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.

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.

The Protecting Free Vaccines Act mandates that most private health insurance plans must cover specific vaccines recommended by the CDC's Advisory Committee on Immunization Practices (ACIP) without any out-of-pocket costs until January 1, 2030. This requirement also updates coverage rules for Medicare Part D, Medicaid, and CHIP to ensure continuity of coverage for these recommended immunizations. The bill locks in coverage based on the ACIP recommendations in place as of October 25, 2024, across various federal health programs.

This constitutional amendment seeks to grant Congress and the states the authority to regulate contributions and expenditures in political campaigns. It specifically allows for the establishment of public financing systems to offset the influence of private money in elections. The amendment ensures that any regulations enacted must not infringe upon the freedom of the press.

The "Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act" expands Medicare coverage to include FDA-approved multi-cancer early detection screening tests starting in 2028. It defines the criteria for these tests, sets payment guidelines, and establishes age and frequency limitations for coverage. The bill ensures that existing cancer screening coverage remains unaffected and allows for waivers of limitations based on recommendations from the United States Preventive Services Task Force.

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 expresses the disapproval of Congress regarding a recent rule issued by the Centers for Medicare & Medicaid Services (CMS) concerning the integrity and affordability of the Affordable Care Act marketplaces. Utilizing the Congressional Review Act, this measure immediately cancels the specific CMS regulation. Consequently, the proposed changes to marketplace rules will not take effect.

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 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.

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.

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 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 Congressional Power of the Purse Act is a comprehensive bill designed to reassert Congressional authority over federal spending, emergency declarations, and executive branch financial oversight. It strengthens Congress's ability to prevent impoundment of appropriated funds, mandates greater transparency regarding unspent government money, and imposes strict time limits and review procedures on presidential declarations of national emergencies. Ultimately, the Act aims to increase accountability across the Executive Branch regarding the execution and management of taxpayer funds.

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.

This resolution officially establishes August 20th as **Original Slavery Remembrance Day** to formally recognize and condemn the history of slavery in the U.S. and globally. It commemorates the lives of enslaved people, honors historical figures who fought for freedom, and acknowledges the lasting effects of slavery on contemporary society. The resolution requests the President to issue a proclamation calling for appropriate national observance of this day.

This resolution terminates the President's August 11, 2025, declaration of a crime emergency in the District of Columbia. Congress asserts that the President lacks the legal authority under the D.C. Home Rule Act to take operational control of the Metropolitan Police Department. Furthermore, the bill notes that local violent crime rates have been declining significantly.

The Public Utility Remediation and Enhancement for Water Act establishes a new federal grant program administered by the EPA to help public wastewater treatment plants upgrade facilities. These grants specifically target the planning, design, and construction needed to treat or eliminate emerging contaminants like PFAS chemicals. The federal government will cover at least 75% of eligible project costs to improve water quality.

The Expanding the VOTE Act updates language assistance requirements under the Voting Rights Act by modernizing the definition of "voting materials" to include digital information. It also establishes new state responsibilities for providing language assistance and creates a grant program to incentivize voluntary language support beyond current mandates. Furthermore, the bill includes special provisions for unwritten American Indian and Alaska Native languages and mandates a study on lowering thresholds for language assistance coverage.

The Reproductive Freedom for Veterans Act mandates that the Department of Veterans Affairs (VA) must now provide abortion care, counseling, and related medication as part of the medical services offered to eligible veterans and certain other beneficiaries. This legislation formally amends existing VA health care provisions to include these reproductive health services.

The Reproductive Rights are Human Rights Act of 2025 establishes that reproductive rights are fundamental human rights based on international commitments. This bill mandates that the State Department must include a detailed, required section on the status of reproductive rights in every country within its annual human rights reports. These reports must cover access to contraception, abortion services, and instances of reproductive coercion or discrimination against marginalized groups. The Act aims to ensure robust U.S. monitoring and accountability regarding global reproductive health and autonomy.