Legislative Activity

The PREVENT DIABETES Act aims to expand access to the Medicare Diabetes Prevention Program (MDPP) by allowing entities to participate solely through online services from January 1, 2026, through December 31, 2030. It requires the Secretary of Health and Human Services to update regulations by January 1, 2026, to accommodate virtual suppliers, ensuring they meet MDPP enrollment conditions. This act also ensures that these entities will not be denied claim payments for online MDPP services solely because the beneficiary was in a different state when the services were provided and places no limit on the number of times an individual may enroll in the MDPP.

The Federal Retirement Fairness Act amends title 5 of the United States Code, allowing civilian service in a temporary position after December 31, 1988, to be creditable under the Federal Employees Retirement System. This change applies to current employees and Members of the United States Postal Service, and requires the Office of Personnel Management to notify eligible individuals and issue implementing regulations.

The "Accelerating Kids Access to Care Act of 2025" streamlines the enrollment process for out-of-state healthcare providers in Medicaid and CHIP, ensuring children under 21 have access to care from eligible providers across state lines. By reducing administrative burdens and unnecessary screening requirements, the Act aims to improve healthcare access for children while maintaining necessary safeguards against fraud and abuse. Participating providers will be enrolled for a 5-year period, and the changes will take effect three years after the Act's enactment.

The MODERN WIC Act of 2025 aims to modernize the WIC program by expanding options for remote certification appointments, including telephone and video calls, and allowing for remote delivery of food benefits. It requires state agencies to offer various formats for certification appointments, ensuring accessibility for individuals with disabilities. The Act also mandates a report to Congress on the use of remote technologies in WIC, focusing on their impact and best practices.

The "Purchased and Referred Care Improvement Act of 2025" ensures that Native American patients are not liable for the cost of purchased/referred care, and mandates a process for reimbursing patients who have already paid for such services. It updates the Indian Health Care Improvement Act by replacing the term "contract health service" with "purchased/referred care" to modernize the language used in the Act. These changes aim to streamline the payment process and reduce the financial burden on patients.

The CHAMPVA Children's Care Protection Act of 2025 amends the eligibility requirements for the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA). This act increases the maximum age for eligible children to receive medical care under the program to 26 years old, regardless of their marital status. This change does not affect benefits for children incapable of self-support and takes effect for medical care provided on or after the enactment of this act.

The "Secure Rural Schools Reauthorization Act of 2025" extends the Secure Rural Schools and Community Self-Determination Act of 2000, providing continued financial support to states and counties with federal lands through 2026. It extends secure payments, distribution of payments, and the authority for special projects on federal land. Additionally, it extends the Resource Advisory Committee pilot program and makes several technical corrections to the original Act.

The EAGLES Act of 2025 codifies and expands the National Threat Assessment Center within the Secret Service to focus on preventing targeted violence through research, training, and information sharing. It establishes a national program on targeted school violence prevention, mandating research, training courses, and coordination among various departments and agencies. The Act authorizes \$10 million annually from 2026 to 2030 for these activities, emphasizing early intervention and support for individuals exhibiting concerning behavior, while explicitly prohibiting the use of funds for firearms training. This act aims to standardize threat assessment and prevention practices at all levels, ensuring a proactive and comprehensive approach to school safety.

The "Smithsonian American Women's History Museum Act" authorizes the creation of the Smithsonian American Women's History Museum on the National Mall. It ensures the museum's exhibits and programs reflect the diverse experiences and perspectives of women in the United States, seeking guidance from varied sources. The Act mandates regular reports to Congress on the museum's efforts to meet these diversity requirements.

The "Office of Gun Violence Prevention Act of 2025" establishes an Office of Gun Violence Prevention within the Department of Justice, led by a Director appointed by the Attorney General, to coordinate gun violence prevention efforts, evaluate related laws and programs, and recommend evidence-based policies to Congress and the President. The Director will also convene an advisory council comprising various officials and at least 12 additional individuals representing gun violence survivors, community violence intervention service providers, and other relevant groups. The Office will also assist communities affected by gun violence with crisis response activities, such as providing access to mental health services and suicide prevention resources. Finally, the act authorizes the appropriation of necessary funds to carry out the provisions of the bill.

