Legislative Activity

The Medical Student Education Authorization Act of 2025 establishes a new federal grant program to bolster primary healthcare in medically underserved communities. This funding, administered by HRSA, will support public medical colleges that train students committed to practicing in high-need areas like rural or Tribal regions. Grants will focus on developing community-based training, increasing faculty capacity, and providing direct student support to improve the primary care workforce pipeline.

The Patients Over Profit Act (POP Act) prohibits common ownership between entities that run Medicare-related health insurance plans and certain healthcare providers. This aims to prevent conflicts of interest by separating insurance and provider control within the Medicare system. Violators will be required to divest one of their holdings within a set timeframe. Enforcement actions can result in the disgorgement of ill-gotten gains, which will be directed toward community healthcare needs.

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 **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 FAIR Act of 2025 invalidates pre-dispute arbitration agreements and class action waivers for employment, consumer, antitrust, and civil rights claims. This law restores the right for individuals to pursue these disputes in court or through collective legal action. The provisions apply to all covered disputes arising on or after the date the Act is enacted.

The National Infrastructure Bank Act of 2025 establishes a new, mixed-ownership federal corporation chartered to finance major infrastructure projects across the nation. This legislation authorizes the Bank to raise substantial capital and issue significant loans to spur economic growth while prioritizing projects in disadvantaged communities. Furthermore, the bill grants the Bank and its specific investors favorable tax exemptions to encourage participation and operation.

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.

The Tax Excessive CEO Pay Act of 2025 imposes a federal income tax penalty on corporations whose CEO-to-worker pay ratio exceeds 50-to-1, calculated using a five-year average. If the ratio is too high, the standard 21% corporate tax rate will increase according to a specified penalty table. This measure applies to tax years beginning after December 31, 2025, with exceptions for smaller companies below a $100 million revenue threshold.

The Equal Tax Act aims to increase tax fairness by limiting preferential tax rates for high earners and treating property transfers at death or as a gift as a taxable event. It introduces new rules for capital gains exclusions on inherited family farms and businesses, while also capping the use of like-kind exchanges for non-farming real estate. Finally, the Act adjusts the calculation for the Qualified Business Income deduction based on income thresholds.

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 expresses the sense of the House of Representatives opposing the implementation of the proposed Wasteful and Inappropriate Service Reduction (WISeR) Model. The House believes this model would severely undermine beneficiary access to necessary healthcare by significantly expanding prior authorization requirements in traditional Medicare. It urges the Centers for Medicare and Medicaid Services to terminate the plan due to concerns over patient access and the poor track record of private entities managing these reviews.

The Pakistan Freedom and Accountability Act expresses strong U.S. support for democracy and human rights in Pakistan, citing concerns over military influence and recent election interference. This legislation directs the President to identify and impose sanctions on Pakistani officials responsible for undermining democratic processes or committing serious human rights abuses. The Act emphasizes the need for civilian control over the military and sets an expiration date for its provisions in September 2030.

The Reforming and Enhancing Sustainable Updates to Laboratory Testing Services Act of 2025 (RESULTS Act) aims to improve Medicare payment rates for clinical lab tests by mandating the collection of more accurate, real-world payment data directly from large, independent private insurance claims databases. This legislation updates definitions, collection timelines, and calculation methods to ensure Medicare payments for widely available tests reflect current market rates. It also establishes default payment rules if sufficient private payor data cannot be secured.

The HCBS Worker Protection Act of 2025 removes a federal payment limitation for certain home and community-based services (HCBS) waivers under Medicaid. This change grants states greater flexibility in receiving federal matching funds for these essential community services.

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 Congressional Power of the Purse Act is a comprehensive bill designed to reassert Congressional authority over federal spending, emergency declarations, and executive branch financial oversight. It strengthens Congress's ability to prevent impoundment of appropriated funds, mandates greater transparency regarding unspent government money, and imposes strict time limits and review procedures on presidential declarations of national emergencies. Ultimately, the Act aims to increase accountability across the Executive Branch regarding the execution and management of taxpayer funds.

The Aircraft Noise Reduction Act grants general aviation airports increased authority to work with the FAA to implement local aircraft noise limitations. This process requires consultation with airport owners and consideration of community input when adjusting flight and training routes. Crucially, airports taking these noise-reduction actions will not face the loss of federal funding as a result.

The Sickle Cell Disease Comprehensive Care Act enables states to establish specialized Medicaid health homes focused exclusively on individuals with sickle cell disease starting in 2026. If a state adopts this program, it must provide mandatory dental and vision coverage to enrolled patients, regardless of standard state Medicaid policies. States implementing these health homes will also be required to report on patient outcomes, access to care, and expenditures.

The Empowering Striking Workers Act of 2025 establishes a pathway for workers involved in a strike or lockout to receive unemployment insurance benefits after a mandatory 14-day waiting period. This legislation also exempts striking workers from the standard requirement to actively search for new employment while they are unable to work due to the labor dispute.