Legislative Activity

The HCBS Relief Act of 2025 significantly increases federal Medicaid funding for states that commit to improving their Home and Community-Based Services (HCBS) programs. This temporary boost requires states to use the extra funds to raise provider reimbursement rates, increase worker compensation, and expand access to services for eligible individuals. States must ensure this new federal money supplements, rather than replaces, existing state spending on HCBS.

The Maximizing Opioid Recovery Emergency Savings (MORE Savings) Act aims to increase access to evidence-based opioid treatments by testing the elimination of Medicare cost-sharing for these services in select states. It also mandates that private health plans eliminate cost-sharing for essential opioid medications, behavioral health services, and recovery support. Finally, the bill enhances federal Medicaid matching funds for medication-assisted treatment and allows states to cover related recovery support services.

The Keeping Obstetrics Local Act is a comprehensive bill designed to stabilize rural and safety-net hospitals providing maternity care through enhanced financial support, including minimum Medicaid payment rates and anchor payments. It also expands continuous Medicaid and CHIP coverage for new mothers for a full year postpartum and invests in the maternal health workforce by supporting emergency staffing and simplifying cross-state provider enrollment. Finally, the act mandates greater transparency by requiring hospitals to give advance public notice of obstetric unit closures and report more detailed operational data to Medicare.

The Aerial Firefighting Enhancement Act of 2025 modifies the Department of Defense's authority to sell surplus aircraft and parts for wildfire suppression. This update explicitly allows the sale of equipment capable of dropping water, in addition to fire retardant. This authority for sales strictly limited to firefighting purposes is extended through October 1, 2035.

The Protect IVF Act establishes a federal right to access fertility treatments, such as IVF, based on widely accepted medical standards. It prohibits states from enacting or enforcing rules that create unnecessary roadblocks or conflict with these established medical practices. The law empowers individuals, providers, and insurers to sue to strike down restrictive state laws that interfere with evidence-based fertility care. Ultimately, this Act ensures that decisions regarding fertility treatment remain between patients and their doctors, overriding conflicting state regulations.

The My Body, My Data Act of 2025 establishes strict rules for how businesses (regulated entities) can collect, use, and share sensitive reproductive and sexual health information. This Act grants individuals the rights to access, correct, and delete their personal health data held by these entities. Furthermore, it mandates transparent privacy policies and explicitly prohibits entities from retaliating against individuals who exercise their new privacy rights.

This resolution designates June 6, 2025, as National Naloxone Awareness Day to combat the ongoing opioid crisis. It emphasizes the critical role of naloxone in reversing overdose deaths and calls for increased public education on its use. The bill encourages federal, state, and local entities to improve access to this life-saving medication.

The Treat and Reduce Obesity Act of 2025 addresses the growing public health crisis of obesity, particularly among Medicare beneficiaries. This bill expands Medicare coverage for intensive behavioral therapy by allowing more types of qualified healthcare providers to furnish the treatment. Furthermore, it amends Medicare Part D to allow coverage for prescription medications used to treat obesity or weight management in individuals with related health conditions. Finally, the Act requires the Secretary of HHS to report regularly to Congress on the implementation and coordination of federal obesity-related efforts.

The International Nuclear Energy Act of 2025 establishes a comprehensive U.S. strategy to promote the export of advanced civil nuclear energy technology to allies and developing nations. It creates new White House coordination roles and working groups to develop long-term export strategies and financing mechanisms. Furthermore, the bill authorizes international cooperation, training, and financial support to help partner nations adopt safe, secure, and reliable nuclear power while countering influence from competitors like Russia and China.

The Complete Streets Act of 2025 establishes a national program requiring states to create systems for funding and technical assistance to ensure all public roads are designed safely for every user, including pedestrians, cyclists, and transit riders. Eligible entities must adopt formal Complete Streets policies to qualify for grants aimed at fixing infrastructure gaps, especially in underserved communities. The bill mandates new federal design standards for federally funded road projects to incorporate protected bike lanes, accessible sidewalks, and improved lighting. Finally, states must dedicate a minimum of 5% of certain federal highway funds annually to implement these comprehensive safety and accessibility improvements.

