Legislative Activity

The "Prevent Interruptions in Physical Therapy Act of 2025" ensures Medicare beneficiaries can continue receiving uninterrupted physical therapy services. It allows physical therapists to utilize temporary staffing arrangements, known as "locum tenens," when the regular therapist is temporarily unavailable. This ensures Medicare payments for services provided by qualified substitute physical therapists, maintaining consistent care for patients.

This bill amends the Social Security Act to equalize the negotiation period for drug price negotiations under the Drug Price Negotiation Program. It changes the negotiation period for small-molecule drugs from 7 years to 11 years, matching the period already in place for biologic drugs. This adjustment aims to create parity in negotiation timelines between different types of medications, effective as if included in the original legislation.

The "Protect America's Innovation and Economic Security from CCP Act of 2025" establishes a CCP Initiative within the Department of Justice to combat Chinese Communist Party (CCP) espionage and theft of U.S. intellectual property. This initiative will focus on enforcement, identifying threats, protecting critical infrastructure, and investigating Chinese companies. The Attorney General is required to submit annual reports to Congress on the initiative's progress and impact. The initiative is set to expire six years after enactment.

The "Accelerating Kids Access to Care Act of 2025" streamlines the enrollment process for out-of-state healthcare providers in Medicaid and CHIP, ensuring children under 21 have access to care from eligible providers across state lines. By reducing administrative burdens and unnecessary screening requirements, the Act aims to improve healthcare access for children while maintaining necessary safeguards against fraud and abuse. Participating providers will be enrolled for a 5-year period, and the changes will take effect three years after the Act's enactment.

The "Downwinders Parity Act of 2025" amends the Radiation Exposure Compensation Act to expand coverage areas to include all acreage in counties partially within the covered area, while removing specific townships. It extends the trust fund supporting the Act until December 31, 2030. Additionally, it requires the Attorney General to report on outreach efforts to newly eligible individuals.

This bill amends the Social Security Act to require certain adults on Medicaid to complete 80 hours per month of work, community service, or a work program to maintain eligibility. Federal funding to states would be denied for those who do not meet this "community engagement requirement" for at least 3 months of the year. Certain individuals, such as those under 18 or over 65, pregnant individuals, and those with disabilities, are exempt from this requirement. States have the option to disenroll individuals if federal funding is unavailable due to non-compliance.

The "National Right-to-Work Act" amends both the National Labor Relations Act and the Railway Labor Act to protect an employee's right to choose whether or not to join or support a labor union. It eliminates the possibility of mandatory union membership or dues payments as a condition of employment, ensuring that employees cannot be forced to join or support a union against their will.

The SAFE for America Act of 2025 eliminates the Diversity Visa Program, which makes visas available to persons from countries with low rates of immigration to the United States. This is achieved through repealing subsection (c) of Section 203 of the Immigration and Nationality Act. The Act also makes corresponding technical amendments to other sections of the Immigration and Nationality Act to reflect this change. These changes would take effect beginning October 1, 2025.

The Water Rights Protection Act affirms the long-standing authority of states in evaluating, regulating, and allocating water use. It prohibits federal agencies from imposing restrictions on water rights that exceed those established under state law when issuing land use agreements. Furthermore, the Act explicitly forbids federal agencies from conditioning permits on the transfer of state-recognized water rights to the United States. This legislation ensures federal actions remain consistent with state water law without altering existing reserved water rights or certain federal environmental laws.

The WEST Act of 2025 nullifies the Bureau of Land Management's Conservation and Landscape Health rule. This prevents the rule from being implemented.

The "Protect Medicaid Act" prohibits federal Medicaid funding for state administrative costs associated with providing healthcare benefits to unauthorized immigrants. It requires a report from the Inspector General of the Department of Health and Human Services on how states that offer health benefits to non-lawfully admitted noncitizens handle Medicaid program administration costs separately. The report will also cover how these states fund programs for non-lawfully admitted noncitizens and analyze the impact of these non-lawfully admitted noncitizens receiving outpatient drugs purchased under the Medicaid Drug Rebate Program or the 340B drug discount program.

