Legislative Activity

The Puerto Rico Nutrition Assistance Fairness Act aims to integrate Puerto Rico into the federal Supplemental Nutrition Assistance Program (SNAP) structure, aligning it with other territories like Guam. The bill mandates a transition period where Puerto Rico must submit a plan of operation to the Secretary of Agriculture for approval to join SNAP. During this transition, existing block grant funding may continue for up to five years while the territory moves toward full participation under federal SNAP rules.

The Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 updates Medicare payment requirements for facilities not directly directed by a physician. It mandates that these facilities must have formal arrangements with Physician Assistants (PAs) or Nurse Practitioners (NPs) whose practice adheres to state laws and regulations. These changes are set to take effect on January 1, 2027.

The Restore Trust in Congress Act establishes strict new rules prohibiting Members of Congress and their immediate families from owning or trading specific financial assets, referred to as "covered investments," while in office. Covered individuals must divest existing prohibited holdings within a set timeframe or face significant financial penalties, including fines and forfeiture of profits. The legislation aims to eliminate conflicts of interest arising from personal financial trading while serving in federal office.

The Increasing Nutrition Access for Seniors Act of 2025 aims to streamline and improve SNAP benefits for eligible seniors and disabled individuals. This bill extends certification periods up to 36 months for households with no earned income and introduces greater flexibility for medical expense deductions, including a self-attestation option. These changes are designed to reduce administrative burdens for long-term recipients while ensuring continued access to necessary food assistance.

The Teachers Are Leaders Act of 2025 updates the Teacher Leader Development Program to enhance the training and focus of teacher leaders in high-need schools. This legislation mandates intensive, credential-earning professional development for selected educators who will focus on improving student achievement and instructional practices. The bill also establishes clear criteria for teacher leader selection and outlines how grant funds can support their multi-year development and ongoing mentorship.

This Act establishes a mandatory supply fee for Medicare drug plans to pay long-term care pharmacies for specific prescriptions dispensed in 2026 and 2027. The bill mandates a $30 fee per prescription in 2026, increasing in 2027, with penalties for non-payment. Additionally, the GAO is required to study the financial sustainability of the current payment structure for these essential pharmacies. This legislation aims to ensure continued access to medications for patients in long-term care settings.

The Battling Infections Transmitted by Ticks and Exposure (BITE) Act establishes a comprehensive national system to prevent vector-borne diseases like Lyme disease. This system will utilize AI-driven early warning alerts, expert identification services, and real-time monitoring of insurance claims and symptoms. A key goal of the Act is to support efforts to reduce Lyme disease cases by 25% by 2035.

The Tick Identification Pilot Program Act of 2025 establishes a pilot program to provide grants to states for creating electronic tick identification services. These state programs will allow residents to submit photos of ticks for review by qualified biologists within 72 hours. The goal is to rapidly inform the public about the tick species, potential disease risk, and necessary next steps to combat tick-borne illnesses.

The Stamp Out Lyme Disease Act directs the U.S. Postal Service to issue a special semipostal stamp to raise funds for Lyme disease research. All proceeds from the sale of this stamp will be directed to the National Institute of Allergy and Infectious Diseases (NIAID). This measure aims to support research into tick-borne illnesses, acknowledging the significant public health and financial burden of Lyme disease in the United States.

The Rural Microentrepreneur Assistance Program Act of 2025 significantly enhances support for small rural businesses. This bill increases the maximum loan size from $\$50,000$ to $\$75,000$ and extends the program's authorization period through 2030. It also modifies rules regarding how loan funds can be used for construction and real estate improvements.

The Protecting Health Care and Lowering Costs Act of 2025 repeals specific prior reconciliation health provisions. This bill significantly expands eligibility for the Premium Tax Credit by eliminating the 400% Federal Poverty Level income cap. It also updates the subsidy calculation formula to ensure a smoother, linear adjustment of assistance across various income levels.

The Restoring Essential Healthcare Act repeals an outdated ban that prevented Medicaid from making payments to certain healthcare providers. This legislation ensures that these previously prohibited entities will now be reimbursed for medical services rendered between the enactment of the original ban and the passage of this Act. In short, it restores payment eligibility and retroactively covers past services.

The Health Care Fairness for Military Families Act of 2025 significantly improves the TRICARE Young Adult (TYA) program for military dependents. This legislation eliminates the age restriction for TYA eligibility and removes the separate premium requirement for coverage. These changes aim to provide broader and simpler healthcare access for adult children of service members.

The SAVES Act establishes a Department of Veterans Affairs (VA) pilot program to award grants to nonprofit organizations that provide service dogs to eligible veterans. These grants, up to $\$2,000,000$ each, will fund the training and provision of service dogs for veterans with qualifying conditions like PTSD or TBI. The bill also extends the expiration date for certain limits on veterans' pension payments until February 2033.

This proposed constitutional amendment would eliminate immunity from criminal prosecution for federal officials, including the President, based on their official duties. It also explicitly prohibits the President from issuing a self-pardon for any federal crimes. If ratified, these changes would take effect immediately.

The Ally's Act mandates that certain private health insurance plans must cover auditory implant devices, related supplies, and necessary services for qualifying individuals. This coverage must be comparable to other medical and surgical benefits regarding cost-sharing and treatment limitations. Furthermore, plans cannot deny coverage if a physician or qualified audiologist determines the required hearing items or services are medically necessary. These new requirements take effect for plan years beginning on or after January 1, 2026.

The EACH Act of 2025 aims to ensure equal access to abortion coverage by requiring all federally funded health programs and facilities to cover abortion services. This legislation prohibits federal interference with state or private insurance coverage of abortion and repeals Section 1303 of the Affordable Care Act. Ultimately, the bill seeks to eliminate financial and insurance barriers to abortion care, particularly for low-income individuals relying on programs like Medicaid.

The Asunción Valdivia Heat Illness, Injury, and Fatality Prevention Act of 2025 mandates that employers protect workers from dangerous heat stress by establishing comprehensive safety standards. This Act requires the Secretary of Labor to create evidence-based rules covering engineering controls, administrative procedures, required training, and paid rest breaks to prevent heat-related illness. Furthermore, the law establishes strict enforcement mechanisms, whistleblower protections, and specific timelines for the implementation of these new federal heat protection standards.

The Uterine Cancer Study Act of 2025 mandates a comprehensive federal study to investigate the potential link between the use of chemical hair straighteners and the risk of developing uterine cancer. This research must specifically examine disparities in cancer rates among women of color. The study will ultimately recommend whether the FDA should require additional safety testing for these hair products.

The Uterine Fibroid Intervention and Gynecological Health Treatment Act of 2025 aims to improve the detection and treatment of uterine fibroids. It mandates federal research to develop evidence-based early detection strategies and establishes grant programs for states to fund screening, education, and intervention services, prioritizing vulnerable populations. Furthermore, the bill allocates funding for research into pain management related to fibroid surgery and other uterine conditions.