Legislative Activity

The No Surprises Act Enforcement Act significantly increases financial penalties for group health plans and insurance issuers that violate balance billing protections. It establishes steep fines, including up to $\$10,000$ per affected individual for serious non-compliance. Furthermore, the bill imposes severe penalties, including triple the disputed amount plus interest, for failing to make required payments promptly after an Independent Dispute Resolution (IDR) determination. Finally, it mandates more frequent and detailed transparency reporting on enforcement actions and violations.

The Veterans ACCESS Act of 2025 seeks to improve veterans' healthcare by revising the Veterans Community Care Program, enhancing mental health treatment programs, and implementing other healthcare improvements. Title I revises eligibility standards for community care, ensures veterans are informed about their options, and addresses care preferences and telehealth options. Title II standardizes eligibility for mental health programs, improves care quality, and ensures timely access to treatment. Title III focuses on improving healthcare services through online tools, modifying innovation programs, and increasing reporting on healthcare processes.

This bill establishes the Communications Security Act, which mandates the creation of a new advisory body, the Council on Communications Security, Reliability, and Interoperability, within the FCC. This Council will advise the FCC on enhancing the security and functionality of U.S. communications networks. Membership appointments are subject to the FCC Chair's discretion to exclude any entity deemed "not trusted" due to foreign influence or national security concerns. The Council is required to submit regular public reports with recommendations to the FCC Chair.

This Act mandates the relocation of the Department of Energy's Office of Fossil Energy and Carbon Management from Washington, D.C., to Pittsburgh, Pennsylvania, by the end of 2026. The Secretary of Energy must report to Congress afterward detailing employee turnover resulting from the move and plans to address resulting staff shortages.

The Pharmacy Benefit Manager Reform Act of 2025 aims to increase transparency and accountability across the prescription drug supply chain. It mandates fairer pharmacy network access for Medicare beneficiaries and imposes strict new financial reporting and service fee requirements on Pharmacy Benefit Managers (PBMs) working with Medicare and private health plans. Furthermore, the bill establishes new federal mechanisms to accurately track drug acquisition costs in Medicaid and explicitly bans the practice of "spread pricing" in state Medicaid contracts.

This resolution expresses support for designating July 10th as Journeyman Lineworkers Recognition Day. It honors the essential and dangerous work performed by these skilled professionals, especially their heroic efforts in restoring power after major disasters. The day serves to recognize their service and remember those who have lost their lives performing this vital work.

This resolution solemnly marks the one-year anniversary of the attempted assassination of President Donald J. Trump, condemning the multiple violent attempts against the President's life. It honors the victims of the shooting, including the late Corey D. Comperatore, and recognizes the bravery of first responders. Furthermore, the resolution condemns all incitement of violence against elected officials and calls for national unity against political violence.

This bill, the Protecting Patient Access to Cancer and Complex Therapies Act, establishes a new mandatory rebate system for manufacturers of certain drugs selected for Maximum Fair Price (MFP) negotiation under Medicare. Manufacturers must pay quarterly rebates based on the difference between the standard Medicare payment and the lower negotiated MFP for units sold under Part B. These changes also adjust beneficiary coinsurance calculations to reflect the lower MFP, ensuring patient out-of-pocket costs are based on the negotiated price.

The Guarantee Utilization of All Reimbursements for Delivery of Veterans’ Health Care Act (GUARD Veterans Health Care Act) mandates that the Department of Veterans Affairs (VA) must seek reimbursement from Medicare Advantage and Medicare Part D prescription drug plans for healthcare services provided to eligible veterans. Additionally, the bill strengthens the government's authority to recover costs for non-service-connected disability care from responsible third parties. It establishes strict timelines and penalties for third parties who fail to promptly process and pay these recovery claims to the VA.

This resolution expresses the disapproval of Congress regarding a recent rule issued by the Environmental Protection Agency (EPA) concerning California's motor vehicle and engine pollution control standards. Specifically, it rejects the EPA's proposed regulations covering heavy-duty vehicle emissions, warranties, maintenance, and zero-emission vehicle provisions. By disapproving the rule under the Congressional Review Act, Congress effectively nullifies the EPA's action.

This joint resolution seeks to disapprove and nullify a specific rule issued by the Environmental Protection Agency (EPA) regarding California's stringent motor vehicle and engine pollution control standards, known as the "Omnibus Low NOX Regulation." By exercising disapproval under the Congressional Review Act, this measure prevents the EPA's decision on waiving federal preemption for these California standards from taking legal effect. If passed, the EPA's rule will be entirely canceled.

This bill expresses the disapproval of Congress, under the Congressional Review Act, of a specific rule issued by the Environmental Protection Agency (EPA). The rejected rule concerned the National Emission Standards for Hazardous Air Pollutants for the rubber tire manufacturing industry. As a result of this disapproval, the EPA's proposed standards will not take effect.

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.

This resolution formally congratulates His Holiness Pope Leo XIV on his historic election as the 267th pontiff of the Holy Roman Catholic Church. It celebrates the significance of him being the first American-born Pope in the Church's history. The measure also commends his lifelong service, missionary spirit, and dedication to truth and mercy. Finally, it offers prayers for his leadership as he begins his papacy.

The Physician and Patient Safety Act establishes new federal regulations to guarantee due process rights for physicians facing restrictions or loss of hospital privileges. This ensures doctors receive a fair hearing and appeal process before any adverse action is taken against their ability to practice. Furthermore, the Act prohibits forcing physicians to waive these appeal rights as a condition of employment and mandates confidentiality for the review process.

This Act restricts federal funding from the Department of Homeland Security (DHS) for U.S. colleges and universities that maintain relationships with Confucius Institutes or designated "Chinese Entities of Concern." These entities are broadly defined to include Chinese schools involved in military fusion, intelligence support, or human rights abuses. Institutions must sever ties with these groups to remain eligible for DHS funding, though limited, case-by-case national security waivers may be granted. The DHS is also required to report annually to Congress on the implementation of these restrictions.

The Mental Health Improvement Act extends the availability of federal grants dedicated to mental and behavioral health education and training. This legislation shifts the funding period for these crucial training grants from fiscal years 2023–2027 to 2026–2030. The bill ensures continued support for developing the mental health workforce for an additional three years.

The Save Healthcare Workers Act aims to protect hospital personnel by making assault against them a federal crime with severe penalties. It also establishes a new federal grant program to help hospitals implement crucial safety measures, such as violence prevention training and physical security upgrades. This legislation seeks to reduce workplace violence in healthcare settings across the nation.

This bill amends Medicare rules to cap the out-of-pocket coinsurance amount beneficiaries must pay for certain services provided in an Ambulatory Surgical Center (ASC). If the standard ASC coinsurance exceeds the annual inpatient hospital deductible, the beneficiary's cost will be limited to that deductible amount. The Secretary will cover the difference owed to the ASC.

The Safeguard American Voter Eligibility Act (SAVE Act) significantly amends federal law to require individuals registering to vote in federal elections to present documentary proof of U.S. citizenship. This legislation mandates that states actively clean their voter rolls and cooperate with federal agencies to verify citizenship status. It establishes new criminal penalties for officials who fail to enforce these documentation requirements.