Legislative Activity

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 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 National Fallen Firefighters Memorial Coin Act authorizes the Secretary of the Treasury to mint and issue special commemorative gold, silver, and clad coins honoring the National Fallen Firefighters Memorial. These coins will be sold to the public, with surcharges from the sales benefiting the National Fallen Firefighters Foundation. The Treasury must ensure that the production and issuance of these coins result in no net cost to the U.S. Government.

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 Independent Programmers Tax Incentive Act establishes a new tax credit for distributors who carry programming from qualifying independent content creators. This legislation aims to encourage broader carriage of smaller programmers by offering financial incentives to distributors like cable and streaming services. Additionally, the bill mandates the FCC to submit biennial reports to Congress regarding the distribution landscape for these independent programmers.

This bill amends the Internal Revenue Code to restore and modify the asset test for Real Estate Investment Trust (REIT) taxable REIT subsidiaries (TRSs). Specifically, it increases the allowable percentage for certain assets held by a TRS from 20 percent to 25 percent. This change will take effect for tax years beginning after December 31, 2025.

The Protecting Access to Ground Ambulance Medical Services Act of 2025 extends the current Medicare payment structure for ground ambulance services. This change ensures continuity in how these vital services are reimbursed under existing rules. Specifically, the temporary payment pilot program is extended through 2028, preventing an immediate change in payment policy.

The Restore Protections for Dialysis Patients Act aims to prevent private health insurance plans from discriminating against patients with End-Stage Renal Disease (ESRD). This legislation clarifies that plans cannot offer worse benefits or unfairly limit coverage for dialysis treatments compared to other medical services. Furthermore, it stops these plans from shifting the primary financial responsibility for ESRD care onto Medicare. The bill maintains existing rules ensuring fair treatment while preserving a health plan's ability to select its network of dialysis providers.

The Delinking Revenue from Unfair Gouging Act (DRUG Act) fundamentally reforms how Pharmacy Benefit Managers (PBMs) are paid for administering prescription drug benefits, effective January 1, 2027. This legislation prohibits PBMs from receiving most revenue tied to drug prices, rebates, or discounts from third parties. Instead, PBMs may only charge a strictly defined, flat-rate "bona fide service fee" for itemized services rendered. The bill mandates that all negotiated rebates and discounts must be fully passed through to the health plan or issuer to lower prescription costs for members.

The Veteran Caregiver Reeducation, Reemployment, and Retirement Act aims to support family caregivers as they transition out of their roles. This bill extends medical care coverage for 180 days post-designation and mandates job assistance, including fee reimbursement and access to training resources. Furthermore, it requires the VA to study the feasibility of establishing retirement savings options and creating "returnship" programs for former caregivers.

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 Correcting Guam's History in the PACT Act expands eligibility for veterans who served in Guam to receive a presumption of service connection for diseases linked to herbicide exposure. This change specifically covers service in Guam between August 15, 1958, and July 31, 1980. Coverage for veterans who served in American Samoa remains unchanged.

The Postal Police Reform Act of 2025 officially designates Postal Service police officers as federal law enforcement agents under Title 18 of the U.S. Code. This legislation grants the Postmaster General the authority to establish and enforce rules for protecting Postal Service property. Violations of these new rules may result in federal fines or imprisonment up to 30 days.

The HELPER Act of 2025 establishes a new FHA mortgage insurance program to assist first responders, educators, and law enforcement officers in purchasing homes. This program offers eligible first-time homebuyers 100% financing with no down payment required. Instead of monthly premiums, borrowers pay an upfront FHA insurance premium at closing.

The "Pandemic Unemployment Fraud Enforcement Act" extends the statute of limitations to 10 years for prosecuting fraud related to specific pandemic unemployment programs. It applies to violations or conspiracies under Title 18 and Title 31 of the U.S. Code and rescinds $5,000,000 from previously allocated funds to offset the budget. The changes made by this law will begin on the date of enactment.

The Rights for the Transportation Security Administration Workforce Act transitions TSA personnel to standard federal employment rules under Title 5 of the U.S. Code by a set date no later than December 31, 2025. This mandates the freezing of current personnel policies during the transition while protecting current employee pay and benefits. The bill also requires extensive reviews by the Comptroller General on hiring, diversity, and workplace safety, and mandates consultation with employee representatives regarding labor relations. Finally, it ensures that screening agents retain collective bargaining rights and addresses specific concerns for Federal Air Marshals.

This bill recognizes and celebrates the 113th anniversary of the Girl Scouts of the United States of America and its founder, Juliette Gordon Low, for their legacy of empowering girls. It acknowledges the organization's focus on STEM, outdoors, and entrepreneurship, and the release of the Juliette Gordon Low Commemorative Quarter. The bill also congratulates Girl Scouts who earned the Gold Award in 2024 and encourages the Girl Scouts of the United States of America to continue to champion the ambitions, nurture the creativity, and support the talents of future women leaders.

The Military Spouse Hiring Act amends the Internal Revenue Code to expand eligibility for the Work Opportunity Tax Credit (WOTC). This change allows employers to claim the tax credit for hiring qualified military spouses. A qualified military spouse is defined as someone certified as being married to a member of the U.S. Armed Forces.

The Crucial Communism Teaching Act mandates the development of a high school civic education curriculum focused on the history and dangers of communism. This curriculum must detail the death toll caused by communist regimes and highlight ongoing human rights abuses. The Act also requires the creation of "Portraits in Patriotism" oral history resources featuring victims of oppressive political systems.

The Credit for Caring Act of 2025 establishes a new, non-refundable federal income tax credit for working family caregivers who incur significant expenses caring for a relative with long-term care needs. Eligible caregivers can claim a credit equal to 30% of qualified expenses exceeding \$2,000, up to a maximum annual credit of \$5,000. The bill specifies detailed requirements for the care recipient's needs, the types of allowable expenses, and includes income phase-out limits for claiming the benefit.