Legislative Activity

The Improving Home Dialysis Act of 2026 expands Medicare coverage to support individuals choosing home dialysis for end-stage renal disease. This bill mandates Medicare payment for necessary home dialysis training provided by qualified professionals. Additionally, it adds coverage for critical early-stage support services, including staff-assisted respite care and renal mental health services, to ease the transition to home treatment.

This bill officially renames the primary playground in the Grandview area of the New River Gorge National Park and Preserve. The playground will now be known as the "Hearts of Gold Playground: In Honor of West Virginia Children and Families Impacted by Childhood Cancer." This change ensures the new name is used in all official records and documents.

The Enhanced Small Business Growth Act of 2026 significantly boosts the Qualified Business Income (QBI) deduction for eligible domestic manufacturers from 20% to 30%. This legislation also raises the wage cap for this deduction from 50% to 100% of W-2 wages for businesses meeting specific domestic production criteria. These changes aim to incentivize and strengthen U.S. manufacturing operations starting in the 2026 tax year.

The Secure Revenue Clearance Channel Act of 2026 establishes a simplified customs process for express carriers to clear low-value shipments (under \$600) using an electronic manifest. This new channel replaces standard entry requirements but excludes certain restricted goods. Importers must pay a flat fee, set at either 20% of the merchandise value or the standard tariff rate, in lieu of all other duties and charges.

This bill extends the tax credit period for the production and sale of refined coal until January 1, 2033. It amends the Internal Revenue Code to update the qualifying deadline for this specific energy production credit. These changes apply to coal produced and sold after the end of 2025.

The Rural Hospital Flexibility Act of 2025 expands federal support for rural healthcare providers through the Medicare rural hospital flexibility program. This bill authorizes new grants to support quality improvement, behavioral health integration, and transformation to new care models like rural emergency hospitals. It also revises existing grant structures to better assist small rural hospitals through State Offices of Rural Health. Overall, the legislation aims to enhance the sustainability and service delivery capabilities of critical access hospitals and other rural health entities.

This resolution honors the service and sacrifice of Army Specialist Sarah Beckstrom, who was killed, and Air Force Staff Sergeant Andrew Wolfe, who was wounded, in a targeted assault against service members in Washington, D.C. The House of Representatives expresses its deepest condolences to Specialist Beckstrom's family and wishes Staff Sergeant Wolfe a full recovery. Furthermore, it condemns the violent attack and recognizes the bravery of all National Guard members and first responders involved.

The Rural Residency Planning and Development Act of 2025 establishes new grant programs to boost physician training in underserved areas. These programs will fund the creation of new rural residency programs and provide technical assistance to applicants and current grantees. The goal is to increase the number of physicians practicing in rural communities across primary care, high-need specialties, and maternal health.

The RCORP Authorization Act establishes the Rural Communities Opioid Response Program within HRSA to combat substance use disorders in rural areas. This program authorizes grants to eligible entities for expanding prevention, treatment, and recovery services. The legislation allocates $165 million annually from fiscal years 2026 through 2030 to support these critical community efforts.

The Kidney Care Access Protection Act aims to improve patient access to innovative kidney care treatments by reforming Medicare payment systems for new drugs and devices. It also addresses payment stability by adjusting for forecast errors in dialysis service updates and enhances prevention efforts. Finally, the Act expands Medicare coverage for chronic kidney disease screening and education services starting in 2026.

This bill grants the President the authority to extend nondiscriminatory trade treatment (normal trade relations) to products from specific countries. This action effectively terminates the application of Title IV of the Trade Act of 1974 for those designated countries, excluding Belarus, Cuba, and North Korea.

The Fusion Advanced Manufacturing Parity Act amends the existing advanced manufacturing production credit to specifically include components used for fusion energy. This provides a temporary 25% tax credit on the sale price of qualifying fusion energy components, beginning after 2025. The credit is scheduled to phase out completely by the end of 2034. The bill also expands the list of eligible materials qualifying for the broader advanced manufacturing credit.

The Community TEAMS Act of 2025 establishes new federal grants to fund partnerships between medical schools and local health facilities in rural and medically underserved communities. These grants aim to expand clinical training opportunities for medical students in high-need areas. The ultimate goal is to encourage these students to establish long-term medical practices within those communities after graduation.

The PEAKS Act updates Medicare payment rules for ambulance services provided by Critical Access Hospitals (CAHs), specifically expanding the distance considered in payment calculations beyond 35 miles. Additionally, the bill provides a special provision allowing certain existing CAHs to automatically meet the 15-mile distance requirement for mountainous terrain or secondary roads, ensuring they retain their designation status. This legislation aims to support emergency access in key, often remote, locations.

The Second Chance Reauthorization Act of 2025 extends and improves key federal grant programs designed to support successful reentry for formerly incarcerated individuals. This legislation shifts the authorization window for several demonstration projects to run from 2026 through 2030. It also specifically broadens the scope of reentry demonstration projects to explicitly fund substance use disorder treatment, including peer recovery services and reentry housing. Overall, the bill ensures continued federal support for vital reentry, education, and substance abuse collaboration initiatives through the end of the decade.

This bill directs the U.S. Trade Representative to swiftly investigate and report on any South Korean digital trade policies that unfairly target or restrict U.S. businesses. If such discriminatory actions are found, the U.S. is authorized to initiate trade enforcement actions, including WTO complaints or investigations under Section 301. The Act emphasizes the need to enforce fair digital trade practices to strengthen the U.S.-Korea economic partnership.

The Repair Expenditures Support Infrastructure, Labor Investment, Energy Needs, and Creates Equity Act of 2025, or the RESILIENCE Act of 2025, modifies tax rules for public utility companies. This legislation allows utility companies to reduce their adjusted financial statement income by deductions taken for repairing and maintaining their property. The goal is to align these specific repair deductions with existing depreciation rules for tax purposes, effective for tax years beginning after 2024.

This resolution expresses the sense of Congress in supporting the designation of a week in April 2025 as "Small Businesses in For-Hire Transportation Week." The bill recognizes the vital role these small companies play in moving millions of people annually and supporting local economies nationwide. It specifically honors the essential services provided by these businesses, including nonemergency medical transport and community mobility options.

The Small Business Transportation Investment Act of 2025 establishes a temporary pilot program allowing small businesses providing ground transportation services to purchase up to 50 vehicles annually through the General Services Administration (GSA) federal supply schedules. This initiative aims to lower costs and encourage the adoption of newer, greener fleets for these essential services. Participants must agree to use the vehicles for at least two years and donate a portion of retired vehicles to local nonprofits. The GSA will report on the program's effectiveness over its three-year duration.

The "Tanning Tax Repeal Act of 2025" eliminates the federal excise tax on indoor tanning services. This bill removes Chapter 49 from the Internal Revenue Code, effectively repealing the tax. The repeal is applicable for services provided after the bill's enactment.