Legislative Activity

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.

The Bolstering Research And Innovation Now (BRAIN) Act aims to significantly advance the fight against brain tumors by increasing research funding and improving patient access to care. This legislation establishes new networks for glioblastoma research, creates a public database for tracking biospecimens, and launches a national awareness campaign about clinical trials. Furthermore, the Act funds pilot programs to improve long-term care for survivors and directs the FDA to ensure brain tumor patients are not unfairly excluded from relevant clinical trials.

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.

The Reducing Medically Unnecessary Delays in Care Act of 2025 aims to establish stricter federal standards for prior authorization decisions made by Medicare contractors and private Medicare plans. This bill mandates that coverage denials must be based on clear, evidence-based clinical criteria developed with input from practicing physicians. Furthermore, it requires plans to post their authorization rules online, provide advance notice of changes, and publicly report approval and denial statistics. Finally, all final denials of care must be reviewed and issued by a qualified, board-certified physician.

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.

The Innovative FEED Act of 2025 establishes a new regulatory category for "zootechnical animal food substances" intended to modify animal digestive byproducts or reduce foodborne pathogens without treating disease. This bill mandates that these new substances must undergo the standard food additive approval process with the FDA, requiring petitioners to provide extensive data on their intended effects. Approval is contingent upon proving the substance achieves its claimed function under proposed use conditions, and all resulting animal food must carry a specific disclaimer stating it is not for disease treatment.

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 Restore Protections for Dialysis Patients Act aims to prevent private health insurance plans from discriminating against patients with End-Stage Renal Disease (ESRD). This legislation clarifies that plans cannot offer worse benefits or unfairly limit coverage for dialysis treatments compared to other medical services. Furthermore, it stops these plans from shifting the primary financial responsibility for ESRD care onto Medicare. The bill maintains existing rules ensuring fair treatment while preserving a health plan's ability to select its network of dialysis providers.

The HELPER Act of 2025 establishes a new FHA mortgage insurance program to assist first responders, educators, and law enforcement officers in purchasing homes. This program offers eligible first-time homebuyers 100% financing with no down payment required. Instead of monthly premiums, borrowers pay an upfront FHA insurance premium at closing.

This resolution seeks to exercise congressional disapproval of the EPA’s "Waste Emissions Charge for Petroleum and Natural Gas Systems" rule. If passed, the measure would nullify the rule, ensuring it has no legal force or effect.

The Radiation Oncology Case Rate Value Based Program Act of 2025 establishes a new Medicare payment system that pays providers a single, set rate for an entire episode of radiation therapy care, rather than paying for individual services. This program aims to incentivize high-quality, efficient care while achieving cost savings for Medicare. It also includes specific provisions to support patient access, such as a health equity bonus for addressing transportation insecurity. Finally, the bill exempts the savings generated by this new payment structure from standard Medicare budget neutrality adjustments.

The Resident Education Deferred Interest (REDI) Act amends federal student loan regulations to provide a specific deferment for medical and dental residents. This allows borrowers currently serving in an internship or residency program to pause principal payments and prevent interest accrual on their student loans during that training period.

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 Medicare Home Health Accessibility Act updates Medicare rules to explicitly include the need for occupational therapy as a valid basis for qualifying for home health services under both Part A and Part B. This change ensures that occupational therapy is treated equally alongside physical and speech therapy when determining eligibility for in-home care. These new provisions will take effect for services provided on or after January 1, 2026.

The Providing Veterans Essential Medications Act allows State homes caring for veterans to choose how they receive reimbursement for very high-cost medications. State homes can opt to be reimbursed directly for the medication's cost or have the Secretary of the VA furnish the drug directly. This provision applies only when the cost of a specific medication exceeds a defined threshold relative to the standard monthly payment for that veteran's care.

The "End Congressional Stock Trading Act" prohibits Members of Congress, their spouses, and dependent children from owning or trading stocks, bonds, commodities, futures, and other securities, with certain exceptions like diversified investment funds and U.S. Treasury securities. Current and new members, along with their families, must divest prohibited assets within specified timeframes, with extended periods for complex investments. Violators may face civil penalties up to $100,000 per violation, and the bill allows for deferred capital gains taxes on required asset sales reinvested in permissible assets.

The "Securing Access to Care for Seniors in Critical Condition Act of 2025" amends the Social Security Act to change Medicare payment rules for long-term care hospitals. Beginning October 1, 2026, hospitals will not be subject to site-neutral payment rules for patients discharged under specific high-severity diagnosis groups. This adjustment aims to ensure adequate financial support for hospitals treating the most critical patients.

The SPEED for BEAD Act amends the Infrastructure Investment and Jobs Act to streamline broadband deployment grants. It renames the "Equity" program to "Expansion," allows funds for workforce development, and permits removal of high-cost locations from project areas. The act also prohibits certain conditions related to labor, climate change, and network management, and ensures consideration of all broadband technologies.

The Methane Reduction and Economic Growth Act amends existing tax law to create a new incentive credit for capturing methane gas emitted from mines. This credit mirrors the existing carbon capture tax structure, applying it specifically to qualified methane captured from mining operations. The goal is to encourage the capture and beneficial use of this potent greenhouse gas, provided certain construction and capture thresholds are met.