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.

The Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act amends the Social Security Act to provide Medicare Part B coverage for multi-cancer early detection screening tests starting January 1, 2028. This legislation establishes clear criteria for qualifying tests and outlines payment structures to ensure beneficiaries have access to these advanced diagnostic tools. Importantly, this coverage is designed to complement, rather than replace, existing Medicare-covered cancer screenings.

The Pay Our Troops Act of 2026 ensures that active duty military personnel and essential civilian support staff continue to receive their pay if Congress has not yet passed the full budget for fiscal year 2026. This act provides automatic continuing appropriations from the Treasury to prevent a lapse in military salaries due to budget delays. The funding automatically terminates once a new budget or continuing resolution is passed, or on January 1, 2027, whichever comes first.

This bill primarily focuses on extending the authorization for the Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) programs by one year. It pushes the expiration dates for the core programs and several related pilot activities from fiscal year 2025 to fiscal year 2026. This ensures continued federal research and development funding opportunities for small businesses.

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 FAIR Act of 2025 invalidates pre-dispute arbitration agreements and class action waivers for employment, consumer, antitrust, and civil rights claims. This law restores the right for individuals to pursue these disputes in court or through collective legal action. The provisions apply to all covered disputes arising on or after the date the Act is enacted.

The George Floyd Justice in Policing Act of 2025 is a comprehensive bill designed to increase police accountability and transparency nationwide through federal mandates and funding incentives. It reforms standards for prosecuting civil rights violations, eliminates qualified immunity, and establishes national registries for police misconduct and use-of-force data. Furthermore, the Act bans specific dangerous police tactics like chokeholds and restricts the transfer of military equipment to local departments.

This bill extends the special rule allowing low emission and energy-efficient vehicles access to High Occupancy Vehicle (HOV) lanes until December 31, 2026. It also mandates a study by the Secretary of Transportation to evaluate the effectiveness of this provision on reducing traffic congestion.

The Indian Programs Advance Appropriations Act of 2025 establishes a system of advance appropriations for key Bureau of Indian Affairs (BIA), Bureau of Indian Education (BIE), and Indian Health Service (IHS) programs starting in fiscal year 2026. This legislation mandates that budget requests must include forward-looking funding estimates for the subsequent fiscal year to improve agency planning and transparency. Furthermore, the bill requires annual reporting to Congress on resource adequacy for these critical services after consultation with Tribal nations.

The Humane Transport of Farmed Animals Act strengthens oversight of animal transportation by establishing new inspection and investigation powers for federal agencies. It also strictly prohibits the interstate movement of livestock deemed unfit to travel, based on established international animal health standards. This ensures that only healthy and capable animals are shipped across state lines, with an exception made only for necessary veterinary care.

The Healthcare Workforce Resilience Act aims to strengthen the U.S. healthcare system by recapturing unused employment-based immigrant visas from 1992 through 2024. This legislation specifically reserves up to 40,000 of these visas for professional nurses and physicians, ensuring they are not subject to annual country caps. The bill also mandates expedited processing for these healthcare professionals without imposing premium processing fees, while requiring employers to attest that hiring these workers will not displace U.S. employees.

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.

The Congressional Power of the Purse Act is a comprehensive bill designed to reassert Congressional authority over federal spending, emergency declarations, and executive branch financial oversight. It strengthens Congress's ability to prevent impoundment of appropriated funds, mandates greater transparency regarding unspent government money, and imposes strict time limits and review procedures on presidential declarations of national emergencies. Ultimately, the Act aims to increase accountability across the Executive Branch regarding the execution and management of taxpayer funds.

The Advancing Toward Impact Aid Full Funding Act establishes a new, increasing schedule of authorized appropriations for key Impact Aid programs through fiscal year 2031. This legislation specifically sets funding levels for federal property acquisition, basic payments to heavily impacted school districts, payments for children with disabilities, and construction activities. The goal is to gradually increase federal support for these essential educational services.

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.

The Nationwide Right to Unionize Act eliminates federal permission for states to enact or enforce "right-to-work" laws by repealing Section 14(b) of the National Labor Relations Act. This action ensures that union security agreements negotiated between unions and employers are governed exclusively by federal labor law. Consequently, state laws that prohibit mandatory union membership or fee payment as a condition of employment will no longer apply where federal law permits such agreements.

The Indoor Air Quality and Healthy Schools Act of 2025 establishes a comprehensive federal program, managed by the EPA Administrator, to assess, reduce, and prevent exposure to indoor air contaminants in all buildings, with a special focus on schools and childcare facilities. The Act mandates the creation of science-based guidelines for contaminants of concern and supports technical assistance, training, and voluntary "Healthy Building Certifications." It also directs the development of model building codes and a national assessment of air quality in educational settings to ensure healthier indoor environments nationwide.

The Uyghur Policy Act of 2025 formally condemns the People's Republic of China's repression and cultural erasure of Uyghurs and other minorities in the Xinjiang Uyghur Autonomous Region. It directs the U.S. government to prioritize protecting Uyghur identity, demanding immediate access to detention facilities, and coordinating international pressure to secure the release of political prisoners. Furthermore, the Act mandates strengthening State Department efforts, including Uyghur language training and public diplomacy funding, to counter transnational harassment and raise global awareness of these human rights abuses.

This bill exempts federal actions related to the construction of qualifying infill housing from the environmental review requirements of the National Environmental Policy Act (NEPA). It defines qualifying infill housing based on location, size, and successful environmental site assessments. Additionally, the legislation accelerates the required frequency for states to update their natural hazard risk assessments from every five years to every three years.