Legislative Activity

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 Bipartisan Bulletproof Vest Partnership Program Expansion Act increases the federal share of grant funding for certain public safety activities from 50% to 60%. This change aims to reduce the financial burden on states for purchasing essential equipment. Additionally, the Act authorizes $60 million annually for this program from fiscal years 2026 through 2030.

The Water Resources Technical Assistance Review Act directs the Government Accountability Office (GAO) to conduct a comprehensive review of the technical assistance the Environmental Protection Agency (EPA) provides for clean water infrastructure projects. This review will examine what assistance is available, how partners are selected, and whether the aid effectively meets community needs without duplication. Following the report, the EPA Administrator must submit annual plans to Congress detailing steps taken to implement the GAO's recommendations.

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 Capital for Beginning Farmers and Ranchers Act of 2025 establishes a new pilot loan program to address the unique upfront capital needs of new farmers and ranchers. This program offers specialized development loans, up to $100,000, with flexible repayment terms (3-10 years) for long-term business investments. Borrowers must also receive mandatory training in farm and ranch management.

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 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 Affordable Inhalers and Nebulizers Act of 2025 aims to significantly reduce patient out-of-pocket costs for essential prescription inhalers and nebulizers used to treat conditions like asthma and COPD. This bill caps patient cost-sharing for these products at a maximum of \$15 per 30-day supply for most private insurance and Medicare beneficiaries, effective in 2026. Additionally, it establishes a new program to provide similar cost relief for uninsured individuals. The legislation ensures that payments made toward these caps count toward deductibles and out-of-pocket maximums.

The Personnel Oversight and Shift Tracking Act of 2025 (POST Act) mandates significant improvements to how federal agencies monitor contract security guards protecting federal buildings. This legislation requires standardized covert testing, mandatory retraining after failures, and modernization of personnel shift tracking systems. The goal is to enhance accountability, improve guard performance, and ensure transparent communication regarding security staffing levels to building tenants.

The Rural Behavioral Health Improvement Act of 2025 aims to enhance behavioral healthcare access in rural areas by modifying Medicare coverage rules. This bill specifically removes the existing exclusion that prevents Medicare payment for services provided in facilities primarily focused on treating mental diseases. This significant change is scheduled to take effect on January 1, 2027.

The Rural Health Clinic Location Modernization Act of 2025 updates the criteria for clinics to qualify as Rural Health Clinics (RHCs) under Medicare. This legislation revises the definition of an "urban area," setting a new population threshold of 50,000 people to determine eligibility. These changes to the location standards will take effect starting January 1, 2027.

This resolution formally recognizes suicide as a serious public health crisis in the United States and expresses strong support for the 988 Suicide and Crisis Lifeline. It highlights the critical role of the 988 service in providing immediate, life-saving support to those in mental health distress. Furthermore, the resolution supports the designation of September 8th as "988 Day" to promote awareness of this essential resource.

The Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 updates Medicare payment requirements for facilities not directly directed by a physician. It mandates that these facilities must have formal arrangements with Physician Assistants (PAs) or Nurse Practitioners (NPs) whose practice adheres to state laws and regulations. These changes are set to take effect on January 1, 2027.

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 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.