The SAFE Act amends the Social Security Act to include physical and occupational therapy benefits in Medicare annual wellness visits and initial preventive physical exams starting in 2026 for individuals determined to have fallen in the previous year. It mandates that these individuals receive falls risk assessments, fall prevention services, and outpatient therapy services. Additionally, the Act requires the Secretary of Health and Human Services to submit annual reports to Congress on falls experienced by individuals aged 65 and older.

The ACCESS Act modifies health savings account (HSA) rules to allow contributions in place of cost-sharing reductions for certain health plans. For eligible individuals enrolled in a high-deductible health plan through an exchange, the health insurance issuer will contribute to the individual's HSA, with the government reimbursing the issuer for these payments. To ensure funds are used for healthcare, distributions from the HSA during months when contributions are received must be made via a qualified medical debit card. The Act also mandates public education on HSA contributions and appropriates funds for cost-sharing reduction payments and HSA contributions, effective for months beginning after December 31, 2025.

This bill disapproves of and nullifies a Forest Service rule concerning law enforcement and criminal prohibitions. The rule was published in the Federal Register and this bill seeks to overturn it.

The Dismantle DEI Act of 2025 aims to immediately rescind diversity, equity, and inclusion (DEI) mandates across the federal government, including shutting down related offices and banning specific ideological training for federal personnel and contractors. The bill prohibits the use of federal funds for DEI activities by grant recipients and mandates that federal advisory committees cease all such practices or face termination. Furthermore, it establishes strong enforcement mechanisms, allowing individuals to sue violators and seek financial penalties for non-compliance.

The "Health Out-of-Pocket Expense Act of 2025" or the "HOPE Act of 2025" establishes tax-exempt "Hope Accounts" for eligible individuals to pay for qualified medical expenses. Contributions to these accounts are capped at \$4,000 annually for self-only or married individuals with family coverage, and \$8,000 for heads of household with family coverage, with employer and Medicaid contributions limited to 50% of the individual's limit. Distributions used for qualified medical expenses are tax-free, while non-qualified distributions are subject to income tax and a 30% penalty, with exceptions for distributions after death or due to disability. These provisions will take effect for taxable years beginning after December 31, 2025.

The "Refugees Using Legal Entry Safely Act" or "RULES Act" modifies asylum eligibility by requiring aliens to apply for asylum only at a port of entry, regardless of status. It prohibits the parole or release of any alien applying for asylum at a port of entry and removes considerations for safe third countries. This act does not apply to aliens apprehended in the U.S. after entering without inspection or overstaying their visa.

The "Medicare Patient Access and Practice Stabilization Act of 2025" extends increased Medicare payment support for physicians and practitioners through 2025. It increases payment rates by 6.62% for services provided from April 1, 2025, to January 1, 2026. The bill also updates a section of the Social Security Act to include the years 2021 through 2025 for conforming changes.

The "Fix Our Forests Act" aims to improve forest management and wildfire resilience through landscape-scale restoration, community protection in wildland-urban interfaces, and enhanced transparency and technology. It establishes programs for wildfire risk reduction, reforestation, and biochar development, while also focusing on restoring white oak populations and supporting the families of firefighters. The act streamlines project approvals, encourages collaboration, and implements litigation reforms to expedite forest management activities. Additionally, it creates a casualty assistance program for firefighters and support personnel who are seriously injured, become ill, or die while on duty.

The Federal Insurance Office Elimination Act eliminates the Federal Insurance Office and the position of its Director within the Department of the Treasury. It transfers certain responsibilities and authorities previously held by the office to other entities, such as the Secretary of the Treasury and the Board of Governors. The act also makes related amendments to the Dodd-Frank Wall Street Reform and Consumer Protection Act and the Economic Growth, Regulatory Relief, and Consumer Protection Act to reflect these changes. This bill does not repeal or limit the Secretary of the Treasury's authority over insurance-related matters.