Legislative Activity

The Save Our Safety-Net Hospitals Act of 2025 modifies how states calculate Disproportionate Share Hospital (DSH) payments under Medicaid by updating eligibility and factoring in payments received from Medicare or private health plans. This legislation also allows states the option to use unspent federal DSH funds from recent years to increase payments to hospitals retroactively. These changes aim to ensure hospitals treating vulnerable populations receive appropriate support under the Medicaid program.

This bill, the ESP, Paraprofessional, and Education Support Staff Family Leave Act, modifies the Family and Medical Leave Act (FMLA) for school employees. It establishes a new, more flexible standard for paraprofessionals and education support staff to meet the FMLA's hours-of-service requirement based on their typical school-year schedule. Furthermore, the Act mandates the Department of Labor to create specific calculation methods for FMLA leave entitlement tailored to the unique scheduling of educational employees.

The Nationwide Right To Unionize Act seeks to strengthen union organizing rights across the country. It achieves this by repealing the section of federal law that currently allows state "right-to-work" laws to override federal labor protections. This change effectively removes the federal permission for states to enforce laws prohibiting mandatory union membership or fee payment as a condition of employment.

The Telehealth Modernization Act primarily extends key Medicare telehealth flexibilities, such as geographic and audio-only options, until September 30, 2027. The bill also extends the Acute Hospital Care at Home waiver through 2030 and mandates a comprehensive study comparing home-based and traditional hospital care. Additionally, it introduces new program integrity measures for Durable Medical Equipment (DME) and requires guidance to ensure language access for Limited English Proficiency patients utilizing telehealth.

The Student Loan Deduction Act of 2025 allows households applying for food assistance to deduct monthly student loan payments from their countable income. This deduction applies to both federal and private education loans, covering payments made for any household member. Claiming this deduction can positively impact eligibility for food assistance benefits.

This bill makes minor, technical corrections to the Trafficking Victims Protection Act of 2000. The primary changes involve renumbering and updating existing definitions within the Act to ensure internal consistency. These are housekeeping adjustments designed to clean up the existing law without altering its substance.

The Lowering Electric Bills Act extends crucial tax credits for residential clean energy installations until 2034. It also modifies the phase-out schedule for the Clean Electricity Production and Investment Credits, tying their continuation to achieving specific emissions reduction targets or the year 2032. These changes aim to provide long-term stability for clean energy investments.

The West Bank Violence Prevention Act of 2025 mandates the President to impose targeted sanctions, including asset freezes and visa bans, on foreign individuals or groups whose actions threaten the peace and stability of the West Bank. These penalties specifically target those involved in violence against civilians, property destruction, or terrorism. The law requires regular reporting to Congress detailing those sanctioned and the steps being taken to mitigate violence in the region.

The Reproductive Rights Are Human Rights Act of 2025 asserts that access to sexual and reproductive healthcare is a fundamental human right, citing international agreements. This bill mandates that the U.S. Secretary of State comprehensively detail the status of reproductive rights, including access to contraception, abortion care, and freedom from coercion, in the annual Country Reports on Human Rights Practices. Furthermore, it requires detailed reporting on disparities in reproductive health outcomes based on identity, such as race, sexual orientation, or disability. The Act emphasizes the need to hold governments accountable for denying these essential health services globally.

This bill aims to strengthen efforts to prevent maternal deaths by reauthorizing support for State-based Maternal Mortality Review Committees. It directs the Secretary of Health and Human Services to regularly disseminate proven best practices for maternal mortality prevention to hospitals and professional societies. Furthermore, the legislation increases federal funding dedicated to these crucial prevention initiatives.

The Financial Technology Protection Act of 2025 establishes an Independent Working Group, led by the Treasury Department, to research and propose regulations combating the illicit use of digital assets by criminals and terrorists. The bill also mandates a comprehensive Presidential report detailing how rogue actors evade sanctions using new technologies, alongside a national strategy to prevent such activities. This legislation aims to safeguard the U.S. financial system against emerging threats in the FinTech space.

The McCarran-Walter Technical Corrections Act updates the criteria for determining membership in federally recognized Indian Tribes or Canadian First Nations for specific immigration purposes. This legislation removes the previous requirement for proving a minimum blood quantum. Instead, eligibility is now based on current membership or eligibility for membership in a recognized U.S. Tribe, or registration/membership in a Canadian First Nation under the *Indian Act* or a self-governing First Nation.

The Expanding the VOTE Act clarifies existing requirements for providing voting materials in minority languages under the Voting Rights Act. It establishes a new grant program to incentivize jurisdictions to offer language assistance beyond current mandates. Furthermore, the bill addresses specific provisions for American Indian and Alaska Native languages and directs a study on lowering language assistance thresholds.

The Kay Hagan Tick Reauthorization Act extends crucial federal programs aimed at combating vector-borne diseases like those carried by ticks. This legislation reauthorizes funding and support for national strategies, regional centers, and local health departments through 2030. It also updates the composition of the advisory group overseeing the national strategy.

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 the timing of this leave, which cannot result in the loss of existing benefits. This federal requirement supplements, but does not override, any state or local laws that offer greater employee protections.

The Northern Border Security Enhancement and Review Act updates the schedule for the Northern Border threat analysis, requiring new submissions by September 2, 2025, and every three years thereafter. It mandates that the Department of Homeland Security update its Northern Border strategy every five years, incorporating the latest threat analysis findings. The bill also requires classified briefings on the analysis and directs the development of performance measures for Air and Marine Operations along the northern border, all without authorizing new appropriations.

This bill establishes the Servicewomen and Veterans Menopause Research Act to direct the VA and DoD to create a comprehensive research program on menopause and mid-life health for servicewomen and veterans. The legislation mandates an evaluation of current research, identifies knowledge gaps—especially concerning military service exposures—and requires the submission of strategic plans to Congress. Ultimately, this Act aims to improve the diagnosis, treatment, and healthcare delivery for menopause-related conditions affecting women who serve or have served.

The Veteran Families Health Services Act of 2025 expands reproductive and fertility preservation assistance for active-duty service members and provides comprehensive fertility treatment and adoption support for eligible veterans through the VA. This bill mandates coverage for fertility services, including IVF, regardless of marital status or sexual orientation, for both current service members and veterans. It also requires proactive measures, such as pre-deployment material preservation for service members and seamless care coordination between the DoD and VA.

The Protecting Health Care and Lowering Costs Act primarily repeals previous health subtitle changes and permanently extends enhanced premium tax credits for marketplace health insurance. This extension removes the income cap for receiving enhanced credits and updates the calculation method for determining an individual's required premium contribution. The bill aims to simplify the tax code related to health insurance affordability.

The Medical Debt Relief Act of 2025 significantly amends the Fair Credit Reporting Act to prohibit credit reporting agencies from reporting negative information related to medical debt. Furthermore, the bill mandates that creditors are forbidden from using a consumer's past medical debt information when making credit decisions. This legislation aims to remove the burden of medical bills from consumer credit reports and lending evaluations.