Legislative Activity

The Safe Step Act establishes mandatory, transparent exception processes for health plans that use "step therapy" protocols for prescription drugs. This ensures patients or their doctors can quickly request coverage for a prescribed medication when specific clinical criteria are met, such as previous treatment failure or risk of harm. Plans must decide on standard requests within 72 hours and urgent requests within 24 hours, and approved exceptions must last for at least one year. Furthermore, insurers must report detailed data annually on exception requests, approvals, and denials to the Secretary of Health and Human Services.

The HEADACHE Act establishes a comprehensive National Headache Disorders Initiative to improve research, workforce development, and care coordination for all headache disorders. It mandates the creation of an Advisory Council to guide federal efforts and requires the Secretary of Health and Human Services to submit annual reports to Congress detailing progress and recommending actions. This legislation aims to address disparities and reduce the societal and financial burden of these conditions before the Act automatically expires five years after enactment.

This joint resolution directs the President to remove U.S. Armed Forces from hostilities initiated after February 20, 2025, against designated terrorist groups or drug trafficking organizations without prior Congressional authorization. It asserts Congress's constitutional power to declare war and finds recent military strikes against vessels lacked proper justification. The bill allows for continued use of forces for self-defense or authorized counternarcotics support, but explicitly states drug trafficking alone does not constitute an armed attack.

This resolution strongly condemns attempts to use federal regulatory power or litigation to suppress lawful speech critical of a political party or the President. It reaffirms the fundamental importance of the First Amendment and warns that such actions resemble tactics used by authoritarian regimes. The bill urges government agencies to protect free expression and ensure accountability, not political censorship.

This House Resolution strongly condemns all forms of political violence and threats against elected officials and public figures, regardless of political affiliation. It affirms that disagreements must be resolved through peaceful and democratic means, not intimidation or force. The resolution urges law enforcement to prosecute those who commit or encourage such violence. Finally, it calls on all leaders to cease using dehumanizing rhetoric and promote civil discourse.

The Protecting Free Vaccines Act mandates that most private health insurance plans must cover specific vaccines recommended by the CDC's Advisory Committee on Immunization Practices (ACIP) without any out-of-pocket costs until January 1, 2030. This requirement also updates coverage rules for Medicare Part D, Medicaid, and CHIP to ensure continuity of coverage for these recommended immunizations. The bill locks in coverage based on the ACIP recommendations in place as of October 25, 2024, across various federal health programs.

The Preparing And Retaining All (PARA) Educators Act establishes a new federal grant program to help states recruit and retain school paraprofessionals. Funds will be distributed to states based on their existing Title I allocations to support local districts. States must use these competitive subgrants to improve paraprofessional wages, offer professional development, and support credentialing, prioritizing high-need and rural schools. The law requires annual reporting on compensation improvements and retention efforts.

The "Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act" expands Medicare coverage to include FDA-approved multi-cancer early detection screening tests starting in 2028. It defines the criteria for these tests, sets payment guidelines, and establishes age and frequency limitations for coverage. The bill ensures that existing cancer screening coverage remains unaffected and allows for waivers of limitations based on recommendations from the United States Preventive Services Task Force.

The AM Radio for Every Vehicle Act of 2025 mandates that the Secretary of Transportation establish a rule requiring AM broadcast radio receivers to be installed as standard equipment in new passenger motor vehicles. This requirement aims to ensure public access to AM radio signals, which are often used for emergency alerts. The bill also directs a GAO study on the effectiveness of AM radio within the national emergency alert system compared to other technologies. Finally, the Act preempts state and local laws on this matter and includes a sunset provision eight years after enactment.

This bill expresses the disapproval of Congress regarding a recent rule issued by the Centers for Medicare & Medicaid Services (CMS) concerning the integrity and affordability of the Affordable Care Act marketplaces. Utilizing the Congressional Review Act, this measure immediately cancels the specific CMS regulation. Consequently, the proposed changes to marketplace rules will not take effect.

