Legislative Activity

The SHINE for Autumn Act of 2025 aims to significantly improve federal support for state-level stillbirth research and data collection. It authorizes grants for states to enhance surveillance, track risk factors, and build local capacity for analyzing stillbirth data, provided the information remains de-identified. Furthermore, the bill mandates the development of standardized guidelines and educational materials regarding stillbirth awareness and risk factors, developed in consultation with experts and bereaved families.

This bill establishes a six-year pilot program for hospitals to provide medically tailored, home-delivered meals and nutrition therapy to eligible Medicare patients upon discharge. The goal is to improve health outcomes and reduce hospital readmissions for individuals with diet-sensitive conditions who have difficulty with daily living activities. Participating hospitals will receive payment for these services, which must be provided at no out-of-pocket cost to the patient. The Secretary of Health and Human Services will evaluate the program's effectiveness using data collected from the participating sites.

This Act, the Ensuring Patient Access to Critical Breakthrough Products Act, aims to speed up Medicare coverage for innovative, FDA-approved "breakthrough devices." It establishes a process for manufacturers to gain a four-year transitional coverage period for these devices, ensuring patients have timely access while long-term coverage decisions are finalized. The bill also allocates funding to CMS to manage these expedited reviews and allows for oversight of provider billing practices related to these new technologies.

The "Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act" expands Medicare coverage to include FDA-approved multi-cancer early detection screening tests starting in 2028. It defines the criteria for these tests, sets payment guidelines, and establishes age and frequency limitations for coverage. The bill ensures that existing cancer screening coverage remains unaffected and allows for waivers of limitations based on recommendations from the United States Preventive Services Task Force.

This constitutional amendment seeks to grant Congress and the states the authority to regulate contributions and expenditures in political campaigns. It specifically allows for the establishment of public financing systems to offset the influence of private money in elections. The amendment ensures that any regulations enacted must not infringe upon the freedom of the press.

This bill expresses the disapproval of Congress regarding a recent rule issued by the Centers for Medicare & Medicaid Services (CMS) concerning the integrity and affordability of the Affordable Care Act marketplaces. Utilizing the Congressional Review Act, this measure immediately cancels the specific CMS regulation. Consequently, the proposed changes to marketplace rules will not take effect.

The **988 LGBTQ+ Youth Access Act of 2025** addresses the high rates of suicide risk among LGBTQ youth by strengthening specialized support through the national crisis hotline. This bill mandates that dedicated resources and services, such as a specific dialing option, must be maintained for LGBTQ individuals contacting 988. Furthermore, it requires that at least 9 percent of appropriated funds for the hotline be specifically reserved to ensure these specialized services for LGBTQ youth remain fully operational.

The Pay Our Troops Act of 2026 ensures that active duty military personnel and essential civilian support staff continue to receive their pay if Congress has not yet passed the full budget for fiscal year 2026. This act provides automatic continuing appropriations from the Treasury to prevent a lapse in military salaries due to budget delays. The funding automatically terminates once a new budget or continuing resolution is passed, or on January 1, 2027, whichever comes first.

The FAMILY Act establishes a national Paid Family and Medical Leave Insurance program administered by a new office within the Social Security Administration. This program provides monthly benefits to eligible individuals who take time off for qualified caregiving reasons, including serious health conditions or victims of violence. The Act also sets forth detailed eligibility requirements, benefit calculation formulas, and job protection guarantees for employees utilizing the leave. Finally, it creates a funding mechanism to support existing state-level paid leave programs that meet federal standards.

The Azerbaijan Sanctions Review Act of 2025 mandates the President to review specific Azerbaijani government and military officials for potential U.S. sanctions. This review is prompted by Congressional findings detailing severe human rights abuses, including the forced displacement from Nagorno-Karabakh and the alleged war crimes committed by Azerbaijani forces. The President must report to Congress within 180 days on whether these individuals meet the criteria for sanctions under existing human rights and anti-corruption laws. This action aims to address ongoing abuses and the detention of political figures and prisoners of war.

The FAIR Act of 2025 invalidates pre-dispute arbitration agreements and class action waivers for employment, consumer, antitrust, and civil rights claims. This law restores the right for individuals to pursue these disputes in court or through collective legal action. The provisions apply to all covered disputes arising on or after the date the Act is enacted.

The George Floyd Justice in Policing Act of 2025 is a comprehensive bill designed to increase police accountability and transparency nationwide through federal mandates and funding incentives. It reforms standards for prosecuting civil rights violations, eliminates qualified immunity, and establishes national registries for police misconduct and use-of-force data. Furthermore, the Act bans specific dangerous police tactics like chokeholds and restricts the transfer of military equipment to local departments.

The Limiting ICE’s Nationwide Encroachment Act (LINE Act) prohibits federal health agencies, like CMS and HHS, from sharing the personally identifiable Medicaid enrollment data of individuals with U.S. Immigration and Customs Enforcement (ICE). This measure is designed to protect the private health information of Medicaid recipients from being used for immigration enforcement purposes.

This bill prohibits the Secretary of Housing and Urban Development (HUD) from disclosing individual records to immigration enforcement agencies. HUD records are protected from sharing unless the individual provides consent or makes a written request in a language they understand. The legislation also prevents HUD from compelling public housing agencies to share these confidential records for immigration purposes.

This bill, the Congressional Tribute to Constance Baker Motley Act of 2025, posthumously awards the Congressional Gold Medal to the pioneering civil rights attorney and federal judge, Constance Baker Motley. The legislation recognizes her historic achievements, including her role in *Brown v. Board of Education* and her service as the first African-American woman appointed as a federal judge. The Secretary of the Treasury is authorized to strike the medal, and provisions are made for selling bronze duplicates to cover production costs.

The Liquid Cooling for AI Act of 2025 addresses the rapidly growing energy demands of AI data centers by mandating a comprehensive review of liquid cooling technologies. This review, conducted by the GAO, will assess the costs, benefits, and market readiness of systems like direct-to-chip and immersion cooling. Ultimately, the bill seeks to establish federal standards and recommendations to promote the efficient and secure deployment of advanced cooling solutions necessary for future high-performance computing.

This bill extends the special rule allowing low emission and energy-efficient vehicles access to High Occupancy Vehicle (HOV) lanes until December 31, 2026. It also mandates a study by the Secretary of Transportation to evaluate the effectiveness of this provision on reducing traffic congestion.

The Pakistan Freedom and Accountability Act expresses strong U.S. support for democracy and human rights in Pakistan, citing concerns over military influence and recent election interference. This legislation directs the President to identify and impose sanctions on Pakistani officials responsible for undermining democratic processes or committing serious human rights abuses. The Act emphasizes the need for civilian control over the military and sets an expiration date for its provisions in September 2030.

The HIV Prevention Now Act secures **\$2.165 billion** in dedicated funding for the CDC's National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention for Fiscal Year 2026. This appropriation is specifically earmarked to support the center's prevention programs and activities. This funding is supplemental to, and cannot be transferred from, other existing appropriations.

The Patients’ Right to Know Their Medication Act of 2025 mandates the creation of standardized, easy-to-read, one-page printed information accompanying all non-hospital prescriptions. This information must clearly detail essential safety warnings, usage instructions, and side effects in plain language, ensuring patients receive vital medication data regardless of electronic access. Failure to provide this required printed material will result in the drug being deemed "misbranded" under federal law. This aims to reduce adverse drug events and lower healthcare costs through improved patient understanding.