Legislative Activity

The Seniors’ Access to Critical Medications Act of 2025 temporarily modifies the physician self-referral prohibition (Stark Law) to allow physician practices to dispense certain Medicare Part D prescription drugs directly to their patients between 2026 and 2030. This exception is subject to specific conditions regarding prescribing, patient history, and dispensing location. The bill also mandates a GAO study to examine trends in physician office drug dispensing and makes a minor adjustment to the allocation for the Medicare Improvement Fund.

The Equality Act comprehensively expands federal civil rights protections against discrimination based on sex, sexual orientation, and gender identity across key areas of American life. It amends existing laws to prohibit discrimination in public accommodations, housing, credit, employment, and federal funding. The purpose of the bill is to provide consistent, explicit, and comprehensive remedies for individuals facing bias in these essential sectors.

The Agriculture Resilience Act of 2025 establishes aggressive national goals for the agricultural sector to achieve net-zero greenhouse gas emissions by 2040, mandating rapid changes in farming practices, research funding, and land management. It significantly reforms federal conservation and insurance programs to prioritize soil health, climate adaptation, and the development of resilient food systems. The bill also boosts support for on-farm renewable energy, strengthens local food infrastructure, and standardizes food labeling to reduce waste. Overall, it directs substantial federal resources toward transforming agriculture to meet ambitious climate targets while supporting farmers through new incentives and research.

The Access to Breast Cancer Diagnosis Act of 2025 ensures that group health plans and insurers must cover diagnostic and supplemental breast examinations with no out-of-pocket costs for patients. This means no deductibles, copayments, or coinsurance will apply to these necessary exams. These provisions take effect for plan years beginning on or after January 1, 2026.

The Safe American Food Exports Act of 2025 (SAFE Act) authorizes key agricultural and trade officials to proactively negotiate agreements with major export markets. These negotiations aim to establish disease control zones in advance of animal disease outbreaks. The goal is to minimize disruptions to U.S. livestock and animal product exports should an outbreak occur.

This bill amends Medicare rules to cap the out-of-pocket coinsurance amount beneficiaries must pay for certain services provided in an Ambulatory Surgical Center (ASC). If the standard ASC coinsurance exceeds the annual inpatient hospital deductible, the beneficiary's cost will be limited to that deductible amount. The Secretary will cover the difference owed to the ASC.

The Gabriel Rosenberg Dyspraxia/DCD Coverage Act mandates a comprehensive study on how current health insurance plans cover treatments for Dyspraxia/DCD. The Comptroller General must report to Congress within one year, detailing coverage gaps across Medicare, Medicaid, federal programs, and private insurance. This study will specifically examine what treatments are covered, any age restrictions, and barriers to access. Ultimately, the Act seeks recommendations for improving coverage under all major insurance sectors.

The Deafblind DATA Act aims to establish a more accurate count of Americans who are deafblind by directing the Census Bureau to cross-reference existing survey data. This new law mandates the annual publication of a public table detailing the demographic and economic characteristics of the deafblind population by state, starting in 2026. The goal is to provide essential data to ensure these individuals receive necessary support and resources.

The Fight Fentanyl Act strengthens federal efforts to combat the fentanyl crisis by updating the High Intensity Drug Trafficking Areas (HIDTA) program. This legislation mandates increased reporting on fentanyl investigations, sets dedicated funding levels through 2030, and expands HIDTA purposes to prioritize fentanyl interdiction. Furthermore, it requires the Attorney General to ensure sufficient prosecutorial resources are dedicated to fentanyl trafficking cases through temporary AUSA assignments.

The Accounting STEM Pursuit Act of 2025 officially recognizes accounting education as a vital component of a well-rounded K-12 curriculum. This legislation amends federal education law to ensure accounting is counted within core curriculum planning frameworks. The Act specifically directs states and districts to improve access to quality accounting programs, with a focus on increasing opportunities for underrepresented students.

This resolution officially designates the week of April 11–17, 2025, as the eighth annual Black Maternal Health Week to raise national awareness of the severe maternal and reproductive health crisis facing Black women and birthing people. It highlights the unacceptable disparity where Black women are significantly more likely to die from pregnancy-related causes, emphasizing that most of these deaths are preventable. The bill calls for targeted investments, policy changes addressing systemic barriers, and the centering of Black women's voices in developing solutions to achieve equitable maternal health outcomes.

This resolution expresses the sense of Congress that open water lifeguards should be formally recognized as first responders and emergency response providers. It highlights the critical, life-saving work they perform, often under dangerous conditions, aligning their duties with those of traditional emergency personnel. The bill advocates for federal recognition that matches the essential nature of their daily service.

This Act immediately terminates specific existing presidential executive orders imposing tariffs. It requires Congressional approval via a fast-tracked joint resolution before the President can impose new trade barriers or withdraw existing trade agreement concessions. This ensures major new trade restrictions require legislative authorization, except in cases involving existing anti-dumping enforcement or specific trade dispute rulings.

The Shell Company Abuse Act establishes a new federal crime to prevent individuals from using shell companies to conceal illegal election contributions made by foreign nationals in U.S. politics. This legislation specifically targets those who set up or utilize entities with the intent of hiding the source of banned foreign money influencing elections. Violators face up to five years in prison and significant fines for this prohibited activity.

The Pursuing Equity in Mental Health Act aims to reduce mental health disparities among racial and ethnic minority groups through several key actions. It increases funding for existing grant programs and authorizes significant new funding for the NIH and NIMHD to support relevant research and community engagement. Furthermore, the bill mandates a comprehensive study on mental health research gaps and establishes a national strategy for culturally competent mental health outreach and education.

The Clean Ocean And Safe Tourism Anti-Drilling Act of 2025 (COAST Anti-Drilling Act) permanently prohibits new oil and gas leasing activities on the Outer Continental Shelf in the North Atlantic, Mid-Atlantic, South Atlantic, and Straits of Florida planning areas. This legislation ensures these specific ocean regions are protected from future exploration and development.

The SOAR Act of 2025 aims to significantly reform Medicare access to supplemental oxygen by removing it from the competitive bidding program and establishing new payment rates. The bill also mandates clearer documentation requirements for medical necessity using electronic templates and restores clinical judgment in claim audits. Finally, it establishes specific rights for oxygen beneficiaries and improves reimbursement for respiratory therapists.

The Small Business Energy Loan Enhancement Act significantly increases the maximum loan amounts available to eligible small businesses under specific Small Business Administration (SBA) programs, raising the limit from $\$5.5$ million to $\$10$ million. This legislation also mandates that the SBA report annually to Congress detailing the industries and geographic areas benefiting from these enhanced loan categories. The goal is to provide greater financial resources for small businesses through SBA lending.

The Veterans for Mustangs Act amends existing law to prioritize humane, on-range fertility control for managing wild horse and burro populations. This legislation mandates that the Secretary of the Interior must prioritize recruiting, training, and hiring military veterans to administer these fertility control measures. This ensures population management goals are met while providing employment opportunities for veterans.

The American Family Act fundamentally overhauls the Child Tax Credit by replacing the annual lump sum with a system of advance, refundable monthly payments delivered directly to families. These monthly allowances vary based on the child's age, with higher amounts provided for younger children. The bill also establishes a separate, smaller credit for other dependents and outlines procedures for annual renewal and reconciliation of advance payments when filing taxes.