to discuss gun safety and suicide prevention with their patients.