Legislative Activity

The Restore Protections for Dialysis Patients Act aims to prevent private health insurance plans from discriminating against patients with End-Stage Renal Disease (ESRD). This legislation clarifies that plans cannot offer worse benefits or unfairly limit coverage for dialysis treatments compared to other medical services. Furthermore, it stops these plans from shifting the primary financial responsibility for ESRD care onto Medicare. The bill maintains existing rules ensuring fair treatment while preserving a health plan's ability to select its network of dialysis providers.

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 Innovative FEED Act of 2025 establishes a new regulatory category for "zootechnical animal food substances" intended to modify animal digestive byproducts or reduce foodborne pathogens without treating disease. This bill mandates that these new substances must undergo the standard food additive approval process with the FDA, requiring petitioners to provide extensive data on their intended effects. Approval is contingent upon proving the substance achieves its claimed function under proposed use conditions, and all resulting animal food must carry a specific disclaimer stating it is not for disease treatment.

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 Physician Led and Rural Access to Quality Care Act revises physician self-referral rules to improve healthcare access in underserved areas. Specifically, it creates a new exception allowing physician self-referrals to hospitals located in designated rural areas that meet specific distance requirements. Furthermore, the bill removes existing restrictions that previously limited the expansion of services at physician-owned hospitals.

The Comparison of Sustainable Transportation Act (COST Act) mandates two key studies comparing alternative fuel options for the federal fleet. First, it requires a cost analysis for replacing gasoline vehicles with either electric vehicles (EVs/PHEVs) or flex-fuel ethanol vehicles, including infrastructure costs. Second, it directs an analysis of the full lifecycle emissions for gasoline, flex-fuel, and electric vehicles. Both studies must be completed and made public within one year of enactment.

The Children’s Hospital GME Support Reauthorization Act of 2025 extends critical federal funding for graduate medical education programs at children's hospitals through fiscal year 2030. The bill increases annual funding allocations for the program during this extension period. Notably, it introduces a new restriction that prohibits payments to hospitals that provided certain gender-affirming surgeries and high-dose hormone treatments to minors in the preceding year, with specific exceptions for emergency care and treatment of certain medical conditions.

The Crop Insurance for Future Farmers Act expands eligibility for enhanced crop insurance support by increasing the definition of a "beginning farmer or rancher" from five to ten crop years. This legislation also extends the qualifying period for "veteran farmers and ranchers" under the same terms. Furthermore, it restructures the premium assistance structure for these groups, providing tiered, decreasing levels of extra financial help over their first ten years of participation.

This resolution seeks to exercise congressional disapproval of the EPA’s "Waste Emissions Charge for Petroleum and Natural Gas Systems" rule. If passed, the measure would nullify the rule, ensuring it has no legal force or effect.

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.

This bill, the Generating Retirement Ownership through Long-Term Holding Act, allows individual investors to defer paying taxes on capital gain dividends from mutual funds if those dividends are automatically reinvested into more fund shares. Taxes on these deferred gains are only due when the investor sells the shares or upon death. This provision aims to encourage long-term investment in mutual funds by providing immediate tax relief on reinvested earnings.

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.

The Resident Education Deferred Interest (REDI) Act amends federal student loan regulations to provide a specific deferment for medical and dental residents. This allows borrowers currently serving in an internship or residency program to pause principal payments and prevent interest accrual on their student loans during that training period.

The State Strategic Stockpile Act of 2025 primarily focuses on reauthorizing and refining the pilot program that supports state and regional medical supply stockpiles. This bill extends the program's operational timeline through 2025 and mandates increased coordination and sharing of best practices among participating states. Additionally, it updates reporting requirements for the Government Accountability Office (GAO) to specifically assess the effectiveness of regional stockpiling efforts.

The Affordable Loans for Students Act establishes a sweeping program to lower student debt burdens by automatically refinancing eligible federal loans held by the government to a fixed 2.0% interest rate. It also creates procedures for refinancing other federal loans into new Direct Consolidation Loans at the same low 2.0% rate, without origination fees. Furthermore, new federal student loans disbursed after the Act's enactment will also carry a fixed 2.0% interest rate.

The Securing American Agriculture Act mandates an annual report from the Secretary of Agriculture detailing U.S. reliance on China for critical farming supplies like fertilizers, seeds, and veterinary drugs. This study must assess domestic production capabilities and identify supply chain vulnerabilities that China could exploit. The goal is to provide Congress with actionable recommendations for reducing dependency through onshore or nearshore production.

The Access to Pediatric Technologies Act of 2025 aims to establish clear Medicare payment rates for new medical tools specifically designed for children. This bill mandates that the Secretary establish national relative value units (RVUs) for qualifying pediatric technologies upon manufacturer request and sufficient data submission. The goal is to ensure these specialized pediatric devices receive appropriate reimbursement under the physician fee schedule starting in 2026.

The FARMLAND Act of 2025 aims to protect U.S. agriculture and national security by modernizing and enforcing laws against malign foreign investments in U.S. agricultural land and businesses, particularly from countries of concern. It increases penalties for non-compliance with reporting requirements, mandates detailed reports on foreign land ownership and potential threats, and enhances the Committee on Foreign Investment in the United States (CFIUS) authority to review real estate transactions involving foreign entities. The act also directs the creation of a comprehensive database of foreign-owned agricultural land and prohibits foreign individuals/entities from participating in Farm Service Agency programs. Finally, the act authorizes appropriations for secure workspace construction, database development, and other activities related to enforcing the act.

The SPEED for BEAD Act amends the Infrastructure Investment and Jobs Act to streamline broadband deployment grants. It renames the "Equity" program to "Expansion," allows funds for workforce development, and permits removal of high-cost locations from project areas. The act also prohibits certain conditions related to labor, climate change, and network management, and ensures consideration of all broadband technologies.