The No Place for LGBTQ Hate Act immediately repeals specific Executive Orders that targeted LGBTQI individuals, preventing any federal funds from being used to enforce them. This legislation specifically cancels orders known for mandating discrimination in areas like employment and healthcare. The bill also includes a provision to ensure it does not infringe upon the President's existing constitutional authority.

The Improving Mental Health Access for Students Act mandates that colleges and universities prominently display critical mental health and suicide prevention resources on student ID cards or main websites. This includes contact information for the 988 Suicide and Crisis Lifeline, the Crisis Text Line, and the campus mental health center. Schools will have one year after the Act's enactment to comply with these new requirements.

This resolution expresses strong support for designating June 6, 2025, as "National Gun Violence Awareness Day" and the entire month of June 2025 as "National Gun Violence Awareness Month." The designation aims to honor victims of gun violence and raise public awareness about the ongoing crisis. The measure encourages Americans to wear orange on that day and promote gun safety practices throughout the month.

The United States Foundation for International Food Security Act of 2025 establishes a new, private, nonprofit corporation tasked with accelerating long-lasting, locally-led agricultural investments globally. This Foundation will utilize outcome-based funding to support projects focused on boosting food production, infrastructure, and farmer profitability worldwide. The Act mandates strict governance, performance evaluations, and prohibits support for countries that back terrorism or violate human rights.

The ORPHAN Cures Act modifies the Drug Price Negotiation Program by adjusting how the time a drug has been on the market is calculated for negotiation eligibility. Specifically, it excludes the period during which a drug was designated as treating a rare disease (an "orphan drug") from counting toward the negotiation clock. This ensures that drugs developed for rare conditions receive an extended period of market exclusivity before price negotiation can begin.

This bill amends budget rules to explicitly prohibit making changes to Medicare and Medicaid through the budget reconciliation process. It updates existing law to ensure these major health programs are treated the same as other entitlement programs under special budget procedures. The goal is to safeguard Medicare and Medicaid from being altered using this fast-track legislative method.

This resolution serves as a formal tribute honoring the life, achievements, and enduring legacy of former United States Senator Christopher "Kit" Bond of Missouri. It recognizes his decades of public service, including his terms as Missouri Governor and U.S. Senator, where he championed infrastructure, agriculture, and conservative values. The Senate expresses deep sadness over his passing and directs that official copies of this tribute be sent to his family.

The SMART Prices Act aims to strengthen Medicare by significantly accelerating and expanding the number of drugs eligible for price negotiation. This bill lowers the time requirements for certain single-source drugs to qualify for negotiation and adjusts the maximum fair price ceilings for negotiated drugs starting in 2028. Overall, the legislation seeks to increase price competition and lower costs within the Medicare drug program.

The Supreme Court Ethics, Recusal, and Transparency Act of 2025 establishes a formal, publicly accessible code of conduct for Supreme Court Justices and creates a judicial investigation panel to handle related ethics complaints. The bill also mandates stricter disclosure requirements for gifts and income received by Justices, and significantly expands the circumstances under which a federal judge must recuse themselves due to financial ties or lobbying influence. Finally, it institutes new disclosure rules for parties and *amici curiae* in cases before the Court, alongside studies to monitor judicial compliance.

The Improving Seniors’ Timely Access to Care Act of 2025 aims to modernize and increase transparency in the prior authorization process for Medicare Advantage plans. This bill mandates the adoption of electronic prior authorization systems and requires plans to publicly report detailed data on their approval, denial, and appeal rates. Furthermore, it establishes new standards to protect enrollees and grants the Secretary authority to enforce faster decision timelines for care requests.