Legislative Activity

The Portable Ultrasound Reimbursement Equity Act of 2025 updates Medicare coverage to include diagnostic ultrasound tests. This legislation mandates that Medicare establish separate payments for the transportation and setup of portable ultrasound equipment, mirroring existing payments for portable X-ray services. These changes are set to take effect starting January 1, 2027.

This resolution emphasizes the critical role of Distributed Ledger Technologies (DLT), like blockchain, in strengthening democratic governance, protecting human rights, and increasing government transparency worldwide. It urges federal agencies to explore and support the use of DLT for secure digital identity, transparent aid distribution, and combating censorship. Ultimately, the bill calls for responsible policy development to harness DLT's potential for public good and resilient democratic systems.

The John W. Walsh Alpha-1 Home Infusion Act of 2025 amends Medicare to specifically cover augmentation therapy for individuals with severe Alpha-1 Antitrypsin Deficiency Disorder when administered in the home. This legislation establishes new payment rules under Medicare Part B for the necessary intravenous kits and associated nursing services. The goal is to ensure qualified home infusion suppliers are reimbursed directly for providing this essential, ongoing maintenance treatment.

The Puppy Protection Act of 2025 significantly increases humane treatment standards for dog dealers under the Animal Welfare Act. This legislation mandates specific minimum space requirements, daily exercise access, and mandatory socialization for housed dogs. Furthermore, it establishes strict limits on female dog breeding frequency and age, alongside enhanced veterinary care protocols.

The Law-Enforcement Innovate to De-Escalate Act of 2025 exempts specific, clearly defined less-than-lethal projectile devices from standard federal firearm restrictions under Title 18 of the U.S. Code. This exemption applies only to devices incapable of firing standard ammunition and designed to minimize the risk of serious injury or death. The bill also establishes a process for manufacturers to seek official confirmation from the Attorney General regarding a device's classification.

This bill officially designates the United States Postal Service facility located at 130 South Patterson Avenue in Santa Barbara, California, as the "Brigadier General Frederick R. Lopez Post Office Building." The legislation ensures that all federal records and documents will use this new official name for the location moving forward.

The Air America Act of 2025 recognizes the sacrifices of former Air America employees who served the U.S. Government between 1950 and 1976. This Act authorizes a one-time monetary award, up to $40,000 plus potential additional amounts, for qualifying service members or their survivors. The CIA Director is responsible for administering these payments, which are capped at a total of $60 million, and establishing the application procedures. Decisions made by the Director regarding these awards are final and not subject to judicial review.

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 SPEAK Act of 2025 directs the Department of Health and Human Services (HHS) to issue updated guidance on ensuring meaningful language access during telehealth services. This guidance must establish best practices for incorporating interpreters, improving access to technology, and providing multilingual patient materials for individuals with limited English proficiency. The goal is to ensure equitable care delivery across virtual health platforms.

The Major Richard Star Act ensures that military retirees with combat-related disabilities can receive both their military retirement pay and VA disability compensation concurrently without reduction. This law removes previous restrictions that caused military retirement pay to be offset by VA disability payments for these specific cases. The changes take effect on the first day of the month following the Act's enactment.

The Metastatic Breast Cancer Access to Care Act aims to improve support for individuals diagnosed with metastatic breast cancer. This bill eliminates the standard waiting period for receiving Social Security disability insurance benefits and waives the 24-month waiting period for Medicare coverage. These changes ensure immediate access to crucial financial and healthcare support upon diagnosis.

The Combating Houthi Threats and Aggression Act commits the U.S. to working with allies to secure vital shipping lanes against Houthi attacks. The bill mandates several detailed, regular reports to Congress regarding Houthi capabilities, their threats to navigation, and violations of the UN arms embargo. Furthermore, it authorizes the President to impose strict sanctions, including asset freezes and travel bans, on foreign individuals supporting Houthi aggression against international shipping. This entire Act is set to expire five years after its enactment.

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.

Tyler's Law mandates a comprehensive study by the Secretary of Health and Human Services on the frequency, cost, and impact of fentanyl testing in hospital emergency departments during overdose cases. Following the study, the Secretary must issue guidance on whether routine fentanyl testing should become standard practice for overdose patients. This guidance will also address staff training regarding existing drug test panels and the long-term health implications of such testing.

This Act mandates that the Department of Defense (DoD) immediately seek to update its stormwater discharge permits to require quarterly testing for PFAS chemicals at all facilities. Furthermore, the DoD must implement necessary cleanup measures to reduce these discharges. At least one percent of annual PFAS cleanup funding must be dedicated specifically to this required stormwater testing.

The Wildland Firefighter Paycheck Protection Act of 2025 establishes permanent, higher base pay rates for federal wildland firefighters based on their GS grade. It also creates a significant daily premium pay bonus for time spent responding to qualifying wildfire incidents. Finally, the bill mandates new paid rest and recuperation leave for firefighters following deployment to ensure proper recovery.

The James Earl Jones Congressional Gold Medal Act directs the Speaker of the House and the President pro tempore of the Senate to arrange for the posthumous presentation of a Congressional Gold Medal to James Earl Jones, honoring his contributions to the United States and his work promoting inclusion in film and theatre. The Secretary of the Treasury will create the gold medal, and bronze duplicates will be made available for sale to the public.

The "Stop Fentanyl Money Laundering Act of 2025" aims to combat fentanyl and narcotics trafficking by enhancing financial institutions' ability to detect and report money laundering activities. It authorizes the Treasury Secretary to impose special measures against financial institutions involved in illicit fentanyl financing, mandates updated advisories on identifying Chinese professional money laundering networks, and requires guidance for reporting suspicious transactions linked to transnational criminal organizations involved in narcotics trafficking. The Act also calls for a comprehensive report on lessons learned from past drug crises to inform strategies for addressing the opioid crisis.

The Cutting Red Tape on Child Care Providers Act of 2025 aims to improve child nutrition by simplifying regulations that hinder the serving of fresh foods. This bill prohibits states from creating barriers that prevent licensed and exempt child care facilities from performing simple food preparation, such as washing and cutting fruits and vegetables. By streamlining these rules, the Act seeks to support providers and encourage healthier eating habits for children.

The TOTAL Care Act initiates a five-year pilot program within the TRICARE Prime program, allowing female beneficiaries to access obstetrical and gynecological care without needing a referral, including the option to select a TRICARE OBGYN provider as an additional primary care manager. Within four years, the Secretary of Defense must report to Congress on the program's impact on TRICARE Prime enrollment and costs.