Legislative Activity

The PEER Support Act aims to formally recognize and strengthen the profession of peer support specialists who use their lived experience to help others in recovery. The bill establishes a new Office of Recovery within SAMHSA, led by an individual with lived recovery experience. Furthermore, it mandates the official classification of peer support specialist roles in the federal job system and directs a review of state criminal background check processes for these specialists.

The Religious Workforce Protection Act aims to support religious workers facing long green card backlogs by allowing extensions of their nonimmigrant status beyond the usual five-year limit until their permanent residency application is processed. It also modifies job flexibility rules for certain delayed applicants and exempts religious workers who left the U.S. due to the five-year R-1 visa limit from the mandatory one-year foreign residence requirement before reapplying.

The Ellie Helton, Lisa Colagrossi, Kristen Shafer Englert, Teresa Anne Lawrence, and Jennifer Sedney Focused Research Act, or "Ellies Law," addresses the high incidence and devastating impact of brain aneurysms in the U.S. The bill authorizes $20 million annually from Fiscal Year 2026 through 2030 for the National Institute of Neurological Disorders and Stroke (NINDS). This dedicated funding is specifically intended to supplement existing research efforts focused on unruptured intracranial aneurysms across diverse populations.

The Tax Fairness for Workers Act restores key federal tax deductions for employees, effective after 2024. This legislation makes union dues fully deductible "above the line," meaning they reduce Adjusted Gross Income without itemizing. Additionally, it allows itemizers to deduct certain other job-related business expenses that were previously limited.

The No Tax Breaks for Union Busting (NTBUB) Act aims to disallow businesses from deducting federal income taxes for expenses incurred while attempting to influence employees regarding union organization or activities. This change is intended to stop companies from subsidizing anti-union campaigns through tax write-offs. The bill also establishes new, significant reporting requirements and penalties for businesses and third-party consultants who engage in these influence expenditures.

The IDEA Full Funding Act establishes mandatory, increasing funding levels for the Individuals with Disabilities Education Act (IDEA) programs through fiscal year 2035. This legislation sets specific appropriation targets based on student counts and national average spending to ensure greater financial support for special education services. Furthermore, the bill requires that these new IDEA appropriations adhere to "cut-as-you-go" budget offset rules.

The Sanctioning Russia Act of 2025 imposes sweeping economic penalties on the Russian Federation in response to its aggression against Ukraine. This legislation mandates severe, immediate sanctions against key Russian officials, financial institutions, and energy sector entities, including asset freezes and trade prohibitions. Furthermore, the Act dramatically increases import duties on Russian goods and requires the President to review and reimpose these measures until Russia negotiates a lasting peace with Ukraine.

The Armenian Genocide Education Act establishes a program managed by the Librarian of Congress to develop and share educational resources combating denial of the 1915-1923 Armenian Genocide. This initiative will create online materials, train educators, and encourage the integration of accurate history into school curricula. The Act authorizes $2 million annually for five years to support these educational efforts aimed at promoting awareness and preventing future atrocities.

The Reentry Act of 2025 allows incarcerated individuals to receive medical assistance through Medicaid during the 30 days immediately preceding their release. This legislation also mandates a comprehensive report from MACPAC analyzing current healthcare standards within correctional facilities. The report will examine the impact of this coverage change and offer recommendations for improving healthcare access for those transitioning back into the community.

The Transgender Health Care Access Act aims to improve access to gender-affirming care by addressing critical gaps in medical education and provider capacity. The bill establishes grant programs to develop and implement comprehensive training curricula for medical professionals across various settings, including rural areas. Furthermore, it provides funding to expand the ability of community health centers to deliver culturally competent and necessary care to transgender individuals. Ultimately, this legislation seeks to ensure that healthcare providers are adequately trained and equipped to meet the medical needs of the transgender population.

The Portable Ultrasound Reimbursement Equity Act of 2025 updates Medicare coverage to include diagnostic ultrasound tests. This legislation mandates that Medicare establish separate payments for the transportation and setup of portable ultrasound equipment, mirroring existing payments for portable X-ray services. These changes are set to take effect starting January 1, 2027.

The Personal Health Investment Today Act of 2025 (PHIT Act) aims to improve public health by incentivizing healthier lifestyles, particularly to combat obesity. This bill allows taxpayers to treat certain qualified sports and fitness expenses, such as gym memberships and instruction fees, as deductible medical expenses. Deductions are capped annually at \$1,000 per individual or \$2,000 for joint filers.

The Raise the Age Act of 2025 generally prohibits Federal Firearms Licensees from selling certain semiautomatic centerfire rifles or shotguns capable of holding magazines over five rounds to anyone under 21, with exceptions for qualified military or government personnel. The bill also maintains the existing minimum age of 18 for general firearm purchases, excluding the newly restricted categories. Finally, it mandates that the FBI Director report on the operational procedures of its public access line within 90 days of enactment.

The Paycheck Fairness Act significantly strengthens federal equal pay protections by broadening definitions of sex discrimination, tightening employer defenses against pay disparities, and increasing penalties for violations. It also prohibits employers from using salary history in hiring decisions and mandates new data collection by the EEOC to better enforce anti-discrimination laws. Furthermore, the bill establishes new training and outreach programs to combat systemic wage bias.

This bill officially ratifies the Equal Rights Amendment, declaring it a valid part of the U.S. Constitution. It specifically removes any previously imposed deadlines for state ratification. If three-fourths of the states have approved the amendment, this law confirms its official status regardless of past time constraints.

This bill affirms the House of Representatives' belief that every person has the right to emergency health care, including abortion care. It argues that abortion restrictions endanger lives, force doctors to make impossible choices, and disproportionately harm people of color, low-income individuals, and LGBTQI individuals. The bill emphasizes that delays in emergency care due to abortion bans can lead to life-threatening situations and that everyone, including pregnant individuals, should have access to necessary medical care without discrimination.

The Puppy Protection Act of 2025 significantly increases humane treatment standards for dog dealers under the Animal Welfare Act. This legislation mandates specific minimum space requirements, daily exercise access, and mandatory socialization for housed dogs. Furthermore, it establishes strict limits on female dog breeding frequency and age, alongside enhanced veterinary care protocols.

The Air America Act of 2025 recognizes the sacrifices of former Air America employees who served the U.S. Government between 1950 and 1976. This Act authorizes a one-time monetary award, up to $40,000 plus potential additional amounts, for qualifying service members or their survivors. The CIA Director is responsible for administering these payments, which are capped at a total of $60 million, and establishing the application procedures. Decisions made by the Director regarding these awards are final and not subject to judicial review.

The Preserving Patient Access to Home Infusion Act updates Medicare coverage and payment rules for home infusion therapy starting in 2026 to ensure continued patient access. The bill explicitly adds pharmacy services to covered home infusion care and clarifies payment calculations for suppliers, including transitional rules based on infusion hours. Furthermore, it expands who can establish and review patient care plans to include nurse practitioners and physician assistants. Finally, the Act modifies definitions and payment rules for certain non-pump infusion drugs and stops separate Medicare payment for specific disposable supplies when infusion therapy is already being reimbursed.

The Protecting Access to Ground Ambulance Medical Services Act of 2025 extends the current Medicare payment structure for ground ambulance services. This change ensures continuity in how these vital services are reimbursed under existing rules. Specifically, the temporary payment pilot program is extended through 2028, preventing an immediate change in payment policy.