Legislative Activity

The Right to IVF Act of 2026 establishes a nationwide statutory right to access assisted reproductive technology (ART) and intrauterine insemination (IUI) while prohibiting states from imposing restrictive barriers. The bill further expands family-building support by mandating comprehensive fertility coverage across private insurance, Medicare, Medicaid, and federal employee health plans. Additionally, it guarantees expanded access to fertility services and preservation for military service members and veterans.

The Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026 extends vital funding for ALS research and clinical trial programs through 2031. This legislation strengthens oversight by enhancing grant review processes, improving safety reporting requirements, and mandating a comprehensive five-year FDA action plan to accelerate the development of treatments for rare neurodegenerative diseases.

The Tuskegee Airmen Memorial Act of 2026 authorizes Tuskegee Airmen, Inc. to establish a commemorative work on federal land in Washington, D.C., to honor the original Tuskegee Airmen of World War II. The project will be funded entirely through private donations, with no federal funds permitted for its construction or maintenance.

The Medicaid Dental Benefit Act of 2026 mandates that all state Medicaid programs provide comprehensive dental and oral health coverage for adults beginning January 1, 2027. To support this transition, the bill provides three years of 100% federal funding for these core services and establishes new national quality and equity reporting standards. Additionally, the legislation requires federal outreach programs to improve access to care and mandates a comprehensive report on the state of adult oral health in the United States.

The Ensuring Kids Have Access to Medically Necessary Dental Care Act strengthens dental coverage for children enrolled in the Children's Health Insurance Program (CHIP). This legislation prohibits states from imposing annual or lifetime dollar limits on dental benefits and mandates that states provide dental-only supplemental coverage. These changes ensure that low-income children have consistent, comprehensive access to necessary dental care.

The "Combating Illicit Xylazine Act" aims to combat the illegal use of xylazine by adding it to Schedule III of the Controlled Substances Act, which would allow for increased regulation and tracking of the substance. The bill includes exemptions and delayed effective dates for certain requirements to ease the transition for legitimate users, such as veterinarians and animal handlers. It also directs the Sentencing Commission to review sentencing guidelines for xylazine-related offenses and mandates reports to Congress on the prevalence and impact of illicit xylazine use. Finally, it will include xylazine in Arcos tracking.

Tyler's Law mandates a comprehensive study by the Secretary of Health and Human Services on the frequency, cost, and impact of fentanyl testing in hospital emergency departments during overdose cases. Following the study, the Secretary must issue guidance on whether routine fentanyl testing should become standard practice for overdose patients. This guidance will also address staff training regarding existing drug test panels and the long-term health implications of such testing.

The Nucleic Acid Standards for Biosecurity Act directs the National Institute of Standards and Technology (NIST) to develop technical standards and best practices for screening synthetic nucleic acids to mitigate biosecurity risks. By establishing a multi-stakeholder consortium and investing in research, the bill aims to improve the accuracy and security of biomanufacturing and synthetic biology. This legislation ensures that emerging technologies, including artificial intelligence, are managed through robust, consensus-driven safety protocols.

The Action for Dental Health Act authorizes $15 million in annual funding from 2026 through 2030 to support the Action for Dental Health program. This legislation ensures continued federal investment in initiatives designed to improve oral health care access and outcomes.

The AADAPT Act expands access to specialized dementia care by authorizing grants for public and nonprofit health centers to integrate these services into their programs. Additionally, the bill extends federal funding authorization through 2031 to ensure the continued growth and sustainability of these critical health outcomes.

The Kay Hagan Tick Act reauthorization extends federal funding and support for vector-borne disease initiatives through 2030. This legislation updates national strategy requirements and enhances the capacity of regional centers and health departments to identify, prevent, and respond to tick-borne and other vector-borne illnesses.

The Stop CHEATERS Act provides significant multi-year funding to the IRS to modernize its technology, improve taxpayer services, and strengthen tax enforcement. The bill specifically mandates that the agency prioritize auditing high-income individuals and large corporations to close the tax gap. Additionally, it requires regular reporting to Congress to ensure accountability and progress in these enforcement efforts.

The Protecting America’s Diplomatic Workforce Act establishes stricter oversight and transparency requirements for significant staff reductions across major U.S. foreign affairs agencies. The bill mandates congressional notification for large-scale layoffs, updates retention procedures for Foreign Service members, and ensures advance notice for personnel changes. These measures aim to protect the stability and effectiveness of the nation’s diplomatic and international development workforce.

The Improving Seniors’ Timely Access to Care Act of 2025 aims to streamline and modernize the prior authorization process within Medicare Advantage plans. This bill mandates the adoption of electronic prior authorization systems and significantly increases transparency regarding approval rates and decision times starting in 2027. Furthermore, it establishes new enrollee protections and grants the Secretary authority to enforce faster decision timeframes for medical services.

The Essential Caregivers Act of 2026 ensures that residents in long-term care facilities maintain access to designated essential caregivers, even when general visitation is suspended. The bill mandates that facilities allow residents to appoint up to two caregivers who can provide in-person support, provided they adhere to established safety protocols. It also prioritizes the investigation of access complaints and guarantees that these visitation rights cannot be waived during emergencies.

The Clarity for Compensation Act amends the Securities Exchange Act of 1934 to allow registered representatives to receive compensation through personal services entities without those entities being classified as brokers. This legislation establishes clear regulatory guardrails, including strict oversight, supervision, and liability requirements, to ensure these entities remain accountable for securities-related activities.

The CREATE AI Act of 2025 establishes the National Artificial Intelligence Research Resource (NAIRR) to democratize access to the high-powered computing and data necessary for advanced AI research. This resource will be managed by a non-governmental Operating Entity overseen by a new Steering Subcommittee. The goal is to broaden participation in AI development beyond large tech companies to maintain U.S. leadership and ensure AI benefits all Americans. Access will be prioritized for U.S.-affiliated researchers, educators, and students, with specific provisions for ethics, security, and privacy reviews.

This bill, the Great American Outdoors Act 250, significantly reforms and renames the existing public lands restoration fund to the America’s Legacy Restoration Fund. It secures dedicated funding streams, primarily from energy revenues and new fees on foreign visitors, to address critical deferred maintenance across the National Park Service, Forest Service, and other public land agencies. The legislation establishes strict spending priorities for infrastructure repair while also creating pilot programs for enhancing outdoor recreation and sportsmen's access. Finally, it mandates increased transparency and accountability through standardized metrics and public reporting on all funded projects.

The Latonya Reeves Freedom Act of 2026 aims to strengthen the right of individuals eligible for long-term services and supports (LTSS) to live in the most integrated community setting possible. It prohibits discrimination by public entities and insurers against those who qualify for institutional placement but desire community-based services. The Act mandates comprehensive planning, self-evaluation, and enforcement mechanisms to speed up the transition of individuals out of institutions and ensure maximum control over their supports.

The Pell Grant Preservation and Expansion Act of 2026 aims to significantly strengthen federal student aid by doubling the maximum Pell Grant award and funding it through mandatory appropriations. This bill also expands eligibility to include Dreamer students, restores Pell Grant eligibility for students with certain scholarships, and reforms Satisfactory Academic Progress (SAP) rules to make regaining aid easier after academic setbacks. These changes are designed to stabilize and expand access to postsecondary education for millions of students.