Legislative Activity

The Direct Medical Care Freedom Act of 2025 clarifies that direct medical care arrangements, where individuals pay a fixed periodic fee for medical services from practitioners, are not considered health plans under the Internal Revenue Code. It allows fees paid for these arrangements to be treated as medical expenses and mandates that fees for arrangements provided through employment are reported on employee W2 forms. This applies to primary care, specialty care, or other subsets of medical services, and will take effect for months beginning after December 31, 2024.

The "Freedom to Invest in Tomorrow's Workforce Act" amends Section 529 savings accounts to include expenses related to postsecondary credentialing programs. This allows 529 funds to cover costs like tuition, fees, books, supplies, and testing fees for recognized programs and credentials, as defined by the bill. These changes would apply to distributions made after the bill is enacted.

The "Senior Citizens Tax Elimination Act" repeals the inclusion of Social Security benefits in gross income, effectively ending the taxation of these benefits for taxable years beginning after the enactment of this law. The Act mandates the allocation of funds each fiscal year to the Social Security Act or the Railroad Retirement Act of 1974, ensuring these programs are not negatively impacted by the tax elimination. The amount allocated must equal the reduction in transfers to these funds because of the change. Congress intends to offset the revenue reduction without raising taxes.

The "Fair Access to Banking Act" aims to prevent financial institutions from denying services to legal businesses based on subjective or political reasons. It prohibits large banks, credit unions, and payment card networks from discriminating against legal businesses and requires them to provide fair access to financial services based on impartial, risk-based standards. Financial institutions that violate these provisions may face penalties, including ineligibility for taxpayer-funded discount window lending programs and civil penalties. Individuals or businesses who are unfairly denied services can sue the financial institution in U.S. district court.

The "Prison Rape Prevention Act of 2025" mandates that the Bureau of Prisons house and transport prisoners based on biological sex. It defines biological sex as the natural reproductive system of male or female individuals, even with developmental or genetic anomalies. The bill prohibits the Bureau of Prisons from providing or funding gender-related medical treatments, with specific exclusions for certain disorders of sex development or ambiguous biological sex characteristics. "Gender" is explicitly defined to mean the natural differences between males and females, not gender identity or expression.

The "PATROL Act" prevents the Department of Justice from suing states for building barriers along their borders to prevent illegal immigration and protect their territory. This bill specifically applies to civil actions under Section 9 or 10 of the Act of March 3, 1899, concerning unauthorized obstruction of navigable waters. The term "barrier" includes physical structures like walls, fences, or floating buoys.

The "Time of Service Act" amends Title 38 of the U.S. Code to eliminate the time limitation for certain veterans to use their Post-9/11 GI Bill educational benefits. This change is achieved by adjusting the start date in the U.S. Code, allowing more veterans access to these benefits regardless of when they left the service.

The "Ensuring Justice for Victims of Partial-Birth Abortion Act" mandates the Attorney General to investigate potential violations of the partial-birth abortion ban, including the remains of five babies discovered in Washington, D.C., and requires mandatory reporting of violations by healthcare workers. It also directs the Attorney General to produce an annual report on enforcement actions related to the partial-birth abortion ban and tasks the Comptroller General with reviewing past enforcement actions and providing recommendations for improvement.

The SHUSH Act removes firearm silencers from the definition of firearms under the National Firearms Act, thus eliminating federal regulations, registration, and transfer taxes on silencers. It ensures that legal acquisition of a silencer under federal law satisfies any NFA registration or licensing requirements. The Act also preempts state and local laws that tax, mark, record, or register silencers involved in interstate or foreign commerce.

The BLOCK Act repeals several Elementary and Secondary Education Act grant programs, replacing them with block grants to states starting in fiscal year 2026. The amount of the block grants will match the amount the state received in fiscal year 2025 under the repealed programs. This change aims to provide states with more flexibility in using federal education funds. "State" is defined as the 50 U.S. states, the District of Columbia, and Puerto Rico.

The "Medicare Patient Access and Practice Stabilization Act of 2025" extends increased Medicare payment support for physicians and practitioners through 2025. It increases payment rates by 6.62% for services provided from April 1, 2025, to January 1, 2026. The bill also updates a section of the Social Security Act to include the years 2021 through 2025 for conforming changes.

This bill terminates the Department of Education, effectively eliminating the department on December 31, 2026.

The "Achieving Choice in Education Act" (ACE Act) expands the use of 529 savings accounts to cover a broader range of educational expenses, including homeschooling costs, and increases the distribution limit for elementary and secondary education. The act also raises the gift tax exclusion for 529 plan contributions and restricts tax-exempt bond eligibility to states that have implemented certain school choice programs meeting specific criteria for student eligibility and funding. These school choice programs include tax credit scholarship programs, voucher programs, education savings accounts, and refundable tax credits for private education expenses.

The "287(g) Program Protection Act" amends the Immigration and Nationality Act to mandate that the Department of Homeland Security (DHS) enter into agreements with states and their subdivisions, enabling their law enforcement officers to perform certain immigration enforcement functions, provided they meet DHS standards. It requires DHS to justify denials of state requests, prohibits limits on the number of agreements, and ensures agreements accommodate various enforcement models preferred by the states. The Act also establishes appeal processes for agreement terminations, mandates uniform training standards, and directs DHS to publish annual performance reports and recruitment plans for the 287(g) program.

The "Second Chance for Moms Act of 2025" requires a warning label on mifepristone indicating its effects may be reversed with progesterone, potentially increasing fetal survival, and provides a hotline number for further information. It also directs the Secretary to establish a 24/7 toll-free hotline for women seeking to reverse the effects of mifepristone, offering referrals exclusively to healthcare providers who offer abortion pill reversal.

The "PROTECTS Act of 2025" prohibits federal funds from being used for gender transition procedures for individuals under 18, including surgeries and hormone therapies, with exceptions for certain medical conditions and genetic disorders. The bill defines "sex" as biologically determined male or female based on reproductive systems.

The "Parental Notification and Intervention Act of 2025" requires parental notification before an abortion can be performed on an unemancipated minor, with exceptions for medical emergencies or court waivers. It allows parents to sue in federal court to stop an abortion from occurring. States can enact stricter parental notification or intervention laws. The act would take effect immediately upon becoming law.

The "Stop Illegal Reentry Act" increases the penalties for individuals who illegally reenter the United States after having been deported or removed. It raises the maximum prison sentence for general illegal reentry to five years. Repeat offenders or those with prior felony convictions could face up to 10 years, and aggravated felons or repeat re-entrants could face a mandatory minimum of five years and up to 20 years in prison.

The "Charitable Act" modifies the tax deduction for charitable contributions for individuals who do not itemize deductions. For the 2026 and 2027 tax years, the deduction will be capped at one-third of the standard deduction amount for the individual. The Act also eliminates and redesignates certain penalty clauses in the Internal Revenue Code related to these deductions, updating references accordingly.

The "Personalized Care Act of 2025" expands Health Savings Account (HSA) eligibility, increases contribution limits, and allows HSA funds to be used for a broader range of healthcare expenses, including health plan premiums and healthcare sharing ministry fees. It also reduces the penalty for non-qualified HSA distributions and clarifies the treatment of medical care service arrangements and periodic provider fees. These changes aim to provide individuals with greater flexibility and control over their healthcare spending and coverage.