Legislative Activity

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 Manifest Modernization Act of 2025 updates federal requirements for public disclosure of cargo manifest information for all incoming ships, vehicles, and aircraft. This bill mandates that manifests include more specific details, such as the Harmonized Tariff Schedule subheading and precise country of origin data for all cargo. These new disclosure standards will take effect thirty days after the Act is signed into law.

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.

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.

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 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.

The SHORT Act aims to reform federal firearms regulations by redefining what constitutes a "firearm" for tax purposes, largely excluding antique or collector's items. It eliminates disparate federal treatment for short-barreled rifles and shotguns used lawfully and preempts state and local governments from imposing special taxes or registration requirements on these specific weapons. Furthermore, the bill mandates the destruction of certain existing federal registration and transfer records related to defined firearms.

The Revitalizing Downtowns and Main Streets Act establishes a new 20% federal tax credit for converting eligible, older commercial buildings into affordable housing. This incentive aims to increase housing supply by requiring that at least 20% of the converted units remain rent-restricted for low-income residents for 30 years. State agencies will allocate these credits, which are subject to a national cap of $12 billion, based on approved plans prioritizing financially necessary projects.

The Rural Veterinary Workforce Act aims to encourage more veterinarians to serve in underserved rural areas by making participation in certain loan repayment or forgiveness programs more financially appealing. This bill amends the tax code to exclude amounts received through qualifying state or federal veterinary student loan repayment programs from being counted as taxable income. This tax benefit applies to amounts received for taxable years beginning after December 31, 2025.

The Unfair Tax Prevention Act amends the Base Erosion and Anti-Abuse Tax (BEAT) rules to specifically target certain U.S. companies connected to foreign tax systems operating outside their direct jurisdiction. These "foreign-owned extraterritorial tax regime entities" will now be automatically subject to BEAT, with specific exceptions removed and a portion of their cost of goods sold automatically treated as a base erosion benefit. This legislation aims to close loopholes related to complex, indirect foreign ownership structures.

The Portable Ultrasound Reimbursement Equity Act of 2025 updates Medicare coverage to include diagnostic ultrasound tests. This legislation mandates that Medicare establish separate payments for the transportation and setup of portable ultrasound equipment, mirroring existing payments for portable X-ray services. These changes are set to take effect starting January 1, 2027.

The Personal Health Investment Today Act of 2025 (PHIT Act) aims to improve public health by incentivizing healthier lifestyles, particularly to combat obesity. This bill allows taxpayers to treat certain qualified sports and fitness expenses, such as gym memberships and instruction fees, as deductible medical expenses. Deductions are capped annually at \$1,000 per individual or \$2,000 for joint filers.

The **SCREENS for Cancer Act of 2025** seeks to reauthorize and update the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). This legislation expands the program's focus to include cancer prevention and aims to reduce health disparities in screening access. The bill authorizes $235 million annually for fiscal years 2026 through 2030 and mandates a GAO study on program eligibility and service trends.

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 Fair Access In Residency (FAIR) Act of 2025 aims to ensure equitable treatment of osteopathic (D.O.) and allopathic (M.D.) medical school graduates in residency applications. It requires hospitals receiving Medicare funds to report detailed data on D.O. and M.D. applicants and acceptances for each residency program. Hospitals failing to submit this required data will face a 2% reduction in their Medicare payments. This collected data will also be made publicly available to promote transparency in the residency recruitment process.

The Constitutional Concealed Carry Reciprocity Act of 2025 establishes a national standard for carrying concealed handguns across state lines. This act allows individuals legally permitted to carry in their home state to carry concealed in any other state that allows its residents to carry concealed firearms. The law does not override private property restrictions or prohibitions on government property, but it provides protections and legal recourse for those traveling in compliance with the new federal standard.

The Respect Parents’ Childcare Choices Act significantly reforms federal childcare funding by shifting subsidies toward direct parental vouchers, known as child care certificates, to increase parental choice. It also boosts support and payment rates for relative caregivers while removing burdensome regulations. Furthermore, the bill repeals the existing tax credit for dependent care expenses and establishes new pilot programs focused on preventing fraud and encouraging relative caregiving.

The Preserving Patient Access to Home Infusion Act updates Medicare coverage and payment rules for home infusion therapy starting in 2026 to ensure continued patient access. The bill explicitly adds pharmacy services to covered home infusion care and clarifies payment calculations for suppliers, including transitional rules based on infusion hours. Furthermore, it expands who can establish and review patient care plans to include nurse practitioners and physician assistants. Finally, the Act modifies definitions and payment rules for certain non-pump infusion drugs and stops separate Medicare payment for specific disposable supplies when infusion therapy is already being reimbursed.

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.

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.