Legislative Activity

The Protecting Free Vaccines Act mandates that most private health insurance plans must cover specific vaccines recommended by the CDC's Advisory Committee on Immunization Practices (ACIP) without any out-of-pocket costs until January 1, 2030. This requirement also updates coverage rules for Medicare Part D, Medicaid, and CHIP to ensure continuity of coverage for these recommended immunizations. The bill locks in coverage based on the ACIP recommendations in place as of October 25, 2024, across various federal health programs.

This House Resolution strongly condemns all forms of political violence and threats against elected officials and public figures, regardless of political affiliation. It affirms that disagreements must be resolved through peaceful and democratic means, not intimidation or force. The resolution urges law enforcement to prosecute those who commit or encourage such violence. Finally, it calls on all leaders to cease using dehumanizing rhetoric and promote civil discourse.

The Special Diabetes Program Reauthorization Act of 2025 extends critical funding for the Special Diabetes Programs supporting Type 1 diabetes research and prevention. This bill commits $160 million annually for the program from fiscal years 2026 through 2030. The legislation ensures continued support for these vital diabetes initiatives over the next five years.

The Stop CMV Act of 2025 aims to establish a national framework for screening newborns for congenital Cytomegalovirus (CMV). This legislation authorizes federal funding for states to implement testing programs and improve data collection systems related to CMV. Furthermore, the bill mandates the expansion of research efforts through the NIH to improve CMV diagnostics, prevention, and treatment.

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 establishes the "Diaper Changing Station Restroom Credit" to incentivize eligible small businesses to install family-friendly restrooms. The credit covers 70% of qualified expenses, up to a limit, for installing diaper changing stations and dispensers in both men's and women's restrooms at a business location. Eligibility is based on gross receipts or employee count, and the provisions apply to tax years beginning after December 31, 2025.

The Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act amends the Social Security Act to provide Medicare Part B coverage for multi-cancer early detection screening tests starting January 1, 2028. This legislation establishes clear criteria for qualifying tests and outlines payment structures to ensure beneficiaries have access to these advanced diagnostic tools. Importantly, this coverage is designed to complement, rather than replace, existing Medicare-covered cancer screenings.

The Billionaires Income Tax Act fundamentally changes how the wealthiest Americans are taxed by eliminating the ability to defer taxes on investment gains, requiring annual recognition of appreciation on covered assets. This legislation treats transfers like gifts or death as taxable sales and imposes stricter tax rules across various investment and compensation scenarios for "applicable taxpayers." Ultimately, the bill aims to ensure immediate taxation on wealth accumulation for high-net-worth individuals and associated entities starting in 2026.

The AM Radio for Every Vehicle Act of 2025 mandates that the Secretary of Transportation establish a rule requiring AM broadcast radio receivers to be installed as standard equipment in new passenger motor vehicles. This requirement aims to ensure public access to AM radio signals, which are often used for emergency alerts. The bill also directs a GAO study on the effectiveness of AM radio within the national emergency alert system compared to other technologies. Finally, the Act preempts state and local laws on this matter and includes a sunset provision eight years after enactment.

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.

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 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 National Infrastructure Bank Act of 2025 establishes a new, mixed-ownership federal corporation chartered to finance major infrastructure projects across the nation. This legislation authorizes the Bank to raise substantial capital and issue significant loans to spur economic growth while prioritizing projects in disadvantaged communities. Furthermore, the bill grants the Bank and its specific investors favorable tax exemptions to encourage participation and operation.

This proposed constitutional amendment grants Congress and the states the authority to establish reasonable limits on campaign spending by candidates and outside groups to ensure fair elections. It allows for different spending regulations for individuals versus corporations or other entities. Crucially, this new power cannot be used to restrict the freedom of the press.

The Firefighter Learning And Management Education (FLAME) Act establishes new notification requirements for the Administrator of the U.S. Fire Administration when large-scale cancellations of National Academy for Fire Prevention and Control courses occur. It mandates timely notification to Congress and affected students regarding any significant course reductions. Furthermore, the bill allows fire departments to seek reimbursement for incurred expenses if a course is cancelled for reasons other than "good cause" and requires a GAO study on the impact of these cancellations.

This resolution expresses the sense of the House of Representatives opposing the implementation of the proposed Wasteful and Inappropriate Service Reduction (WISeR) Model. The House believes this model would severely undermine beneficiary access to necessary healthcare by significantly expanding prior authorization requirements in traditional Medicare. It urges the Centers for Medicare and Medicaid Services to terminate the plan due to concerns over patient access and the poor track record of private entities managing these reviews.

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 Reforming and Enhancing Sustainable Updates to Laboratory Testing Services Act of 2025 (RESULTS Act) aims to improve Medicare payment rates for clinical lab tests by mandating the collection of more accurate, real-world payment data directly from large, independent private insurance claims databases. This legislation updates definitions, collection timelines, and calculation methods to ensure Medicare payments for widely available tests reflect current market rates. It also establishes default payment rules if sufficient private payor data cannot be secured.

The REAL Health Providers Act mandates that Medicare Advantage plans maintain accurate and up-to-date public directories of their network providers starting in 2028. This legislation requires regular verification of provider information and establishes cost-sharing protections for patients who see listed providers who are ultimately out-of-network. Furthermore, plans must annually report their directory accuracy scores to the Secretary, which will eventually be made public.