The Whole Milk for Healthy Kids Act of 2025 expands milk options available to students in the National School Lunch Program by allowing schools to offer organic or non-organic whole milk. This legislation provides greater flexibility for schools in providing fluid milk choices while maintaining accommodations for students with special dietary needs. Importantly, the saturated fat content of these offered milk options will not count toward the meal's overall saturated fat limits.

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.

The Honoring Our Fallen Heroes Act of 2025 expands public safety officer benefits to include deaths and disabilities caused by exposure-related cancers, presuming that certain cancers diagnosed within 15 years of service are line-of-duty injuries if the officer served for at least 5 years. It defines "exposure-related cancer" and allows for updates to the list based on medical evidence, while also permitting individuals to petition for additions. The Act also clarifies "line of duty action" and applies retroactively to claims dating back to January 1, 2020, with a three-year window for filing claims based on these amendments.

The Rural Obstetrics Readiness Act aims to improve maternal health outcomes in rural areas by establishing programs to train healthcare providers in obstetric emergency care, provide funding for necessary equipment and workforce development, implement teleconsultation programs, and study the challenges facing rural obstetric units. The Act authorizes grants for training, equipment, and telehealth programs, and requires a study on rural maternity ward closures and patient transport patterns.

The "Rural Physician Workforce Production Act of 2025" aims to boost the number of physicians practicing in rural areas by establishing a new payment system to support medical resident training in those locations. This includes an "elective rural sustainability per resident payment" to hospitals training residents in rural areas and adjusts graduate medical education funding to further support rural training programs. The Act ensures that hospitals training residents in rural areas receive additional financial support, without being subject to existing program limitations, to cover the costs of training. It also includes provisions to maintain budget neutrality within Medicare's medical education spending.

The "Medicaid Primary Care Improvement Act" allows states to use Medicaid funds for direct agreements with healthcare providers, including value-based care models and direct primary care arrangements. It requires the Secretary of Health and Human Services to gather input and issue guidance to states on implementing these arrangements. Additionally, the Act mandates a report to Congress analyzing state contracts with independent physicians and the quality/cost of care in direct primary care arrangements within Medicaid. This aims to improve primary care access and quality within the Medicaid program without altering existing cost-sharing or limiting medical assistance.

The "Diagnostics Testing Preparedness Plan Act of 2025" requires the Secretary of Health and Human Services to develop and regularly update a plan for the rapid development, validation, production, and distribution of diagnostic tests in response to public health emergencies. This plan aims to improve coordination between public and private entities, consider new technologies, address medical supply needs, and ensure efficient test distribution. The Secretary is authorized to contract with public and private entities to enhance domestic diagnostic testing capacity and must release the plan within one year, updating it every three years thereafter.

The "Freedom to Invest in Tomorrow's Workforce Act" amends Section 529 savings accounts to include expenses related to postsecondary credentialing programs. This allows 529 funds to cover costs like tuition, fees, books, supplies, and testing fees for recognized programs and credentials, as defined by the bill. These changes would apply to distributions made after the bill is enacted.

The "Protect Our Letter Carriers Act of 2025" aims to protect postal workers by allocating funds for high-security collection boxes and electronic mailbox keys. It also mandates the appointment of dedicated attorneys to prosecute crimes against postal employees and directs the Sentencing Commission to increase penalties for assaulting or robbing them.

The "Ski Hill Resources for Economic Development Act" establishes a "Ski Area Fee Retention Account" within the Treasury, directing ski area permit fees collected by the Secretary of Agriculture into this account. These funds will be used to support the administration, maintenance, and improvement of ski areas and related visitor services within the National Forest System. A majority of the fees collected at a specific unit will be reinvested into that unit, with a smaller portion available for use across other National Forest System units. The funds cannot be used for wildfire suppression or land acquisition.