Legislative Activity

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 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 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 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 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.

This bill amends Medicare rules to cap the out-of-pocket coinsurance amount beneficiaries must pay for certain services provided in an Ambulatory Surgical Center (ASC). If the standard ASC coinsurance exceeds the annual inpatient hospital deductible, the beneficiary's cost will be limited to that deductible amount. The Secretary will cover the difference owed to the ASC.

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.

The Combating Organized Retail Crime Act aims to combat sophisticated, cross-border criminal organizations driving massive increases in retail and supply chain theft. This bill updates federal laws regarding stolen goods and money laundering to strengthen enforcement tools against these groups. Furthermore, it establishes a new federal Coordination Center within Homeland Security to share intelligence and coordinate efforts between federal, state, and private sector partners. The legislation recognizes that these theft rings often fund other serious criminal activities, threatening national security and the economy.

The Neighborhood Homes Investment Act establishes a new federal tax credit designed to close the financing gap hindering the construction and rehabilitation of affordable starter homes in distressed communities. This credit incentivizes developers to build or substantially renovate housing in specific low-income census tracts and sell it affordably to qualified moderate-income homeowners. State agencies will manage the allocation of these credits, ensuring projects meet affordability standards and promoting revitalization in struggling neighborhoods.

The Middle Class Mortgage Insurance Premium Act of 2025 permanently extends the deduction for mortgage insurance premiums and significantly raises the income limits for eligibility. This change allows more middle-class taxpayers to deduct these costs on their federal income taxes. These provisions will apply to tax years beginning after December 31, 2025.

The Enhanced Iran Sanctions Act of 2025 aims to prevent Iran from obtaining nuclear weapons and countering its support for terrorism by imposing sanctions on those involved in Iran's energy sector and those who provide financial support for its destabilizing activities. It mandates sanctions on foreign entities involved in processing, exporting, or selling Iranian oil, gas, and petrochemicals, while also establishing an interagency working group to coordinate and enforce these sanctions. The Act also amends existing legislation to require the identification of individuals involved in sanctionable activities or sanctions evasion related to Iranian oil and gas sales.

The Affordable Housing Credit Improvement Act of 2025 updates federal housing tax credit allocations to reflect current economic realities and boosts minimum state allotments. It reforms tenant eligibility rules to stabilize tenancy and enhance protections for vulnerable residents, including victims of abuse. The bill also provides disaster relief for property owners, increases incentives for housing the extremely low-income, and directs greater resources toward Native American and rural housing needs. Finally, it streamlines administrative processes and signals a future focus on data transparency and discouraging restrictive local zoning.

The Retirement Savings for Americans Act of 2025 establishes the American Worker Retirement Fund, a new, mandatory-enrollment retirement savings vehicle within the U.S. Treasury designed to help workers build protected savings through personal contributions and government matching credits. The bill also creates a governing Board to oversee the investment management system, imposing strict fiduciary duties on all administrators. Finally, it introduces a Government Match Tax Credit, which directly deposits a tiered government match into participants' accounts based on their savings rate and income level.

The EASE Act of 2025 mandates that the Center for Medicare and Medicaid Innovation (CMMI) test a new model to improve access to specialty health services. This "Specialty Health Care Services Access Model" will utilize digital tools, like telehealth, to connect eligible Medicare, Medicaid, and CHIP beneficiaries in rural or underserved areas with necessary specialty care. The model must be tested through a network of qualified, experienced, and primarily rural-based nonprofit providers.

This resolution expresses strong support for designating April 2025 as "Second Chance Month." It aims to raise public awareness about the significant legal and social barriers, known as collateral consequences, that prevent individuals with past criminal records from successfully reentering society. The bill encourages communities and employers nationwide to actively work toward removing these obstacles and offering meaningful second chances to those who have paid their debt to society.

The CARE Act of 2025 mandates that the Center for Medicare and Medicaid Innovation (CMMI) test a new payment model for emergency services. This model will allow Medicare to pay ground ambulance providers for emergency responses, even when a patient does not ultimately require transport under Medicare Part B. The five-year demonstration aims to evaluate the impact of covering these non-transport emergency responses on patient access and resource utilization.

The COMPLETE Care Act aims to improve mental healthcare access by providing Medicare incentives for primary care providers to integrate behavioral health services into their practices between 2027 and 2029. This legislation offers increased Medicare payments for specific integrated services during those years, ensuring these bonuses do not trigger cuts elsewhere in the Medicare budget. Additionally, the bill mandates technical assistance to help primary care offices successfully adopt these new integrated care models.