Legislative Activity

This bill, the Protecting Patient Access to Cancer and Complex Therapies Act, establishes a new mandatory rebate system for manufacturers of certain drugs selected for Maximum Fair Price (MFP) negotiation under Medicare. Manufacturers must pay quarterly rebates based on the difference between the standard Medicare payment and the lower negotiated MFP for units sold under Part B. These changes also adjust beneficiary coinsurance calculations to reflect the lower MFP, ensuring patient out-of-pocket costs are based on the negotiated price.

The Innovate Less Lethal to De-Escalate Tax Modernization Act aims to encourage the development and use of safer policing tools. This bill exempts qualifying less-than-lethal projectile devices and their ammunition from federal excise taxes normally applied to firearms and ammunition. Furthermore, it removes these specific less-lethal devices from the stringent regulations imposed by the National Firearms Act. The legislation establishes clear criteria for what qualifies as a less-lethal device eligible for these tax and regulatory exemptions.

The Reliable Power Act strengthens the Federal Energy Regulatory Commission's (FERC) oversight of federal agency actions that could impact electric grid reliability. It mandates annual long-term assessments by the Electric Reliability Organization (ERO) to identify potential generation shortfalls. If a shortfall is found, FERC must review proposed agency rules affecting power generation to ensure they do not negatively impact the bulk-power system's reliability before those rules can be finalized.

The Power Plant Reliability Act of 2025 grants the Federal Energy Regulatory Commission (FERC) new authority to address inadequate electric service by ordering utilities to keep existing power units operational for up to five years. This Act also mandates that power plant owners must provide at least five years' advance notice before permanently retiring a generating unit, with exceptions for catastrophic events. Crucially, compliance with a FERC service order supersedes conflicting federal, state, or local environmental laws, shielding utilities from related penalties.

The Ensuring Justice for Camp Lejeune Victims Act of 2025 makes technical corrections to the 2022 Camp Lejeune Justice Act to clarify standards for proving harm and venue for trials. This legislation sets specific caps on attorney fees and retroactively applies these changes to all existing and future claims filed under the original 2022 Act. The bill ensures that existing statutes of limitations for filing claims remain unchanged.

The Unlocking our Domestic LNG Potential Act of 2025 centralizes the approval authority for all U.S. natural gas export and import facilities, including LNG terminals, exclusively with the Federal Energy Regulatory Commission (FERC). This legislation mandates that FERC must automatically deem such gas trade as being in the public interest during the review process. Furthermore, the Act explicitly preserves the President's existing authority to impose sanctions on gas imports or exports involving designated state sponsors of terrorism.

The Apples to Apples Comparison Act of 2025 mandates greater public transparency regarding Medicare spending by requiring the Secretary of HHS to publish detailed, machine-readable expenditure data broken down by county and beneficiary type. Furthermore, the bill requires the Medicare Payment Advisory Commission (MedPAC) to annually compare the average cost of Medicare Advantage enrollees versus traditional Medicare beneficiaries, accounting for plan differences and risk factors. Finally, the Medicare Trustees must also report detailed expenditure information categorized by specific beneficiary enrollment statuses.

The Baseload Reliability Protection Act prohibits owners of certain dispatchable power plants in areas facing high or elevated risk of electricity shortages from retiring those units or switching their fuel source. Owners can seek an exemption from this ban from FERC, which must grant it if continued operation causes financial hardship or if retirement does not harm grid reliability. The Department of Energy may offer financial assistance to keep essential, money-losing plants operational.

The Energy Choice Act prevents state and local governments from enacting bans or restrictions on the type or source of energy services consumers can access. This legislation protects consumer choice across various energy sources, including natural gas, hydrogen, propane, and electricity, provided the energy is sold across state lines. Essentially, it limits local interference with energy delivery options.

