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 Neighborhood Homes Investment Act establishes a new federal tax credit designed to close the financing gap hindering the construction and rehabilitation of affordable starter homes in distressed communities. This credit incentivizes developers to build or substantially renovate housing in specific low-income census tracts and sell it affordably to qualified moderate-income homeowners. State agencies will manage the allocation of these credits, ensuring projects meet affordability standards and promoting revitalization in struggling neighborhoods.

The Personal Health Investment Today Act of 2025 (PHIT Act) aims to improve public health by incentivizing healthier lifestyles, particularly to combat obesity. This bill allows taxpayers to treat certain qualified sports and fitness expenses, such as gym memberships and instruction fees, as deductible medical expenses. Deductions are capped annually at \$1,000 per individual or \$2,000 for joint filers.

This bill amends the Internal Revenue Code to restore and modify the asset test for Real Estate Investment Trust (REIT) taxable REIT subsidiaries (TRSs). Specifically, it increases the allowable percentage for certain assets held by a TRS from 20 percent to 25 percent. This change will take effect for tax years beginning after December 31, 2025.

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.

This bill amends the Internal Revenue Code to officially treat payments made to a qualified health care sharing ministry as a deductible medical expense for tax purposes. Furthermore, the legislation clarifies that, for federal tax purposes, these ministries will no longer be considered health insurance plans. These changes are set to take effect for tax years beginning after December 31, 2025.

The MATCH IT Act of 2025 aims to significantly improve patient safety and reduce healthcare costs by establishing national standards for accurate patient identification across health systems. This bill mandates the creation of clear definitions and minimum data sets necessary to achieve a near-perfect patient match rate. Furthermore, it introduces voluntary incentives through Medicare to encourage providers to adopt these new, higher standards for linking patient records.

The Broadband Grant Tax Treatment Act excludes certain federal grants received for deploying broadband infrastructure from gross income, making those funds tax-free. This exclusion prevents taxpayers from claiming a deduction or credit for expenses covered by these grants. The bill ensures that the basis of property purchased with these tax-free funds is appropriately adjusted. This provision applies to grants received in taxable years ending after March 11, 2023.

The Supporting Innovation in Agriculture Act of 2025 introduces a tax credit for investments in innovative agricultural technology, aiming to boost the production, storage, and processing of specialty crops through precision and controlled environment agriculture. This credit covers 30% of qualified investments in projects using technologies like precision agriculture and controlled environment agriculture, effective for construction starting after January 1, 2025, and includes options for direct payment or transfer of the credit.

This bill amends Title XVIII of the Social Security Act to broaden access to telehealth services under Medicare. It expands the types of healthcare practitioners eligible to provide these services. This change aims to increase convenience and access to healthcare for Medicare beneficiaries.

The "Access Technology Affordability Act of 2025" introduces a tax credit for blind individuals who purchase qualified access technology, such as hardware or software that converts visual information into accessible formats. The credit is capped at $2,000 per blind individual over any three consecutive tax years and will be adjusted for inflation after 2026. This credit is effective for tax years starting after December 31, 2025, and expires after December 31, 2030. It ensures that individuals cannot claim double benefits for the same expenses.

The Heartbeat Protection Act of 2025 prohibits physicians from performing an abortion if a fetal heartbeat is detectable, subject to specific exceptions for medical emergencies, rape, and incest. Physicians who knowingly violate this federal law face potential fines and imprisonment, though the legislation explicitly protects the mother from prosecution. The bill also mandates strict documentation and record-keeping requirements for all heartbeat determinations and exception claims.

This bill amends the Internal Revenue Code to expand the railroad track maintenance credit by increasing the per-mile tax credit to $6,100 and implementing annual inflation adjustments starting in 2026. It also extends the eligibility window for qualifying maintenance expenditures to include costs incurred through 2023. These updates aim to provide greater financial support for ongoing railroad infrastructure improvements.