Legislative Activity

The Find It Early Act mandates that certain individuals at increased risk for breast cancer receive additional, recommended screenings with no out-of-pocket costs. This coverage requirement applies across private health plans, Medicare, Medicaid, TRICARE, and the Department of Veterans Affairs. These provisions are set to take effect starting January 1, 2026.

This bill proposes several significant reforms to the rules governing Health Savings Accounts (HSAs), primarily affecting contributions, distributions, and administrative requirements. Key changes include imposing an income limitation on deductible HSA contributions starting in 2026 and tightening rules around substantiating medical expense reimbursements. The legislation also introduces an excise tax on HSA trustees for charging excessive fees and requires new reporting on account earnings.

The Patients Over Paperwork Act of 2025 aims to streamline healthcare by repealing recent changes to Medicaid eligibility redeterminations. This action effectively restores prior regulations concerning how beneficiaries' eligibility is reviewed. The bill focuses on reducing administrative burdens to prioritize patient care.

The End Rent Fixing Act of 2025 prohibits rental property owners from hiring coordinators or engaging in activities that involve collecting, analyzing, or recommending rental prices or terms across multiple properties. This coordinated activity is deemed an unlawful restraint of trade under existing antitrust laws. The bill grants enforcement power to the FTC, the Attorney General, and State Attorneys General, while also allowing injured persons to sue for treble damages. Furthermore, it lowers the pleading standard for civil lawsuits brought under this Act and related antitrust claims.

The Global Respect Act aims to promote and protect the human rights of LGBTQI individuals worldwide. It mandates the President to identify and report foreign persons responsible for human rights violations against LGBTQI people, leading to their inadmissibility to the United States. Furthermore, the Act requires enhanced tracking and reporting of violence and discrimination targeting individuals based on sexual orientation, gender identity, or sex characteristics in the annual human rights reports.

This bill amends the Social Security Act to establish new requirements for Medicare Advantage plans regarding how often they can overturn initial denials of coverage following prior authorization requests. Specifically, it mandates contract termination for plans whose rate of reversed prior authorization denials exceeds 25% in a given year. This measure aims to curb excessive initial denials by Medicare Advantage organizations.

This bill amends the Social Security Act to impose new limitations on the number of Medicare Advantage (MA) plans an organization can offer under contract. Specifically, it restricts MA organizations from offering more than three MA plans unless those plans have significant differences in premiums, benefits, or cost-sharing. This measure aims to streamline the offerings available through Medicare Advantage.

The Safe Hydration is an American Right in Energy Development Act of 2025 amends the Safe Drinking Water Act to establish new testing and reporting requirements for hydraulic fracturing (fracking) operations. This bill prohibits fracking injection unless operators agree to test nearby underground drinking water sources according to a set schedule and submit results to the EPA. The EPA is required to create a publicly accessible database of all submitted test results.

The Fracturing Responsibility and Awareness of Chemicals Act of 2025 amends the Safe Drinking Water Act to bring hydraulic fracturing fluid injection under federal regulation. This bill mandates that operators disclose the specific chemicals used before and after fracturing operations to the relevant state authority. Furthermore, it ensures immediate disclosure of proprietary chemical formulas to medical professionals during emergencies.

This bill prohibits the Department of Health and Human Services from using appropriated funds to automatically enroll individuals into Medicare Advantage (MA) plans. It ensures that enrollment in an MA plan only occurs when an individual actively makes that choice, rather than it being the default option.

This bill amends the Social Security Act to mandate the exclusion of individuals and entities who commit fraud from participating in any Federal health care program. Specifically, it requires the Secretary to exclude those convicted of certain fraud-related offenses or determined to have engaged in prohibited fraudulent activities. This ensures that those who misuse federal health programs due to financial misconduct are barred from future participation.

The FRESHER Act of 2025 aims to regulate stormwater runoff from oil, gas, and mining operations under the Federal Water Pollution Control Act. This legislation modifies existing permit requirements and mandates a study by the Secretary of the Interior on the contamination risks associated with this runoff. The resulting report will detail measurable contamination and the susceptibility of groundwater resources to pollution from these operations.

This bill amends the Social Security Act to establish new requirements regarding the average monthly cost of Medicare Advantage (MA) plans compared to original Medicare. If an MA plan's average monthly payment exceeds the cost of original Medicare coverage for its enrollees, the Secretary must prohibit new enrollment in that plan for the following year. This restriction does not apply to specialized Medicare Advantage plans for special needs individuals.

This bill mandates the Secretary of Health and Human Services to create and maintain a public website for Medicare beneficiaries. This resource will allow users to easily search for healthcare providers and suppliers participating in either Medicare Advantage (MA) plans or traditional Medicare. The website must clearly identify which networks each provider belongs to.

This bill amends the Social Security Act to mandate that Medicare Advantage plans must automatically reconsider any determination that denies coverage. This process will occur without requiring the enrollee to submit a formal request for reconsideration. The automatic review begins immediately upon the plan's initial denial of coverage.

The CLEANER Act of 2025 mandates the Administrator to review and regulate wastes generated from oil, gas, and geothermal energy production under the Solid Waste Disposal Act. This includes determining if these wastes qualify as hazardous and establishing corresponding regulations if they do. For non-hazardous wastes from these industries, the Act requires the revision of criteria for disposal facilities to ensure protection of human health and the environment, including requirements for groundwater monitoring.

The Bivens Act of 2025 amends existing law to redefine the scope of civil actions that can be brought against individuals acting under federal authority. This legislation specifically revises Section 1979 of the Revised Statutes concerning such lawsuits. The core change narrows the focus of these civil actions to exclusively target persons acting under the authority of the United States.

The Restoring Food Security for American Families and Farmers Act of 2025 aims to strengthen domestic food security by repealing specific sections of a prior reconciliation act. This action effectively revives the original laws that were previously amended by the repealed provisions. The bill seeks to revert existing agricultural and food-related statutes to their pre-amendment status.

This bill mandates that all advertisements for Medicare Advantage (MA) plans must clearly disclose key statistics regarding their prior authorization denial rates. Specifically, ads must include the total number of denials, the number of denials later overturned upon reconsideration, and the average time taken for those reversals. This aims to provide consumers with crucial transparency about plan utilization management practices before enrollment.

The CLOSE Act aims to strengthen air quality regulations by removing the exemption that previously allowed for the aggregation of emissions from oil and gas sources under the Clean Air Act. Furthermore, this legislation mandates the EPA to formally list hydrogen sulfide as a hazardous air pollutant. This action will require the EPA to establish specific source categories for hydrogen sulfide emissions, including oil and gas wells.