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 HIV Prevention Now Act secures **\$2.165 billion** in dedicated funding for the CDC's National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention for Fiscal Year 2026. This appropriation is specifically earmarked to support the center's prevention programs and activities. This funding is supplemental to, and cannot be transferred from, other existing appropriations.

The PrEP and PEP are Prevention Act mandates that essential HIV prevention services, including FDA-approved medications like PrEP and PEP, must be covered at no cost to the patient across private insurance, Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits program. This law eliminates financial barriers such as deductibles, copays, and prior authorization requirements for these preventive treatments and necessary related care. The goal is to ensure universal, barrier-free access to critical HIV prevention tools.

The FEMA Act of 2025 establishes the Federal Emergency Management Agency (FEMA) as an independent, cabinet-level agency to lead a unified, all-hazards approach to national emergency management. The bill enacts sweeping reforms across Public Assistance, Individual Assistance, and Mitigation programs to accelerate recovery, streamline funding, and reduce bureaucratic hurdles for disaster survivors and communities. Furthermore, it mandates significant new transparency measures, including public data reporting and GAO oversight, to ensure accountability for federal disaster spending.

The Farm Credit Adjustment Act grants the Farm Credit Administration the option to extend mandatory examination cycles for low-risk Farm Credit System institutions from the current frequency to once every 24 months. This change provides regulatory flexibility for institutions deemed stable by the FCA. This new examination option will take effect starting October 1, 2026.

The Connected Maternal Online Monitoring (Connected MOM) Act aims to improve health outcomes for pregnant and postpartum women on Medicaid by examining and addressing barriers to state coverage for remote physiologic monitoring devices. The Secretary of Health and Human Services must report to Congress on current state coverage rules and suggest improvements for utilizing these monitoring tools. Following the report, federal resources provided to states must be updated to reflect the recommended best practices for covering remote maternal health monitoring.

The Voters on the Move Registration Act of 2025 mandates that standardized, multilingual voter registration information be provided to individuals applying for certain federally assisted rental housing or residential mortgages. This ensures that tenants and mortgage applicants receive clear instructions on how to register to vote. The Bureau of Consumer Financial Protection is tasked with creating this uniform voter information statement. This requirement focuses solely on providing information, not compelling voter registration.

The Youth Voting Rights Act aims to strengthen voting access for young Americans by enforcing the 26th Amendment. This bill mandates that public colleges facilitate voter registration, allows 16- and 17-year-olds to pre-register for federal elections, and requires on-campus polling locations. It also establishes grants to encourage youth civic engagement and strengthens protections against age-based barriers in voting, including ID rules and absentee voting.

The Time Off to Vote Act mandates that employers provide employees with at least two consecutive hours of paid leave to vote in federal elections. Employers retain control over when this paid leave is taken, which can include early voting periods if permitted by state law. This Act prohibits employers from penalizing employees for utilizing this required voting leave.

The Election Mail Act aims to ensure the timely and secure delivery of federal election mail through the U.S. Postal Service. It mandates same-day processing of received absentee ballots and requires the use of intelligent mail barcodes for tracking mailed ballots starting in 2026. Furthermore, the bill establishes protections against operational changes that would slow election mail delivery and sets a national standard to count mail-in ballots postmarked by Election Day if received within seven days after the election.

The Help America Run Act aims to make it easier for everyday Americans to run for office by allowing campaign funds to cover essential living expenses. Specifically, the bill permits campaign committees to use funds for necessary personal services like childcare and elder care, which helps candidates who are not independently wealthy. This change is intended to increase the diversity of candidates and ensure elected officials better reflect the general population.

The Sustaining Our Democracy Act establishes a new federal program to provide annual grants to states for improving election administration, security, and accessibility, managed by a newly created Office of Democracy Advancement and Innovation. This funding is supported by a dedicated ten-year Trust Fund to ensure stable resources for election infrastructure upgrades. The bill imposes strict rules on how states can use the money, including prohibitions against purchasing insecure voting machines or restricting basic voter support. If states fail to comply, the federal Director can bypass state government to fund local election subdivisions directly.

The Deceptive Practices and Voter Intimidation Prevention Act of 2025 establishes federal prohibitions and penalties against knowingly spreading materially false information intended to suppress voting in federal elections, including the use of AI-generated content within 60 days of an election. The bill also criminalizes intimidating election workers involved in ballot tabulation and certification processes. Furthermore, it authorizes the Attorney General to issue public corrections to widespread false voting information and requires detailed reporting on election interference allegations.

The People Over Long Lines Act (POLL Act) aims to protect the fundamental right to vote by establishing a national standard that no eligible citizen should wait more than 30 minutes to cast a ballot in a federal election. To achieve this, the bill mandates that states submit plans detailing how they will ensure fair wait times and requires the Attorney General to set minimum standards for voting resources like poll workers and equipment. Furthermore, the Act authorizes federal funding to help states comply and creates a private right of action allowing citizens to sue over excessive wait times.

The Unhoused Voter Opportunity Through Elections Act aims to secure and expand the right to vote for citizens experiencing homelessness by prohibiting residency-based disenfranchisement. It mandates accessible registration methods, requires outreach from service providers, and establishes federal grants to help local governments implement these protections. Ultimately, this legislation seeks to ensure that where a person sleeps cannot be a barrier to their participation in federal elections.

The CHALLENGES Act aims to protect election integrity by establishing strict new requirements to prevent dishonest or bad-faith challenges to registered voters' eligibility. It mandates that individuals challenging a voter's status must provide specific, firsthand evidence and swear under oath, while also imposing criminal penalties for knowingly submitting false challenges. Furthermore, the bill requires online challenge systems to reject anonymous submissions and clearly state the prohibition against bad-faith filings.

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 Protecting Health Care and Lowering Costs Act of 2025 repeals specific prior reconciliation health provisions. This bill significantly expands eligibility for the Premium Tax Credit by eliminating the 400% Federal Poverty Level income cap. It also updates the subsidy calculation formula to ensure a smoother, linear adjustment of assistance across various income levels.

The Fix Our Flooded Basements Act of 2025 significantly expands FEMA disaster assistance for flood-damaged basements, covering mold and moisture damage beyond just habitable areas. It mandates increased personal property aid for basement contents, aligning it with Standard Flood Insurance Policy levels. Furthermore, the bill updates the Group Flood Insurance Policy to offer broader eligibility and comprehensive coverage for real and personal property within basements.

The First-Time Homebuyer Tax Credit Act of 2025 establishes a new, refundable tax credit for eligible first-time homebuyers, equal to 10% of the purchase price, up to a maximum of $15,000. This credit is subject to income and home price phase-outs based on local median figures. Homebuyers may elect to transfer this credit directly to their mortgage lender at closing in exchange for immediate cash. The bill also includes recapture provisions requiring repayment if the home is sold within four years.