This resolution calls upon all Americans to observe Memorial Day, 2025, as a solemn occasion to honor the men and women of the Armed Forces who made the ultimate sacrifice in the pursuit of freedom and peace. Congress recognizes the profound debt owed to these patriots who have died defending American values globally. The bill encourages a national expression of respect, pride, and gratitude for their service and sacrifice.

This bill prohibits graduate medical schools from receiving federal funding or participating in federal student loan programs unless they certify they do not mandate adherence to specific diversity, equity, and inclusion (DEI) tenets. This certification bans forcing faculty, staff, or students to pledge beliefs regarding inherent group status or collective guilt, and prevents the establishment of offices that compel such adherence. Furthermore, accrediting agencies cannot require medical programs to adopt policies conflicting with these restrictions to maintain accreditation.

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 BOP Direct-Hire Authority Act grants the Director of the Bureau of Prisons the authority to directly hire qualified individuals into competitive service jobs, bypassing standard federal hiring procedures. This expedited hiring power is intended to speed up staffing efforts across all BOP facilities. This special authority will automatically expire once 96% of all competitive service positions within the Bureau of Prisons are filled.

The MOMS Act aims to support expecting and new mothers through three main initiatives. It establishes a centralized federal resource website, Pregnancy.gov, to connect mothers with local support services and adoption agencies. The bill also creates grant programs to fund organizations offering positive alternatives to abortion and expanding access to at-home prenatal and postnatal telehealth care in underserved areas. Finally, it allows states to establish and enforce child support obligations against biological fathers for unborn children upon the mother's request.

The Ensuring Community Access to Pharmacist Services Act expands Medicare Part B coverage to include services provided by pharmacists starting January 1, 2026. This coverage is specifically for testing or treatment related to COVID-19, the flu, RSV, strep throat, or during a declared public health emergency. The bill outlines payment structures, generally covering 80% of the cost, and prohibits pharmacists from balance billing Medicare patients for these covered services.

The Promotion and Expansion of Private Employee Ownership Act of 2025 aims to significantly boost employee ownership in S corporations through Employee Stock Ownership Plans (ESOPs). The bill extends key tax deferral benefits for stock sales to ESOPs and removes a major restriction on this tax treatment. Furthermore, it establishes new government offices and an Advocate for Employee Ownership to provide technical assistance and resolve disputes, while ensuring ESOP-owned businesses retain small business status for federal programs.

The Rural Patient Monitoring Access Act aims to improve access to remote patient monitoring (RPM) for rural Medicare beneficiaries. It establishes a minimum payment floor for the geographic indices used to calculate practice expense and malpractice costs for RPM services starting in 2026. Furthermore, the bill sets new quality requirements for RPM providers to qualify for Medicare payment, including real-time clinical availability and data interoperability. Finally, it mandates a future report analyzing the actual cost savings generated by these enhanced RPM services.

The Seniors’ Access to Critical Medications Act of 2025 temporarily modifies the physician self-referral prohibition (Stark Law) to allow physician practices to dispense certain Medicare Part D prescription drugs directly to their patients between 2026 and 2030. This exception is subject to specific conditions regarding prescribing, patient history, and dispensing location. The bill also mandates a GAO study to examine trends in physician office drug dispensing and makes a minor adjustment to the allocation for the Medicare Improvement Fund.

The Duty Drawback Clarification Act updates the U.S. tariff schedule to standardize the classification of whiskies under Chapter 22. This legislation removes an outdated whiskey classification code and requires the U.S. International Trade Commission to add new statistical tracking codes for imports. These changes will take effect 15 days after the Act is officially enacted.

The Fight Fentanyl Act strengthens federal efforts to combat the fentanyl crisis by updating the High Intensity Drug Trafficking Areas (HIDTA) program. This legislation mandates increased reporting on fentanyl investigations, sets dedicated funding levels through 2030, and expands HIDTA purposes to prioritize fentanyl interdiction. Furthermore, it requires the Attorney General to ensure sufficient prosecutorial resources are dedicated to fentanyl trafficking cases through temporary AUSA assignments.