Legislative Activity

This Act, the Ensuring Patient Access to Critical Breakthrough Products Act, aims to speed up Medicare coverage for innovative, FDA-approved "breakthrough devices." It establishes a process for manufacturers to gain a four-year transitional coverage period for these devices, ensuring patients have timely access while long-term coverage decisions are finalized. The bill also allocates funding to CMS to manage these expedited reviews and allows for oversight of provider billing practices related to these new technologies.

This resolution expresses strong support for designating the week of September 20 through September 27, 2025, as "National Estuaries Week." It highlights the critical economic and environmental value of estuaries, which support millions of jobs and provide vital natural protection for coastal communities. The bill aims to raise public awareness about the need to protect and restore these essential ecosystems.

The "Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act" expands Medicare coverage to include FDA-approved multi-cancer early detection screening tests starting in 2028. It defines the criteria for these tests, sets payment guidelines, and establishes age and frequency limitations for coverage. The bill ensures that existing cancer screening coverage remains unaffected and allows for waivers of limitations based on recommendations from the United States Preventive Services Task Force.

The AM Radio for Every Vehicle Act of 2025 mandates that the Secretary of Transportation establish a rule requiring AM broadcast radio receivers to be installed as standard equipment in new passenger motor vehicles. This requirement aims to ensure public access to AM radio signals, which are often used for emergency alerts. The bill also directs a GAO study on the effectiveness of AM radio within the national emergency alert system compared to other technologies. Finally, the Act preempts state and local laws on this matter and includes a sunset provision eight years after enactment.

The **988 LGBTQ+ Youth Access Act of 2025** addresses the high rates of suicide risk among LGBTQ youth by strengthening specialized support through the national crisis hotline. This bill mandates that dedicated resources and services, such as a specific dialing option, must be maintained for LGBTQ individuals contacting 988. Furthermore, it requires that at least 9 percent of appropriated funds for the hotline be specifically reserved to ensure these specialized services for LGBTQ youth remain fully operational.

The FAMILY Act establishes a national Paid Family and Medical Leave Insurance program administered by a new office within the Social Security Administration. This program provides monthly benefits to eligible individuals who take time off for qualified caregiving reasons, including serious health conditions or victims of violence. The Act also sets forth detailed eligibility requirements, benefit calculation formulas, and job protection guarantees for employees utilizing the leave. Finally, it creates a funding mechanism to support existing state-level paid leave programs that meet federal standards.

The National Infrastructure Bank Act of 2025 establishes a new, mixed-ownership federal corporation chartered to finance major infrastructure projects across the nation. This legislation authorizes the Bank to raise substantial capital and issue significant loans to spur economic growth while prioritizing projects in disadvantaged communities. Furthermore, the bill grants the Bank and its specific investors favorable tax exemptions to encourage participation and operation.

The Equal Employment for All Act of 2025 significantly restricts employers from using consumer credit reports when making most hiring or employment decisions. This means employers are generally banned from considering your credit history, even if you consent, unless the job requires a national security clearance or is mandated by other specific laws. Furthermore, the bill prohibits penalizing applicants who refuse to authorize a credit check for non-exempt positions.

The Azerbaijan Sanctions Review Act of 2025 mandates the President to review specific Azerbaijani government and military officials for potential U.S. sanctions. This review is prompted by Congressional findings detailing severe human rights abuses, including the forced displacement from Nagorno-Karabakh and the alleged war crimes committed by Azerbaijani forces. The President must report to Congress within 180 days on whether these individuals meet the criteria for sanctions under existing human rights and anti-corruption laws. This action aims to address ongoing abuses and the detention of political figures and prisoners of war.

The SAFE Ride Act of 2025 establishes a new federal grant program administered by NHTSA to enhance electric bike (e-bike) safety across the nation. To qualify for funding, states must demonstrate commitment to key safety measures, including enforcing shared system rules, promoting helmet use, and collecting comprehensive accident data. The Act also tasks the Secretary of Transportation with developing national recommendations for helmet use for minors and creating public safety education curricula.

The Reforming and Enhancing Sustainable Updates to Laboratory Testing Services Act of 2025 (RESULTS Act) aims to improve Medicare payment rates for clinical lab tests by mandating the collection of more accurate, real-world payment data directly from large, independent private insurance claims databases. This legislation updates definitions, collection timelines, and calculation methods to ensure Medicare payments for widely available tests reflect current market rates. It also establishes default payment rules if sufficient private payor data cannot be secured.

The HCBS Worker Protection Act of 2025 removes a federal payment limitation for certain home and community-based services (HCBS) waivers under Medicaid. This change grants states greater flexibility in receiving federal matching funds for these essential community services.

This bill, the ESP, Paraprofessional, and Education Support Staff Family Leave Act, updates eligibility requirements for certain school employees under the Family and Medical Leave Act (FMLA). It adjusts how paraprofessionals and education support staff meet the required hours of service by using a percentage of expected monthly hours worked during the school year. Furthermore, the bill mandates clear guidelines for calculating FMLA leave entitlement for these employees to account for non-standard school schedules.

The Stop Super PAC-Candidate Coordination Act tightens campaign finance rules by redefining "coordinated expenditures" made with a candidate as direct contributions, subject to strict limits and severe penalties for violations. It also explicitly bans federal candidates and officeholders from soliciting funds for any political committee that accepts non-compliant donations. These changes aim to prevent candidates from indirectly influencing or benefiting from outside spending by Super PACs.

The PART Act aims to combat catalytic converter theft by requiring new vehicles to have traceable identifying markers on these parts. It establishes a federal grant program to help entities stamp identifying numbers onto existing converters. Furthermore, the bill imposes strict record-keeping requirements on businesses that buy used converters and creates new federal criminal penalties for stealing or trafficking stolen catalytic converters.

The Campaign Transparency Act eliminates the existing dollar threshold for reporting donor names to political committees in federal elections. This change mandates that political committees must now disclose the identity of any individual who makes a contribution, regardless of the amount. Consequently, all donations, no matter how small, will be publicly reported starting immediately upon the Act's enactment.

The Empowering Striking Workers Act of 2025 establishes a pathway for workers involved in a strike or lockout to receive unemployment insurance benefits after a mandatory 14-day waiting period. This legislation also exempts striking workers from the standard requirement to actively search for new employment while they are unable to work due to the labor dispute.

The HIV Prevention Now Act secures **\$2.165 billion** in dedicated funding for the CDC's National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention for Fiscal Year 2026. This appropriation is specifically earmarked to support the center's prevention programs and activities. This funding is supplemental to, and cannot be transferred from, other existing appropriations.

The PrEP and PEP are Prevention Act mandates that essential HIV prevention services, including FDA-approved medications like PrEP and PEP, must be covered at no cost to the patient across private insurance, Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits program. This law eliminates financial barriers such as deductibles, copays, and prior authorization requirements for these preventive treatments and necessary related care. The goal is to ensure universal, barrier-free access to critical HIV prevention tools.

The Quiet Communities Act of 2025 addresses the growing public health crisis caused by noise pollution by reestablishing the Environmental Protection Agency's (EPA) Office of Noise Abatement and Control. This office will be tasked with researching noise impacts, supporting state and local noise control efforts through technical assistance and grants, and conducting a specific study on aircraft noise. The Act authorizes \$25 million annually through Fiscal Year 2030 to fund these critical national noise reduction initiatives.