Legislative Activity

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 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 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 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 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 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 Medical Supply Chain Resiliency Act aims to secure the U.S. supply of critical medical goods by diversifying trade relationships and reducing reliance on high-risk sources. It authorizes the President to enter into special "trusted trade partner agreements" that lower trade barriers with reliable allies. These agreements focus on regulatory cooperation, intellectual property protection, and ensuring supply chain stability during public health emergencies. The bill also establishes strict reporting and oversight mechanisms for Congress before any such agreement can take effect.

The Motorsports Fairness and Permanency Act of 2025 makes permanent a significant tax benefit for motorsports entertainment complexes. This legislation ensures these large venues can continue to use an accelerated 7-year recovery period for depreciating their building costs. By removing the previous expiration date, the Act provides long-term financial certainty for the industry.

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 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 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 Maintaining and Enhancing Hydroelectricity and River Restoration Act establishes a new federal tax credit to incentivize investments in improving existing hydroelectric facilities. This credit covers 30% of the cost for property that enhances fish passage, water quality, dam safety, or facilitates the removal of obsolete river obstructions. Furthermore, the bill allows taxpayers to elect direct payment or transferability for this new credit.

The Honey Integrity Act establishes a clear standard of identity for honey based on existing quality benchmarks. It mandates that commercial honey packers implement rigorous, scientifically advanced testing protocols to detect fraud and adulteration. Furthermore, the bill requires the Secretary to report on enforcement actions against mislabeled honey and establishes a new program funded by packer fees to ensure honey sold in the U.S. is authentic.

The Baby Observation Act mandates that the Secretary of Health and Human Services conduct a comprehensive study on the effectiveness of home cardiorespiratory monitors in preventing sudden unexpected infant death (SUID). The resulting report must detail the monitors' performance, suggest new infant care practices, and provide recommendations on criteria for insurance coverage. This aims to determine if these vital sign monitors warrant broader health insurance reimbursement.

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 Metastatic Breast Cancer Access to Care Act aims to improve support for individuals diagnosed with metastatic breast cancer. This bill eliminates the standard waiting period for receiving Social Security disability insurance benefits and waives the 24-month waiting period for Medicare coverage. These changes ensure immediate access to crucial financial and healthcare support upon diagnosis.