Legislative Activity

The Patient Access to Higher Quality Health Care Act of 2025 aims to repeal specific provisions within the Affordable Care Act and related legislation that limited exceptions to the prohibition on certain physician referrals to hospitals under Medicare. This action effectively restores pre-ACA rules regarding physician referrals for hospital services. The bill focuses on modifying existing Medicare regulations concerning physician-hospital relationships.

The FACE Act Repeal Act of 2025 repeals the Freedom of Access to Clinic Entrances Act, which prohibits certain actions that obstruct or interfere with access to reproductive health services. This repeal would apply to both ongoing and future prosecutions that begin on or after the date this Act is enacted.

The Protect Children’s Innocence Act establishes federal penalties, including imprisonment, for knowingly performing genital or bodily mutilation or chemical castration on individuals under the age of 18. This law applies when interstate commerce is involved in the act, communication, or payment for the procedure. It explicitly prohibits religious or customary defenses for female genital mutilation and details specific medical exceptions, such as procedures necessary for a minor's immediate health. The bill defines the prohibited procedures broadly, covering female genital mutilation and surgeries intended to alter a minor's body to correspond with a different sex.

The Make DOGE Permanent Act mandates the creation of a special, real-time access portal for members of Congress to view federal award spending data. This exclusive access will provide Congress with the latest information, including details on payments made to individuals and federal employees, which may be restricted on the public website. The Office of Management and Budget (OMB) must establish this dedicated link within six months of the bill's enactment.

This joint resolution formally establishes "Life Month" to affirm the fundamental value and inherent dignity of every human life as an unalienable right. It recognizes the Supreme Court's *Dobbs* decision and urges Congress to enact laws protecting unborn life. Furthermore, the resolution commends organizations and individuals who support pregnant women and new families.

The Safe Prescribing Through Reporting Act of 2025 amends federal law to allow the disclosure of patient records related to substance use disorder medications to state prescription drug monitoring programs. This sharing is contingent upon the specific requirements and mandates set forth by individual state laws. The goal is to enhance oversight and safety in prescribing these critical medications.

The RESTORE Act aims to improve reproductive health care by promoting access to restorative reproductive medicine and fertility awareness-based methods. It directs federal agencies to review standards of care, expand relevant research, and update medical coding to ensure accurate classification and reimbursement for these treatments. Furthermore, the bill protects healthcare providers from discrimination based on their refusal to participate in assisted reproductive technology.

The No Revolving Doors in FMS Act of 2025 establishes new restrictions for former State Department and Department of Defense employees involved in Foreign Military Sales (FMS). This legislation prohibits these former officials from lobbying Congress or federal employees regarding the specific FMS programs they worked on within the three years prior to leaving federal service. The bill aims to prevent immediate conflicts of interest by closing the "revolving door" between government service and lobbying in the FMS sector.

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 Ending Medicaid Discrimination Against the Most Vulnerable Act modifies the enhanced federal funding structure for Medicaid coverage provided to low-income adults. This bill establishes a gradual phase-out of the enhanced Federal Medical Assistance Percentage (FMAP) between 2027 and 2034, with the extra funding ending entirely in 2035. Furthermore, the legislation alters the incentives for states that have not yet expanded Medicaid coverage, potentially limiting future enhanced funding for those states if they expand after 2024.

The Ensuring Lasting Smiles Act mandates that group health plans and insurance policies provide comprehensive coverage for medically necessary treatment related to congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. This coverage must include services needed to restore normal function and appearance, including necessary dental and orthodontic support. Plans must apply cost-sharing rules no more restrictive than those for other medical benefits, excluding purely cosmetic procedures.

The Constitutional Hearing Protection Act aims to treat firearm silencers equally under federal tax law by updating definitions and removing certain registration requirements if existing firearm laws are followed. The bill also preempts state and local governments from imposing special taxes or registration burdens on silencers. Furthermore, it mandates the destruction of existing federal records identifying silencer owners within one year of enactment.

The MOMS Act aims to support expecting and new mothers through three main initiatives. It establishes a centralized federal resource website, Pregnancy.gov, to connect mothers with local support services and adoption agencies. The bill also creates grant programs to fund organizations offering positive alternatives to abortion and expanding access to at-home prenatal and postnatal telehealth care in underserved areas. Finally, it allows states to establish and enforce child support obligations against biological fathers for unborn children upon the mother's request.

The Veterans 2nd Amendment Protection Act restricts the Department of Veterans Affairs from automatically sharing a veteran's information with the DOJ for national background checks solely based on the appointment of a fiduciary. This bill prohibits the VA from classifying a veteran as a "mental defective" based only on an administrative finding of incompetence or the need for a fiduciary. Furthermore, the VA must notify the Attorney General if previously shared information based on fiduciary status is no longer valid.

The NFA SBS Act redefines short-barreled shotguns under federal tax law, removing specific restrictions and ensuring they are not treated as destructive devices. This legislation eliminates disparate federal restrictions on these shotguns and preempts state or local laws that attempt to impose special taxes or registration requirements referencing the National Firearms Act. Furthermore, the Act mandates the destruction of specific government records related to the registration and transfer of these shotguns.

The No Vaccine Mandates in Higher Education Act prohibits the federal government from providing funds to colleges and universities that require students or employees to receive a COVID-19 vaccine. This measure ensures that institutions of higher education cannot mandate vaccination for enrollment, employment, or access to services without risking the loss of federal funding.

The Safeguard American Voter Eligibility Act (SAVE Act) significantly amends federal law to require individuals registering to vote in federal elections to present documentary proof of U.S. citizenship. This legislation mandates that states actively clean their voter rolls and cooperate with federal agencies to verify citizenship status. It establishes new criminal penalties for officials who fail to enforce these documentation requirements.

The Safeguarding Charity Act clarifies that the federal income tax exemption granted to many tax-exempt organizations, such as charities and social welfare groups, will no longer be counted as "Federal financial assistance." This change specifically redefines federal aid for the purpose of applying various federal laws and regulations moving forward. The Act ensures that the value of existing tax breaks is excluded from future calculations of government assistance received by these entities.

The Enhanced Iran Sanctions Act of 2025 aims to prevent Iran from obtaining nuclear weapons and countering its support for terrorism by imposing sanctions on those involved in Iran's energy sector and those who provide financial support for its destabilizing activities. It mandates sanctions on foreign entities involved in processing, exporting, or selling Iranian oil, gas, and petrochemicals, while also establishing an interagency working group to coordinate and enforce these sanctions. The Act also amends existing legislation to require the identification of individuals involved in sanctionable activities or sanctions evasion related to Iranian oil and gas sales.

The Pet and Livestock Protection Act mandates the Secretary of the Interior to reissue the 2020 final rule removing the gray wolf from the list of endangered and threatened wildlife within 60 days of enactment. This action is intended to finalize the gray wolf's delisting status. Furthermore, this section prohibits any judicial review of the Secretary's reissued rule.