Legislative Activity

This Act establishes a mandatory supply fee for Medicare drug plans to pay long-term care pharmacies for specific prescriptions dispensed in 2026 and 2027. The bill mandates a $30 fee per prescription in 2026, increasing in 2027, with penalties for non-payment. Additionally, the GAO is required to study the financial sustainability of the current payment structure for these essential pharmacies. This legislation aims to ensure continued access to medications for patients in long-term care settings.

The Restoring Essential Healthcare Act repeals an outdated ban that prevented Medicaid from making payments to certain healthcare providers. This legislation ensures that these previously prohibited entities will now be reimbursed for medical services rendered between the enactment of the original ban and the passage of this Act. In short, it restores payment eligibility and retroactively covers past services.

The EATS Act of 2025 significantly updates eligibility for the Supplemental Nutrition Assistance Program (SNAP) by removing previous restrictions that often disqualified students. This legislation explicitly includes bona fide students enrolled at least half-time in recognized educational programs as eligible participants for food assistance. These changes take effect on January 2, 2026.

The Local Farmers Feeding our Communities Act establishes a new program to support local food producers and strengthen regional food security. This initiative requires the Secretary of Agriculture to fund agreements that ensure nutritious, locally sourced food is purchased and distributed widely, prioritizing small and beginning farmers. Funds must be used to buy minimally processed local products and provide technical assistance to producers. The program is backed by mandatory funding starting in Fiscal Year 2026.

The Securing Infrastructure from Adversaries Act of 2025 prohibits the Department of Transportation (DOT) from procuring or contracting for the use of certain foreign-made LiDAR technology identified in related defense legislation. This ban applies to purchases, contracts, and the use of federal loan or grant funds for this restricted technology, generally beginning in mid-2026. The Secretary of Transportation may only waive this prohibition if it is certified to be in the national interest of the United States. Certain safety testing and regulatory exemption activities remain exempt from these restrictions.

The VISIBLE Act mandates that federal immigration enforcement officers, such as those from CBP and ICE, must clearly display their agency name and either their last name or badge number during all public-facing civil immigration enforcement activities. This requirement ensures officers are easily identifiable to the public from a distance, promoting transparency and public trust. The law also establishes disciplinary procedures for non-compliance and requires annual reporting to Congress on enforcement activities and violations.

The Resident Physician Shortage Reduction Act of 2025 establishes a structured process for distributing up to 2,000 additional, federally funded residency positions annually between fiscal years 2026 and 2032. This distribution prioritizes hospitals serving in underserved areas, those already training above their limit, and those committed to primary care and general surgery training. The bill also mandates a study and report by the Comptroller General on effective strategies to increase diversity within the health professional workforce.

The Reducing Hereditary Cancer Act expands Medicare coverage for individuals with a family or personal history suggestive of hereditary cancer. This legislation mandates Medicare coverage for appropriate genetic testing and risk-reducing preventive surgeries. Furthermore, it allows for expanded, evidence-based cancer screenings for individuals already diagnosed with a hereditary cancer gene mutation.

The First-Time Homebuyer Tax Credit Act of 2025 establishes a new, refundable tax credit for eligible first-time homebuyers, equal to 10% of the purchase price, up to a maximum of $15,000. This credit is subject to income and home price phase-outs based on local median figures. Homebuyers may elect to transfer this credit directly to their mortgage lender at closing in exchange for immediate cash. The bill also includes recapture provisions requiring repayment if the home is sold within four years.

The No Surprises Act Enforcement Act significantly increases financial penalties for group health plans and insurance issuers that violate balance billing protections. It establishes steep fines, including up to $\$10,000$ per affected individual for serious non-compliance. Furthermore, the bill imposes severe penalties, including triple the disputed amount plus interest, for failing to make required payments promptly after an Independent Dispute Resolution (IDR) determination. Finally, it mandates more frequent and detailed transparency reporting on enforcement actions and violations.

