Legislative Activity

The Expanding Access to Diabetes Self-Management Training Act of 2025 aims to significantly improve Medicare coverage for diabetes self-management training by eliminating patient out-of-pocket costs and expanding the pool of qualified providers. The bill establishes a new structure for training hours, granting patients an initial block of 10 hours plus two additional hours annually. Furthermore, it mandates that the Secretary of HHS test models for covering virtual diabetes self-management training services to evaluate their impact on health outcomes and costs.

The Protect Vulnerable Immigrant Youth Act aims to reform employment-based immigration by eliminating certain numerical caps for specific visa categories. This legislation amends existing law to adjust how preference statuses are allocated for these immigrant visas. The overall goal is to streamline the process for certain employment-based immigrants.

The Pride In Mental Health Act of 2025 establishes a new grant program to improve mental health and substance abuse outcomes for LGBTQ+ youth through culturally competent care and resource development. These grants strictly prohibit funding for conversion therapy practices. The bill also mandates federal data collection on LGBTQ+ youth mental health and requires a report on the needs of those in foster care.

The Excess Urban Heat Mitigation Act of 2025 establishes a new grant program to combat dangerous urban heat islands, which disproportionately affect low-income and minority communities. This program will fund eligible entities for projects like tree planting, installing cool pavements, and establishing cooling centers. At least 75% of the annual funding must target designated low-income census tracts, ensuring resources are directed to the most vulnerable areas. The Act authorizes $30 million annually through fiscal year 2033 to support these essential mitigation efforts.

The No Place for LGBTQ+ Hate Act immediately repeals specific Executive Orders that reportedly targeted or limited the rights of LGBTQI individuals across federal areas like employment and healthcare. This legislation also prohibits the use of any federal funds to enforce or carry out these canceled orders. The bill includes a savings provision to ensure it does not infringe upon the President's existing constitutional authority.

The Coordinated Federal Response to Extreme Heat Act of 2025 establishes a unified federal approach to mitigating the health and safety risks posed by extreme heat. It creates an Interagency Committee within NOAA to coordinate efforts across numerous federal departments and mandates the development of a National Integrated Heat Health Information System (NIHHIS). This new system will provide open access to data, forecasts, and science-backed tools to improve national preparedness and response to dangerous heat events. The Act authorizes $5 million annually through fiscal year 2029 to support these initiatives.

The Equal Access to Justice for Victims of Gun Violence Act of 2025 repeals key provisions of the Protection of Lawful Commerce in Arms Act. This legislation allows federal gun trace information to be discoverable and admissible as evidence in civil lawsuits and administrative hearings. The bill aims to provide victims of gun violence with greater access to relevant data in legal proceedings.

The Extreme Heat Economic Study Act of 2025 mandates a comprehensive study, led by NOAA, to quantify the full financial costs of extreme heat events in the United States. This study must analyze impacts across health, property damage, labor productivity, and critical infrastructure like energy and agriculture. The final report will recommend a national system for tracking and publicly reporting these economic losses within four years of enactment.

This resolution expresses the sense of the House that Congress should enact the Older Americans Bill of Rights to affirm the right of older Americans to live with dignity and independence. It highlights severe challenges facing seniors, including poverty, food insecurity, social isolation, and gaps in healthcare access. The proposed Bill of Rights calls for strengthening Social Security and Medicare, lowering prescription drug costs, and ensuring access to affordable housing and essential services. Ultimately, this measure urges Congress to establish comprehensive protections for the financial security, health, and community participation of older adults.

The IHS Provider Expansion Act establishes a new Office of Graduate Medical Education Programs within the Indian Health Service (IHS). This office will be responsible for building and overseeing residency and fellowship training pipelines to increase the number of health professionals serving at IHS facilities. It will coordinate with academic partners and is supported by an interagency team to ensure its sustainable operation.

