Legislative Activity

The Emergency Care Improvement Act officially brings qualifying Freestanding Emergency Centers (FECs) into the standard Medicare and Medicaid coverage systems. This legislation ensures that these state-licensed facilities, which operate as full emergency departments, are reimbursed for providing specified emergency services. Furthermore, the Act explicitly includes FECs under the requirements of the Emergency Medical Treatment and Labor Act (EMTALA).

The Seniors’ Access to Critical Medications Act of 2025 temporarily modifies the physician self-referral prohibition (Stark Law) to allow physician practices to dispense certain Medicare Part D prescription drugs directly to their patients between 2026 and 2030. This exception is subject to specific conditions regarding prescribing, patient history, and dispensing location. The bill also mandates a GAO study to examine trends in physician office drug dispensing and makes a minor adjustment to the allocation for the Medicare Improvement Fund.

The Canadian Snowbird Act creates a special visitor status for qualifying Canadian retirees, allowing them to stay in the U.S. for up to 240 days per year while maintaining their Canadian residency. This legislation also ensures that these Canadian visitors are treated as non-resident aliens for U.S. tax purposes, preventing them from being taxed like U.S. residents. The bill aims to simplify entry and tax obligations for long-term seasonal visitors from Canada.

The Duty Drawback Clarification Act updates the U.S. tariff schedule to standardize the classification of whiskies under Chapter 22. This legislation removes an outdated whiskey classification code and requires the U.S. International Trade Commission to add new statistical tracking codes for imports. These changes will take effect 15 days after the Act is officially enacted.

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 IRA Charitable Rollover Facilitation and Enhancement Act of 2025 removes the current restriction preventing individuals from making direct charitable rollovers from their Individual Retirement Accounts (IRAs) to Donor Advised Funds (DAFs). This change immediately allows IRA owners to transfer retirement assets directly to DAFs for charitable purposes. The bill simplifies and enhances charitable giving options for IRA holders.

The Hospital Adoption Education Act of 2025 aims to improve adoption awareness and support within healthcare settings. This legislation directs the Secretary of Health and Human Services to develop and distribute educational resources for hospital staff regarding sensitive adoption issues. Furthermore, the Act establishes grants to fund professional development and training for care providers on patient-centered care for expectant mothers and adoptive families. The goal is to ensure objective, unbiased information is accessible where expectant parents most trust to find it.

The Affordable Housing Credit Improvement Act of 2025 updates federal housing tax credit allocations to reflect current economic realities and boosts minimum state allotments. It reforms tenant eligibility rules to stabilize tenancy and enhance protections for vulnerable residents, including victims of abuse. The bill also provides disaster relief for property owners, increases incentives for housing the extremely low-income, and directs greater resources toward Native American and rural housing needs. Finally, it streamlines administrative processes and signals a future focus on data transparency and discouraging restrictive local zoning.

The Secure Family Futures Act of 2025 modifies tax treatment for certain debt holdings of applicable insurance companies, excluding specific debt instruments from being treated as capital assets for tax purposes. Additionally, this Act extends the capital loss carryover period to 10 years for specified losses incurred by these insurance companies. These changes apply only to transactions occurring after December 31, 2025.

The Tax-Free Pell Grant Act makes Federal Pell Grants entirely tax-free, regardless of how the funds are used. Additionally, the bill expands what expenses qualify for the American Opportunity and Lifetime Learning Tax Credits, allowing students to include costs like child care and computer equipment. These changes are set to take effect for tax years beginning after December 31, 2024.

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.

The Protect TANF Resources for Families Act ensures that federal Temporary Assistance for Needy Families (TANF) funds supplement, rather than replace, existing state spending, requiring gubernatorial certification of compliance. Additionally, this bill provides a two-year reauthorization for most existing TANF Part A activities through September 30, 2026. This extension guarantees continued funding for current state-level support programs.

The Unfair Tax Prevention Act amends the Base Erosion and Anti-Abuse Tax (BEAT) rules to specifically target certain U.S. companies connected to foreign tax systems operating outside their direct jurisdiction. These "foreign-owned extraterritorial tax regime entities" will now be automatically subject to BEAT, with specific exceptions removed and a portion of their cost of goods sold automatically treated as a base erosion benefit. This legislation aims to close loopholes related to complex, indirect foreign ownership structures.

The Revitalizing Downtowns and Main Streets Act establishes a new 20% federal tax credit for converting eligible, older commercial buildings into affordable housing. This incentive aims to increase housing supply by requiring that at least 20% of the converted units remain rent-restricted for low-income residents for 30 years. State agencies will allocate these credits, which are subject to a national cap of $12 billion, based on approved plans prioritizing financially necessary projects.

The **SCREENS for Cancer Act of 2025** seeks to reauthorize and update the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). This legislation expands the program's focus to include cancer prevention and aims to reduce health disparities in screening access. The bill authorizes $235 million annually for fiscal years 2026 through 2030 and mandates a GAO study on program eligibility and service trends.

The Collegiate Housing and Infrastructure Act of 2025 permits qualifying charities to provide grants to college social or athletic organizations specifically for collegiate housing and infrastructure projects without jeopardizing their tax-exempt status. This legislation clarifies that such grants remain eligible for donor deductions, provided the housing primarily serves full-time students. The Act specifically excludes funding for physical fitness facilities from these provisions.

The Improve Transparency and Stability for Families and Children Act modifies the deadlines for states to obligate and expend funds received under the Temporary Assistance for Needy Families (TANF) program, beginning in fiscal year 2027. This legislation allows states to reserve a limited percentage of future funds for later use, provided they notify the Secretary of Health and Human Services. The goal is to ensure timely use of federal assistance while offering limited flexibility for state planning.

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 Fair Access In Residency (FAIR) Act of 2025 aims to ensure equitable treatment of osteopathic (D.O.) and allopathic (M.D.) medical school graduates in residency applications. It requires hospitals receiving Medicare funds to report detailed data on D.O. and M.D. applicants and acceptances for each residency program. Hospitals failing to submit this required data will face a 2% reduction in their Medicare payments. This collected data will also be made publicly available to promote transparency in the residency recruitment process.

This act, officially named the Eliminating Fraud and Improper Payments in TANF Act, aims to strengthen the integrity of the Temporary Assistance for Needy Families (TANF) program. It mandates that states administering TANF must now adhere to the federal Payment Integrity Information Act of 2019 to identify and stop improper payments. Furthermore, the Secretary of Health and Human Services must report to Congress on a comprehensive plan to reduce these improper payments over the next decade.