The Living Donor Protection Act of 2025 prohibits life, disability, and long-term care insurance companies from denying coverage or increasing premiums solely because an individual is a living organ donor. This legislation ensures that living donors are not financially penalized for their altruistic act. Additionally, the bill requires the Secretary of HHS to update educational materials to accurately reflect the insurance protections afforded to living donors.

This bill amends the Family and Medical Leave Act (FMLA) to explicitly clarify that time taken off for an employee's own organ donation surgery qualifies as a serious health condition. This ensures both private and federal sector workers receive FMLA protection for recovery from organ donation. The legislation also specifies how federal employees must substitute existing paid leave when taking FMLA time for this purpose.

The EACH Act of 2025 aims to ensure equal access to abortion coverage by requiring all federally funded health programs and facilities to cover abortion services. This legislation prohibits federal interference with state or private insurance coverage of abortion and repeals Section 1303 of the Affordable Care Act. Ultimately, the bill seeks to eliminate financial and insurance barriers to abortion care, particularly for low-income individuals relying on programs like Medicaid.

The BEACON Act establishes a new Office of Inspector General (IG) within the Executive Office of the President (EOP) to provide oversight. This EOP IG will operate under the President's direction regarding highly sensitive matters like intelligence or confidential sources. The bill also mandates new, detailed reporting requirements for the EOP IG, including certification of full access to information and reporting on any presidential limitations on investigations.

The Asunción Valdivia Heat Illness, Injury, and Fatality Prevention Act of 2025 mandates that employers protect workers from dangerous heat stress by establishing comprehensive safety standards. This Act requires the Secretary of Labor to create evidence-based rules covering engineering controls, administrative procedures, required training, and paid rest breaks to prevent heat-related illness. Furthermore, the law establishes strict enforcement mechanisms, whistleblower protections, and specific timelines for the implementation of these new federal heat protection standards.

The Farmers First Act of 2025 significantly strengthens support for agricultural producers by enhancing the Farm and Ranch Stress Assistance Network. This legislation increases annual funding for the network and mandates the inclusion of dedicated crisis lines within supported programs. Furthermore, it formalizes partnerships between grant recipients and various healthcare providers to ensure comprehensive access to mental health and substance use treatment for farmers and ranchers.

The DIGNIDAD Act of 2025 is a comprehensive bill that significantly overhauls U.S. immigration policy across five major divisions. Division A focuses on aggressive border security enhancements, infrastructure modernization, and increased criminal penalties for immigration offenses, while Division B establishes pathways to legal status for long-term residents who entered as children and creates a temporary protection program for others. Finally, Division C aims to improve legal immigration by reducing green card backlogs, streamlining employment and student visas, and providing new discretionary relief for family separation cases.

The Child Care for Working Families Act establishes comprehensive federal programs to ensure access to high-quality, affordable child care and universal preschool for young children. The legislation creates an entitlement program for child care, mandates that provider reimbursement rates cover actual costs and ensure living wages for staff, and establishes free, universal preschool for 3- and 4-year-olds. Additionally, it provides dedicated funding to stabilize childcare providers and extend the operating hours and compensation for Head Start staff.

The Sport Fish Restoration, Recreational Boating Safety, and Wildlife Restoration Act of 2025 extends the timeline for current Sport Fish Restoration funding allocation rules until 2031 and removes the spending cap for Interstate Fisheries Commission activities. The bill also updates boating infrastructure priorities to specifically include funding for alternative marine fuel facilities for larger vessels. Finally, it significantly reduces the federal excise tax rate on portable, electronically-aerated bait containers from 10 percent to 3 percent.

The Pharmacy Benefit Manager Reform Act of 2025 aims to increase transparency and accountability across the prescription drug supply chain. It mandates fairer pharmacy network access for Medicare beneficiaries and imposes strict new financial reporting and service fee requirements on Pharmacy Benefit Managers (PBMs) working with Medicare and private health plans. Furthermore, the bill establishes new federal mechanisms to accurately track drug acquisition costs in Medicaid and explicitly bans the practice of "spread pricing" in state Medicaid contracts.