The VET PFAS Act expands healthcare and disability benefits for veterans and their families exposed to toxic PFAS chemicals, like PFOA, at contaminated military installations. It establishes a presumption of service connection for specific related illnesses, making it easier for veterans to receive disability compensation. Furthermore, the bill grants eligible family members access to VA medical care, contingent upon future appropriations. The VA is also required to report annually on the implementation and utilization of these new provisions for three years.

The College for All Act of 2025 establishes a Federal-State partnership to eliminate tuition and required fees at public and Tribal colleges for eligible students, while significantly increasing Federal Pell Grant maximum awards and expanding eligibility to include many "Dreamer students." The bill also creates new grant programs to cover tuition at private non-profit HBCUs and MSIs, and funds initiatives to improve student success and support for low-income and first-generation students. Finally, it increases overall appropriations for HBCUs, Tribal Colleges, and other Minority-Serving Institutions.

The Real Education and Access for Healthy Youth Act of 2025 aims to establish comprehensive, evidence-based, and culturally responsive sex education and health services for young people aged 10 to 29. The bill creates competitive grant programs to fund sex education in K-12 schools and higher education, support educator training, and improve access to youth-friendly sexual health services, especially for underserved communities. It explicitly mandates that all funded programs must be medically accurate, inclusive of all identities, and centered on principles of consent and reproductive justice. The Act authorizes $100 million annually and repeals prior funding streams dedicated to abstinence-only education.

This bill imposes significant restrictions on the transfer of specific defense articles and services to Israel. Transfers of listed military equipment, such as certain bombs and ammunition, are prohibited unless Congress first passes a law detailing their specific authorized use. Furthermore, Israel must provide satisfactory written assurances that the items will only be used for those stated purposes and in compliance with international law.

The DEFIANCE Act of 2025 establishes a federal civil cause of action against the creation, possession with intent to share, or sharing of nonconsensual intimate digital forgeries, often known as deepfakes. This legislation updates existing law to specifically address image-based sexual abuse created through AI or digital manipulation, regardless of whether the image is labeled as fake. Victims can sue for significant statutory damages, attorney's fees, and injunctive relief to stop the spread of the harmful content. The Act ensures that this new federal standard does not preempt or limit stronger existing State or Tribal laws.

The Fit to Serve Act prohibits the U.S. Armed Forces from discriminating against service members based on their gender identity. This means military branches cannot set different standards, involuntarily discharge personnel, or deny medically necessary healthcare due to a service member's gender identity. The bill ensures equal opportunity for joining, serving, and receiving care regardless of one's internal sense of self.

The Improving Seniors’ Timely Access to Care Act of 2025 aims to streamline and modernize the prior authorization process within Medicare Advantage plans. This bill mandates the adoption of electronic prior authorization systems and significantly increases transparency regarding approval rates and decision times starting in 2027. Furthermore, it establishes new enrollee protections and grants the Secretary authority to enforce faster decision timeframes for medical services.

The Stronger Communities through Better Transit Act establishes a new federal grant program to provide operating support for high-quality public transit services. This funding is specifically targeted to improve mobility and environmental outcomes, with a requirement that the majority of funds benefit underserved communities or areas of persistent poverty. The Act also increases the federal share for rural transit operating assistance up to 80%.

The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 establishes mandatory minimum registered nurse-to-patient ratios across various hospital units to enhance patient safety and care quality. This legislation requires hospitals to implement detailed staffing plans, ensures enforcement through federal programs like Medicare and Medicaid, and supports the nursing workforce through expanded financial aid and retention initiatives. Furthermore, the bill protects nurses who refuse unsafe assignments and establishes clear mechanisms for reporting violations.

The Children Don't Belong on Tobacco Farms Act amends child labor laws to prohibit individuals under 18 from having direct contact with tobacco plants or dried tobacco leaves. This change ensures that agricultural work involving direct handling of tobacco falls under federal child labor protections. The bill specifically updates exemptions to reflect this new restriction on youth employment in tobacco agriculture.