The **988 LGBTQ+ Youth Access Act of 2025** addresses the high rates of suicide risk among LGBTQ youth by strengthening specialized support through the national crisis hotline. This bill mandates that dedicated resources and services, such as a specific dialing option, must be maintained for LGBTQ individuals contacting 988. Furthermore, it requires that at least 9 percent of appropriated funds for the hotline be specifically reserved to ensure these specialized services for LGBTQ youth remain fully operational.

The FAMILY Act establishes a national Paid Family and Medical Leave Insurance program administered by a new office within the Social Security Administration. This program provides monthly benefits to eligible individuals who take time off for qualified caregiving reasons, including serious health conditions or victims of violence. The Act also sets forth detailed eligibility requirements, benefit calculation formulas, and job protection guarantees for employees utilizing the leave. Finally, it creates a funding mechanism to support existing state-level paid leave programs that meet federal standards.

The Health Access Innovation Act of 2025 establishes the Health Equity Innovation Grant Program to combat health disparities. This program provides funding to qualified community and faith-based organizations in underserved areas to expand access to necessary medical services and culturally appropriate care. Priority is given to groups that maintained health services during recent public health emergencies.

The George Floyd Justice in Policing Act of 2025 is a comprehensive bill designed to increase police accountability and transparency nationwide through federal mandates and funding incentives. It reforms standards for prosecuting civil rights violations, eliminates qualified immunity, and establishes national registries for police misconduct and use-of-force data. Furthermore, the Act bans specific dangerous police tactics like chokeholds and restricts the transfer of military equipment to local departments.

This bill, the Congressional Tribute to Constance Baker Motley Act of 2025, posthumously awards the Congressional Gold Medal to the pioneering civil rights attorney and federal judge, Constance Baker Motley. The legislation recognizes her historic achievements, including her role in *Brown v. Board of Education* and her service as the first African-American woman appointed as a federal judge. The Secretary of the Treasury is authorized to strike the medal, and provisions are made for selling bronze duplicates to cover production costs.

This resolution officially recognizes suicide as a serious public health crisis in the United States, highlighting the urgent need for prevention efforts across all demographics. It expresses strong support for designating September as "National Suicide Prevention Month" and September 10th as "World Suicide Prevention Day" to raise awareness. The measure calls for prioritizing comprehensive, tailored strategies to improve access to mental health and suicide prevention services nationwide.

This bill, the ESP, Paraprofessional, and Education Support Staff Family Leave Act, updates eligibility requirements for certain school employees under the Family and Medical Leave Act (FMLA). It adjusts how paraprofessionals and education support staff meet the required hours of service by using a percentage of expected monthly hours worked during the school year. Furthermore, the bill mandates clear guidelines for calculating FMLA leave entitlement for these employees to account for non-standard school schedules.

The Puerto Rico Nutrition Assistance Fairness Act aims to integrate Puerto Rico into the federal Supplemental Nutrition Assistance Program (SNAP) structure, aligning it with other territories like Guam. The bill mandates a transition period where Puerto Rico must submit a plan of operation to the Secretary of Agriculture for approval to join SNAP. During this transition, existing block grant funding may continue for up to five years while the territory moves toward full participation under federal SNAP rules.

The Closing the Meal Gap Act of 2025 updates federal food assistance by basing benefit calculations on a new, higher "low-cost food plan" standard. It also modifies income calculations by removing the cap on excess shelter deductions and establishing a standardized, inflation-adjusted medical expense deduction. Finally, this Act completely eliminates the time limit restrictions previously placed on receiving food assistance benefits.

The Peter J. McGuire Labor Day Landmark Act officially designates the Peter J. McGuire Memorial and gravesite in Pennsauken, New Jersey, as the Peter J. McGuire Memorial National Commemorative Site. This designation honors McGuire's pivotal role in founding major labor organizations and proposing the concept of Labor Day. The bill allows for partnerships to support educational programming at the site without altering existing property rights.