Legislative Activity

The Medicare Patient Choice Act expands the freedom of choice for Medicare beneficiaries by explicitly including therapists and qualified audiologists alongside physicians and practitioners in Medicare regulations. This amendment ensures patients can select these specific providers for their care under existing Medicare choice provisions. The bill formally defines the included therapist types (physical, occupational, and speech-language pathologists) for clarity.

The Pilot and Aircraft Privacy Act of 2025 (PAPA Act) restricts the use of Automatic Dependent Surveillance-Broadcast (ADS-B) data to prevent unauthorized revenue collection and limits access by federal, state, and local government officials. The bill also establishes new public disclosure and oversight requirements for airports wishing to impose landing or takeoff fees specifically on general aviation aircraft. Any fees collected must be dedicated solely to airside safety projects.

The Apples to Apples Comparison Act of 2025 mandates greater public transparency regarding Medicare spending by requiring the Secretary of HHS to publish detailed, machine-readable expenditure data broken down by county and beneficiary type. Furthermore, the bill requires the Medicare Payment Advisory Commission (MedPAC) to annually compare the average cost of Medicare Advantage enrollees versus traditional Medicare beneficiaries, accounting for plan differences and risk factors. Finally, the Medicare Trustees must also report detailed expenditure information categorized by specific beneficiary enrollment statuses.

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 Protecting Health Care for All Patients Act of 2025 bans federal health programs, including Medicare, Medicaid, and CHIP, from using Quality-Adjusted Life Years (QALYs) or similar metrics in coverage and payment decisions. This ensures that extending life for older, disabled, or terminally ill individuals is not valued less than for others. The bill also sets specific funding levels for the Prevention and Public Health Fund through fiscal year 2031 and mandates an annual report on QALYs' impact on individuals with intellectual and developmental disabilities.

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 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.

This bill establishes new procedures for the IRS when errors occur in payroll tax filings made by third-party payors, such as Professional Employer Organizations (PEOs). It clarifies the responsibility for resulting tax liabilities or penalties based on whether the payor relied on erroneous information provided by the employer. The legislation aims to fairly allocate responsibility between the employer and the third-party payor when mistakes happen during tax certification and filing.

The IRA Charitable Rollover Facilitation and Enhancement Act of 2025 removes the current restriction preventing individuals from making direct charitable rollovers from their Individual Retirement Accounts (IRAs) to Donor Advised Funds (DAFs). This change immediately allows IRA owners to transfer retirement assets directly to DAFs for charitable purposes. The bill simplifies and enhances charitable giving options for IRA holders.

The Maximum Pressure Act dramatically tightens and expands U.S. sanctions against Iran across its military, missile, and economic sectors, codifying existing restrictions and severely limiting the President's authority to grant sanctions relief. It mandates immediate sanctions on top Iranian officials and increases penalties for international parties aiding Iran's weapons programs. Furthermore, the bill enhances oversight by requiring numerous detailed reports to Congress regarding Iran's terrorism financing, nuclear timeline, and economic influence, while also redirecting certain frozen Iranian funds to victims of state-sponsored terrorism.

The SHORT Act aims to reform federal firearms regulations by redefining what constitutes a "firearm" for tax purposes, largely excluding antique or collector's items. It eliminates disparate federal treatment for short-barreled rifles and shotguns used lawfully and preempts state and local governments from imposing special taxes or registration requirements on these specific weapons. Furthermore, the bill mandates the destruction of certain existing federal registration and transfer records related to defined firearms.

The Portable Ultrasound Reimbursement Equity Act of 2025 updates Medicare coverage to include diagnostic ultrasound tests. This legislation mandates that Medicare establish separate payments for the transportation and setup of portable ultrasound equipment, mirroring existing payments for portable X-ray services. These changes are set to take effect starting January 1, 2027.

The Unfair Tax Prevention Act amends the Base Erosion and Anti-Abuse Tax (BEAT) rules to specifically target certain U.S. companies connected to foreign tax systems operating outside their direct jurisdiction. These "foreign-owned extraterritorial tax regime entities" will now be automatically subject to BEAT, with specific exceptions removed and a portion of their cost of goods sold automatically treated as a base erosion benefit. This legislation aims to close loopholes related to complex, indirect foreign ownership structures.

The Constitutional Concealed Carry Reciprocity Act of 2025 establishes a national standard for carrying concealed handguns across state lines. This act allows individuals legally permitted to carry in their home state to carry concealed in any other state that allows its residents to carry concealed firearms. The law does not override private property restrictions or prohibitions on government property, but it provides protections and legal recourse for those traveling in compliance with the new federal standard.

This bill amends the Internal Revenue Code to restore and modify the asset test for Real Estate Investment Trust (REIT) taxable REIT subsidiaries (TRSs). Specifically, it increases the allowable percentage for certain assets held by a TRS from 20 percent to 25 percent. This change will take effect for tax years beginning after December 31, 2025.

The Physician Led and Rural Access to Quality Care Act revises physician self-referral rules to improve healthcare access in underserved areas. Specifically, it creates a new exception allowing physician self-referrals to hospitals located in designated rural areas that meet specific distance requirements. Furthermore, the bill removes existing restrictions that previously limited the expansion of services at physician-owned hospitals.

The Fair and Open Competition Act of 2025 ensures fair competition on federally funded construction projects by prohibiting the government from requiring or penalizing bidders based on union agreements. This legislation aims to keep federal agencies neutral in labor relations while promoting cost savings and opening opportunities for all businesses. Exceptions to this neutrality rule are strictly limited to specific public health, safety, or national security emergencies.

The "Pandemic Unemployment Fraud Enforcement Act" extends the statute of limitations to 10 years for prosecuting fraud related to specific pandemic unemployment programs. It applies to violations or conspiracies under Title 18 and Title 31 of the U.S. Code and rescinds $5,000,000 from previously allocated funds to offset the budget. The changes made by this law will begin on the date of enactment.

The American Innovation and R&D Competitiveness Act of 2025 revises how businesses treat research and experimental (R&E) expenditures for tax purposes. Taxpayers can now choose between immediately deducting R&E costs or amortizing them over a period of at least 60 months. This legislation also makes technical adjustments to ensure consistency between immediate deductions and claiming the research tax credit.

The "Tanning Tax Repeal Act of 2025" eliminates the federal excise tax on indoor tanning services. This bill removes Chapter 49 from the Internal Revenue Code, effectively repealing the tax. The repeal is applicable for services provided after the bill's enactment.