Legislative Activity

The CARE Act of 2025 mandates that the Center for Medicare and Medicaid Innovation (CMMI) test a new payment model for emergency services. This model will allow Medicare to pay ground ambulance providers for emergency responses, even when a patient does not ultimately require transport under Medicare Part B. The five-year demonstration aims to evaluate the impact of covering these non-transport emergency responses on patient access and resource utilization.

This Act mandates the Secretary of Labor to establish an interim and then a final standard requiring comprehensive workplace violence prevention plans for employers in the healthcare and social service sectors. These plans must be developed with employee input and detail risk assessments, hazard controls, reporting procedures, and annual training. Furthermore, the bill amends the Social Security Act to require Medicare-funded hospitals and skilled nursing facilities not covered by OSHA to comply with these new federal workplace violence prevention standards. The legislation also establishes clear definitions for workplace violence and includes strong anti-retaliation protections for employees who exercise their rights under the Act.

The Sanctioning Russia Act of 2025 imposes sweeping economic penalties on the Russian Federation in response to its aggression against Ukraine. This legislation mandates severe, immediate sanctions against key Russian officials, financial institutions, and energy sector entities, including asset freezes and trade prohibitions. Furthermore, the Act dramatically increases import duties on Russian goods and requires the President to review and reimpose these measures until Russia negotiates a lasting peace with Ukraine.

The Fishing Industry Credit Enhancement Act of 2025 expands access to credit and financial services from Farm Credit Banks and Production Credit Associations. This legislation specifically allows these entities to offer loans to businesses that provide essential services directly supporting the operations of aquatic product producers and harvesters. The bill amends the Farm Credit Act of 1971 to include these vital support industries.

The Transgender Health Care Access Act aims to improve access to gender-affirming care by addressing critical gaps in medical education and provider capacity. The bill establishes grant programs to develop and implement comprehensive training curricula for medical professionals across various settings, including rural areas. Furthermore, it provides funding to expand the ability of community health centers to deliver culturally competent and necessary care to transgender individuals. Ultimately, this legislation seeks to ensure that healthcare providers are adequately trained and equipped to meet the medical needs of the transgender population.

The Nutrition CARE Act of 2025 addresses the critical need for comprehensive eating disorder treatment under Medicare. This bill expands Medicare coverage to include essential medical nutrition therapy services for beneficiaries diagnosed with an eating disorder, starting January 1, 2026. It establishes initial and ongoing annual coverage limits for these crucial dietitian-led services, requiring a referral from a physician or psychologist. By covering this vital component of care, the Act aims to improve health outcomes and reduce the significant economic burden associated with these serious mental illnesses.

The Hot Foods Act of 2025 removes the general federal ban on using Supplemental Nutrition Assistance Program (SNAP) benefits to purchase hot, ready-to-eat foods. This legislation clarifies that hot foods are now eligible for purchase with SNAP benefits, while also setting a new rule that limits SNAP-participating retailers to deriving no more than 50% of their gross sales from these ready-to-eat hot items. The act updates existing statutes to reflect this expanded purchasing power for recipients.

This bill officially designates the United States Postal Service facility located at 3817 Marysville Boulevard in Sacramento, California, as the "Grantland Johnson Post Office." This action ensures the building is officially recognized by its new name in all records and documentation.

The COMPLETE Care Act aims to improve mental healthcare access by providing Medicare incentives for primary care providers to integrate behavioral health services into their practices between 2027 and 2029. This legislation offers increased Medicare payments for specific integrated services during those years, ensuring these bonuses do not trigger cuts elsewhere in the Medicare budget. Additionally, the bill mandates technical assistance to help primary care offices successfully adopt these new integrated care models.

This bill mandates a comprehensive, independent study comparing the quality of mental health and addiction therapy provided to veterans by the Department of Veterans Affairs (VA) versus non-VA providers. The study will assess outcomes, treatment methods, coordination, and patient experience across various care settings. The final report will be submitted to Congress and made public to inform future quality improvements.

The Rural Veterinary Workforce Act aims to encourage more veterinarians to serve in underserved rural areas by making participation in certain loan repayment or forgiveness programs more financially appealing. This bill amends the tax code to exclude amounts received through qualifying state or federal veterinary student loan repayment programs from being counted as taxable income. This tax benefit applies to amounts received for taxable years beginning after December 31, 2025.

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 CREATE AI Act of 2025 establishes the National Artificial Intelligence Research Resource (NAIRR) to democratize access to the high-powered computing and data necessary for advanced AI research. This resource will be managed by a non-governmental Operating Entity overseen by a new Steering Subcommittee. The goal is to broaden participation in AI development beyond large tech companies to maintain U.S. leadership and ensure AI benefits all Americans. Access will be prioritized for U.S.-affiliated researchers, educators, and students, with specific provisions for ethics, security, and privacy reviews.

The Food Secure Strikers Act of 2025 aims to clarify and simplify eligibility rules for striking workers seeking Supplemental Nutrition Assistance Program (SNAP) benefits. This legislation removes outdated restrictions and clarifies the precise conditions under which participation in a labor strike affects a worker's SNAP eligibility. The goal is to streamline the existing law regarding striker access to food assistance.

The VA Home Loan Awareness Act of 2025 mandates the addition of a disclaimer on standard mortgage applications, informing applicants who indicate military service that they may qualify for a VA Home Loan. This ensures veterans and service members are immediately directed to explore their VA loan eligibility when applying for a mortgage. The bill also requires the GAO to study the effectiveness of this new disclaimer requirement among lenders.

The Paycheck Fairness Act significantly strengthens federal equal pay protections by broadening definitions of sex discrimination, tightening employer defenses against pay disparities, and increasing penalties for violations. It also prohibits employers from using salary history in hiring decisions and mandates new data collection by the EEOC to better enforce anti-discrimination laws. Furthermore, the bill establishes new training and outreach programs to combat systemic wage bias.

The Brake for Kids Act of 2025 establishes a national public safety messaging campaign to raise awareness about the dangers of illegally passing a stopped school bus. This initiative will be funded using existing allocations from the Infrastructure Investment and Jobs Act. The required campaign must utilize broad outreach methods, including national television, radio, social media, and edge service advertising.

The FRIDGE Act of 2025 aims to boost U.S. agricultural exports by addressing critical infrastructure weaknesses in foreign markets. This legislation authorizes funding to provide technical assistance and training specifically focused on improving foreign cold chain capacity and storage. By strengthening these global supply chains, the bill seeks to reduce spoilage of American food products and expand market access for U.S. commodities.

This bill officially ratifies the Equal Rights Amendment, declaring it a valid part of the U.S. Constitution. It specifically removes any previously imposed deadlines for state ratification. If three-fourths of the states have approved the amendment, this law confirms its official status regardless of past time constraints.

The Puppy Protection Act of 2025 significantly increases humane treatment standards for dog dealers under the Animal Welfare Act. This legislation mandates specific minimum space requirements, daily exercise access, and mandatory socialization for housed dogs. Furthermore, it establishes strict limits on female dog breeding frequency and age, alongside enhanced veterinary care protocols.