Legislative Activity

The Improving Seniors’ Timely Access to Care Act of 2025 aims to streamline and modernize the prior authorization process within Medicare Advantage plans. This bill mandates the adoption of electronic prior authorization systems and significantly increases transparency regarding approval rates and decision times starting in 2027. Furthermore, it establishes new enrollee protections and grants the Secretary authority to enforce faster decision timeframes for medical services.

The Punishing Illegal Immigrant Felons Act of 2025 significantly increases prison sentences for non-citizens who commit crimes after entering the U.S. illegally or after being previously removed. This legislation mandates substantial minimum prison terms—including an additional five years for illegal entry followed by a felony conviction and a new ten-year minimum for re-entry after deportation coupled with a crime. The bill aims to impose much harsher penalties on undocumented immigrants who commit serious offenses.

The Prove It Act aims to strengthen protections for small businesses against burdensome federal regulations. It establishes a formal process for small entities to challenge agency claims that a proposed rule will not significantly impact them. The bill also expands the required analysis of indirect costs and imposes consequences if agencies fail to periodically review existing rules on time.

This bill directs the Department of Energy to establish a research program focused on developing novel technologies to rapidly detect fentanyl vapor or particles. The Secretary of Energy must coordinate this research with the Departments of Justice and Homeland Security, as well as the Postal Service. The goal is to support rapid screening efforts in high-risk areas such as mail facilities, prisons, and U.S. borders.

The Deafblind DATA Act aims to establish a more accurate count of Americans who are deafblind by directing the Census Bureau to cross-reference existing survey data. This new law mandates the annual publication of a public table detailing the demographic and economic characteristics of the deafblind population by state, starting in 2026. The goal is to provide essential data to ensure these individuals receive necessary support and resources.

The Safeguarding American Property Act of 2025 expands mandatory detention requirements for certain non-citizens who commit specific property crimes. This legislation adds offenses like trespassing, vandalism, and arson to the list of crimes that require immigration authorities to detain an individual during removal proceedings. The bill also clarifies language related to violent offenses to ensure comprehensive grounds for detention.

The Fairness for Stay-at-Home Parents Act amends the Family and Medical Leave Act (FMLA) to clarify job protection for leave taken following the birth of a child. Crucially, it requires employers to notify employees that premium payments made for their health insurance during birth-related leave are generally not recoverable if the employee chooses not to return to work. This ensures financial clarity for parents taking leave for a new child.

The Worker Enfranchisement Act establishes stricter requirements for a union to become the exclusive representative for a group of employees. Under the new rules, a union must win a secret ballot election where more than half of the votes cast favor the union, and at least two-thirds of all eligible employees must participate in the vote. These new turnout and majority standards will apply to elections held six months after the Act's enactment.

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 SNAP Reform and Upward Mobility Act of 2025 aims to overhaul poverty measurement by mandating more detailed data collection and establishing new valuation methods for federal benefits. Additionally, the bill significantly modifies the SNAP program by tightening work requirements, increasing state financial responsibility for administration, and imposing new eligibility hurdles for recipients. These changes seek to better reflect economic reality while increasing incentives for employment within the nutrition assistance program.

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 Dietary Guidelines Reform Act of 2025 changes the required update cycle for official dietary guidelines from every five years to at least every ten years, requiring adherence to formal rulemaking procedures. The bill mandates that future guidelines must be based on rigorous, evidence-based scientific review and address accessibility and affordability for all populations. If updates occur sooner than the ten-year cycle, an independent, temporary advisory board must be established to submit guiding scientific questions. The Act also strictly limits the scope of the guidelines, excluding topics like taxation, social welfare, and food production methods.

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 DOE and NASA Interagency Research Coordination Act formalizes collaboration between the Department of Energy and NASA on critical research and development projects. This bill authorizes the two agencies to jointly pursue advancements in areas like advanced propulsion, quantum technology, and fundamental science through competitive awards. The coordination aims to leverage the unique capabilities of both agencies to achieve shared mission goals and requires a public report on progress two years after enactment.

The Medicare and Medicaid Fraud Prevention Act mandates that states implement rigorous screening for all enrolled healthcare providers. Specifically, this legislation requires states to verify that all Medicaid providers are alive by checking the federal Death Master File upon enrollment and at least quarterly thereafter. This measure aims to prevent fraudulent payments made to deceased individuals or entities.

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 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 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.

This bill mandates automatic pay reductions for Members of Congress if the nation hits the public debt limit or experiences a government shutdown. The pay cut is calculated based on one day's salary multiplied by the number of days the crisis lasts. Special, temporary escrow rules apply to the 119th Congress to address constitutional concerns, with general rules taking full effect after the November 2026 election. The Secretary of the Treasury is required to assist congressional payroll offices in implementing these provisions.

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.