Legislative Activity

The Protecting Veteran Access to Telemedicine Services Act of 2025 allows authorized Department of Veterans Affairs (VA) healthcare professionals to prescribe and dispense controlled medications to eligible veterans via telemedicine. This provision removes the prior requirement for an initial in-person visit before prescribing these medications remotely. The VA is required to establish specific regulations detailing the process for this telemedicine delivery while ensuring compliance with existing federal drug control laws.

The National Infrastructure Bank Act of 2025 establishes a new, mixed-ownership federal corporation chartered to finance major infrastructure projects across the nation. This legislation authorizes the Bank to raise substantial capital and issue significant loans to spur economic growth while prioritizing projects in disadvantaged communities. Furthermore, the bill grants the Bank and its specific investors favorable tax exemptions to encourage participation and operation.

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.

This bill, the ESP, Paraprofessional, and Education Support Staff Family Leave Act, updates eligibility requirements for certain school employees under the Family and Medical Leave Act (FMLA). It adjusts how paraprofessionals and education support staff meet the required hours of service by using a percentage of expected monthly hours worked during the school year. Furthermore, the bill mandates clear guidelines for calculating FMLA leave entitlement for these employees to account for non-standard school schedules.

The PART Act aims to combat catalytic converter theft by requiring new vehicles to have traceable identifying markers on these parts. It establishes a federal grant program to help entities stamp identifying numbers onto existing converters. Furthermore, the bill imposes strict record-keeping requirements on businesses that buy used converters and creates new federal criminal penalties for stealing or trafficking stolen catalytic converters.

The Rural Health Clinic Location Modernization Act of 2025 updates the criteria for clinics to qualify as Rural Health Clinics (RHCs) under Medicare. This legislation revises the definition of an "urban area," setting a new population threshold of 50,000 people to determine eligibility. These changes to the location standards will take effect starting January 1, 2027.

The Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act of 2025 updates Medicare payment requirements for facilities not directly directed by a physician. It mandates that these facilities must have formal arrangements with Physician Assistants (PAs) or Nurse Practitioners (NPs) whose practice adheres to state laws and regulations. These changes are set to take effect on January 1, 2027.

The Bipartisan Premium Tax Credit Extension Act extends the enhanced financial assistance available for purchasing health insurance through the Marketplace. This legislation pushes the expiration date for these boosted premium tax credits, including those for higher earners, from the end of 2025 through the end of 2026. Essentially, it ensures continued, robust subsidies for Marketplace health coverage.

The Restore Trust in Congress Act establishes strict new rules prohibiting Members of Congress and their immediate families from owning or trading specific financial assets, referred to as "covered investments," while in office. Covered individuals must divest existing prohibited holdings within a set timeframe or face significant financial penalties, including fines and forfeiture of profits. The legislation aims to eliminate conflicts of interest arising from personal financial trading while serving in federal office.

The FEMA Act of 2025 establishes the Federal Emergency Management Agency (FEMA) as an independent, cabinet-level agency to lead a unified, all-hazards approach to national emergency management. The bill enacts sweeping reforms across Public Assistance, Individual Assistance, and Mitigation programs to accelerate recovery, streamline funding, and reduce bureaucratic hurdles for disaster survivors and communities. Furthermore, it mandates significant new transparency measures, including public data reporting and GAO oversight, to ensure accountability for federal disaster spending.

The Save our Safety-Net Hospitals Act of 2025 modifies how states calculate Disproportionate Share Hospital (DSH) payments under Medicaid to ensure hospitals receive appropriate supplemental funding. This bill updates eligibility criteria by changing which patient costs are included in the DSH calculation formula. Furthermore, it allows states to use previously unspent federal DSH funds to increase payments for certain past rate years, provided they adhere to existing allotment caps.

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 Counseling for Career Choice Act updates federal education funding to strengthen career guidance and counseling programs in schools. This legislation mandates that these programs align student options with current local workforce needs and requires counselors to provide personalized planning, financial literacy awareness, and exposure to real-world experiences like apprenticeships. Furthermore, the Act encourages strong partnerships between schools and local workforce development boards to ensure students have access to up-to-date career information and support.

The Protecting Health Care and Lowering Costs Act of 2025 repeals specific prior reconciliation health provisions. This bill significantly expands eligibility for the Premium Tax Credit by eliminating the 400% Federal Poverty Level income cap. It also updates the subsidy calculation formula to ensure a smoother, linear adjustment of assistance across various income levels.

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 SPARC Act establishes a new federal loan repayment program to incentivize specialty medical providers to practice in underserved rural communities. This program offers to repay up to $250,000 of eligible education loans in exchange for a six-year service commitment in a designated rural shortage area. The Secretary of Health and Human Services will administer the program through HRSA, prioritizing loan repayment for both physicians and non-physician specialists.

The Parity for Tribal Law Enforcement Act aims to grant qualified Tribal law enforcement officers the authority to enforce federal law within their jurisdiction under specific federal contracts or compacts. This requires Tribal officers and their departments to meet rigorous federal training and procedural standards comparable to those of Bureau of Justice Services employees. When acting under this authority, these Tribal officers will receive the same legal protections and benefits as federal law enforcement officers. The bill also mandates the Department of Justice to improve coordination and accountability for public safety efforts on tribal lands.

The Healthy Drinking Water Affordability Act establishes the Healthy H2O Program to provide grants for improving drinking water quality in rural areas. These grants help eligible households and small facilities address contamination from issues like lead or PFAS by covering the costs of certified water treatment systems, installation, and testing. The program prioritizes private well owners and requires annual reporting on contamination trends and program effectiveness.

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.

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.