Legislative Activity

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.

This bill amends Medicare to require cognitive impairment screening during the Annual Wellness Visit and the Initial Preventive Physical Examination. It mandates the use of specific, approved screening tools to detect potential issues like Alzheimer's disease early. The goal is to ensure timely diagnosis, allowing patients and caregivers to access necessary planning and support services sooner.

The Stronger Communities through Better Transit Act establishes a new federal grant program to provide operating support for high-quality public transit services. This funding is specifically targeted to improve mobility and environmental outcomes, with a requirement that the majority of funds benefit underserved communities or areas of persistent poverty. The Act also increases the federal share for rural transit operating assistance up to 80%.

The Words Matter Act of 2025 mandates a comprehensive update across all federal laws, replacing the outdated terms "mentally retarded" and "mental retardation" with "intellectual disability" or "individuals with intellectual disabilities." This change is strictly a linguistic update intended to align federal statutes with current, respectful terminology. The Act explicitly states that this language revision does not alter eligibility for benefits, rights, or responsibilities under any existing federal program. Agencies are required to update their regulations to reflect this new terminology while maintaining a record of the previous language used.

The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 establishes mandatory minimum registered nurse-to-patient ratios across various hospital units to enhance patient safety and care quality. This legislation requires hospitals to implement detailed staffing plans, ensures enforcement through federal programs like Medicare and Medicaid, and supports the nursing workforce through expanded financial aid and retention initiatives. Furthermore, the bill protects nurses who refuse unsafe assignments and establishes clear mechanisms for reporting violations.

The Water Affordability, Transparency, Equity, and Reliability Act of 2025 establishes a dedicated federal Trust Fund, financed by an increase in the corporate tax rate, to support water infrastructure and affordability programs nationwide. The bill mandates a comprehensive EPA report analyzing water affordability, civil rights compliance, and public participation in water planning. It also significantly increases funding for household water well systems and revises state revolving loan fund rules to expand eligible projects, including lead line replacement and PFAS contamination cleanup. Finally, the Act creates new job training grants for the water sector and enhances drinking water assistance for colonias.

The Children Don't Belong on Tobacco Farms Act amends child labor laws to prohibit individuals under 18 from having direct contact with tobacco plants or dried tobacco leaves. This change ensures that agricultural work involving direct handling of tobacco falls under federal child labor protections. The bill specifically updates exemptions to reflect this new restriction on youth employment in tobacco agriculture.

The Born in the USA Act of 2025 declares that Executive Order 14160, which attempted to restrict birthright citizenship, is unconstitutional and contrary to the 14th Amendment. This Act prohibits the use of any federal funds to implement or enforce that Executive Order. It affirms the established constitutional right to birthright citizenship for nearly everyone born on U.S. soil.

This resolution supports designating May 10, 2025, as "National Asian American, Native Hawaiian, and Pacific Islander Mental Health Day." It highlights the severe mental health disparities and lack of access to care within AANHPI communities. The bill encourages federal agencies to improve culturally and linguistically appropriate services to better address the unique needs of these diverse populations.

The Protecting our Students in Schools Act of 2025 establishes a nationwide prohibition on corporal punishment in all federally funded educational programs. It creates strong enforcement mechanisms, allowing parents to sue and authorizing the Attorney General to intervene in cases of abuse. Furthermore, the Act establishes a grant program to incentivize states to adopt positive behavior support systems to reduce harsh disciplinary actions and improve school climate.

The Ensuring Lasting Smiles Act mandates that group health plans and insurance policies provide comprehensive coverage for medically necessary treatment related to congenital anomalies or birth defects affecting the eyes, ears, teeth, mouth, or jaw. This coverage must include services needed to restore normal function and appearance, including necessary dental and orthodontic support. Plans must apply cost-sharing rules no more restrictive than those for other medical benefits, excluding purely cosmetic procedures.

The VA Employee Fairness Act of 2025 modifies the collective bargaining rules for employees of the Veterans Health Administration (VHA) by streamlining existing statutes. This act removes outdated subsections related to bargaining and renumbers the remaining relevant section. Importantly, these changes do not affect the Secretary of Veterans Affairs' existing authority regarding incentive pay or expedited hiring processes.

The Law Enforcement Officers Equity Act expands the definition of "law enforcement officer" for federal retirement purposes under both the Federal Employees Retirement System (FERS) and the Civil Service Retirement System (CSRS). This change adds specific IRS, Postal Inspection Service, and VA police roles to those eligible for enhanced retirement benefits. The bill also establishes procedures for current officers to elect to have their prior service counted under these new definitions, which may require a payment from the employee and their employing agency.

The Therapeutic Fraud Prevention Act of 2025 declares that practices attempting to change an individual's sexual orientation or gender identity for payment constitute an unfair and deceptive business practice. Citing professional consensus on the ineffectiveness and harm of such "conversion therapy," the bill prohibits its provision and advertising. Enforcement authority is granted to the Federal Trade Commission (FTC), and the law allows both the U.S. Attorney General and State Attorneys General to file civil actions against violators.

This resolution officially designates the week of May 5 through May 9, 2025, as "Teacher Appreciation Week" to honor the dedication of public school teachers nationwide. It recognizes the crucial support teachers offer for key educational policies, including funding for students with disabilities and loan forgiveness programs. Furthermore, the bill affirms that teachers must have a voice in shaping federal, state, and local education policy.

This resolution expresses the House of Representatives' support for designating May 5, 2025, as the "National Day of Awareness for Missing and Murdered Indigenous Women and Girls." It highlights the severe crisis of violence against Native women and girls and calls for remembrance and support for affected families. Additionally, the bill urges the Department of Justice to conduct an updated study on the data surrounding this ongoing national tragedy.

This resolution expresses strong support for designating May 4, 2025, as a "National Day of Reason." It recognizes the essential role of logic, critical thinking, and evidence in advancing human progress and safeguarding democracy. The bill encourages all Americans to observe this day by highlighting the importance of reason in solving societal challenges.

The Affordable and Safe Prescription Drug Importation Act of 2025 aims to lower prescription drug costs for Americans by establishing a regulated system for importing safe, FDA-equivalent medications. This legislation authorizes the Secretary of Health and Human Services to certify foreign sellers in countries like Canada, the U.K., and the EU, allowing wholesale distributors and individuals to legally import qualifying drugs. The bill mandates rigorous safety oversight, including testing and tracing requirements, while also penalizing manufacturers who unfairly restrict supply to certified foreign sellers.

This resolution expresses strong support for designating May 2025 as "Renewable Fuels Month." It recognizes the vital role that renewable fuels like ethanol and biodiesel play in reducing carbon emissions and strengthening U.S. energy independence. Furthermore, the bill highlights how these fuels benefit consumers through lower prices and provide significant economic support to rural communities.

This House resolution urges the Secretary of Health and Human Services (HHS) to withdraw a recent notice that would reduce opportunities for public comment on new regulations. It affirms the importance of robust public input in the rulemaking process, which directly affects millions of Americans. The resolution calls for HHS to maintain its existing, open procedures for gathering feedback before finalizing any policy changes.