Legislative Activity

The Apples to Apples Comparison Act of 2026 mandates increased transparency regarding Medicare spending by requiring the Secretary of HHS to publish detailed expenditure data broken down by county and beneficiary type. It also directs the Medicare Payment Advisory Commission (MedPAC) to conduct and publicly release an annual analysis comparing spending between Medicare Advantage and traditional fee-for-service beneficiaries. Finally, the bill requires the Boards of Trustees to include specific expenditure breakdowns for different Medicare enrollment statuses in their annual reports.

The Repair Abuses of MSP Payments (RAMP) Act establishes a private right of action allowing individuals to sue group health plans that fail to make primary payments or provide appropriate reimbursement as required by law. This legislation strengthens enforcement by creating a direct legal recourse against non-compliant plans.

This resolution officially designates the week of January 25 through January 31, 2026, as "National School Choice Week." It expresses support for the week, recognizing the importance of diverse K-12 education options for empowering parents. The bill encourages all Americans to learn more about the educational choices available to families.

The PREVENT DIABETES Act establishes a four-year demonstration program allowing virtual-only suppliers to participate in the Medicare Diabetes Prevention Program (MDPP) from 2026 through 2029. This allows for expanded access to evidence-based diabetes prevention services delivered entirely online, regardless of the beneficiary's state. The bill also removes enrollment limits for individuals during this demonstration period.

The Worker Privacy Act mandates that employers provide a limited list of employee contact information to labor organizations within two days of an election directive. This information must be voluntarily provided by the employee and is restricted for use only during the representation proceeding. The bill also establishes unfair labor practices for both employers who fail to provide the list and labor organizations that misuse the shared personal data.

The Pay Our Capitol Police Act ensures that the United States Capitol Police will continue to receive funding for salaries and essential expenses for Fiscal Year 2026, even if standard appropriations are delayed. This bill provides continuing appropriations to cover excepted employees, emergency workers, and necessary support staff. Funds spent under this Act will be charged against future official appropriations once enacted. The authority granted by this Act terminates on September 30, 2026, or earlier if standard appropriations are passed.

This resolution officially designates September 2025 as National Childhood Cancer Awareness Month to highlight the significant impact of childhood cancer in the United States. It calls upon government entities and organizations to promote public understanding of the disease and its long-term effects on survivors. The bill also emphasizes the need to prioritize research, prevention, and cures for childhood cancers.

The Employee Rights Act mandates that union representation must be chosen through a secret ballot election run by the NLRB, and it prohibits non-lawful workers from voting in union elections. The bill also tightens the definition of an employee versus an independent contractor and limits the use of employee contact information provided for organizing drives. Furthermore, it restricts union dues spending to bargaining activities unless explicit, time-limited written consent is obtained from the employee.

This resolution expresses support for designating September 2025 as "Sickle Cell Disease Awareness Month." The goal is to educate the public about sickle cell disease, an inherited blood disorder that significantly impacts thousands of Americans, particularly the Black community. This designation aims to promote awareness regarding the need for research, early detection, effective treatments, and preventative care programs.

The Transit Crime Reporting Act of 2025 mandates the Secretary of Transportation to issue annual public reports detailing violent and non-violent crimes on federally funded transit systems. Additionally, the Act establishes a new Task Force, chaired by the FTA Administrator, to develop and recommend strategies for enhancing safety across these transit networks. This Task Force will deliver an initial report within one year and a final set of recommendations within two years of enactment.

The Telehealth Modernization Act primarily extends key Medicare telehealth flexibilities, such as geographic and audio-only options, until September 30, 2027. The bill also extends the Acute Hospital Care at Home waiver through 2030 and mandates a comprehensive study comparing home-based and traditional hospital care. Additionally, it introduces new program integrity measures for Durable Medical Equipment (DME) and requires guidance to ensure language access for Limited English Proficiency patients utilizing telehealth.

The Renewing Opportunity in the American Dream to Housing Act of 2025 is a comprehensive bill designed to increase housing supply, improve financial literacy, and modernize federal housing programs. It seeks to achieve these goals by reforming zoning regulations, extending rental assistance programs, increasing financing options for manufactured homes, and enhancing oversight across HUD and related agencies. Ultimately, the legislation aims to make housing more affordable and accessible while ensuring better accountability for federal housing investments.

The Improving Care in Rural America Reauthorization Act of 2025 extends critical funding for rural health programs through 2030. This legislation ensures that grant money for rural health outreach and network development is specifically targeted to meet the needs of underserved populations. Furthermore, it mandates that residents in these rural areas must be actively involved in the planning and operation of the programs receiving these funds.

The Protecting Access to Credit for Small Businesses Act prohibits the Small Business Administration (SBA) from issuing any new direct loans under its primary Section 7(a) loan program. While the SBA can no longer originate these loans directly, it must continue to manage and service any existing direct 7(a) loans. This change shifts the focus of the program away from direct government lending.

The Community Investment and Prosperity Act amends federal banking laws to increase investment limits for national banks and Federal Reserve Banks. Specifically, this legislation raises the applicable investment threshold from 15% to 20%. This change is intended to promote public welfare through increased investment capacity.

The Business of Insurance Regulatory Reform Act of 2025 clarifies and limits the authority of the Consumer Financial Protection Bureau (CFPB) over entities already regulated by state insurance authorities. This bill specifically restricts the CFPB's ability to enforce federal consumer protection rules against state-regulated insurers operating within the business of insurance. The legislation ensures that state insurance regulators maintain primary oversight for these entities.

The IRS Accountability and Taxpayer Protection Act mandates that IRS personnel must obtain supervisor approval *before* issuing initial notices regarding tax penalties or the disallowance of certain tax benefits. This legislation aims to increase internal oversight on enforcement actions taken against taxpayers. Additionally, the Treasury Department must annually report publicly on all penalties assessed by the IRS.

The Hospital Inpatient Services Modernization Act extends the flexibility for hospitals to provide acute care services in a patient's home through 2030. The bill also mandates a comprehensive, subsequent study comparing the quality, cost, and patient experience of hospital-at-home care versus traditional inpatient settings. This follow-up report must be submitted to key Congressional committees by September 2028.

The Modern Worker Empowerment Act amends the Fair Labor Standards Act (FLSA) to standardize the definition of an "employee" using traditional common law rules. This change clarifies the legal standard for determining employment relationships under federal wage and hour protections.

This bill mandates that the Committee on Foreign Investment in the United States (CFIUS) annually review and update a specific list of U.S. Government facilities and property deemed sensitive for national security. CFIUS must also report on any real estate transaction reviews involving these sensitive sites. This ensures the list remains current based on agency-specific annual reviews.