Legislative Activity

The Conrad State 30 and Physician Access Reauthorization Act extends the Conrad State 30 program, which allows foreign physicians to work in underserved areas of the U.S. in exchange for a waiver of certain visa requirements. It modifies requirements for foreign physicians seeking waivers, including employment protections, state waiver limits, and contract requirements. The bill also increases the number of waivers available to states and modifies immigration procedures for physicians, including allowing "dual intent" for medical graduates and clarifying national interest waivers. Finally, it requires an annual report on the Conrad State 30 J1 Visa Waiver Program.

The "Protecting American Agriculture from Foreign Adversaries Act of 2025" adds the Secretary of Agriculture to the Committee on Foreign Investment in the United States (CFIUS) for agricultural matters. It mandates CFIUS review of agricultural land transactions, particularly those involving entities from China, North Korea, Russia, or Iran, to safeguard American agriculture. This ensures scrutiny of foreign investments in agricultural land and related industries, addressing potential threats to national security. The requirements for a specific country will end if that country is removed from the list of foreign adversaries in section 791.4 of title 15, Code of Federal Regulations.

The "World Language Education Assistance Program Act" aims to address the language skills crisis in America by establishing a grant program to create, improve, and implement world language and dual language programs in schools. These grants will support professional development for teachers, partnerships with community-based language schools, and innovative language immersion programs. The act prioritizes programs that demonstrate language proficiency growth, can be replicated, and have a sustainability plan, with the goal of equipping students with the language skills needed for a globalized world. The act authorizes \$15,000,000 for fiscal year 2026 and each subsequent fiscal year to carry out this section.

The "DOC Access Act of 2025" aims to enhance health care coverage under vision and dental plans by ensuring fair payment practices, protecting doctors' choices in labs and suppliers, and respecting state laws. It allows optometrists and dentists to charge their standard rate for non-covered services if the plan's payment is unreasonable, while ensuring they can only charge the contracted rate for dental cleanings. The bill also gives doctors more control over agreement extensions with limited benefit plans and allows them to opt out of certain provisions. Ultimately, this act seeks to balance federal guidelines with state oversight in regulating health insurance issuers and dental or vision benefit plans.

The "New Era of Preventing End-Stage Kidney Disease Act" aims to improve the prevention, diagnosis, and treatment of rare kidney diseases through research, education, and increased public awareness. It establishes Centers of Excellence for Rare Kidney Disease Research, directs studies on testing and treatment approaches, and promotes provider education in nephrology. The Act prioritizes addressing disparities in affected populations and seeks to delay or eliminate the need for dialysis and transplant. It authorizes appropriations for these activities from 2026 through 2030.

The "Delivering for Rural Seniors Act of 2025" aims to improve food access for low-income elderly individuals in rural areas by establishing a pilot program for home delivery of commodities. The program will award grants to state agencies, prioritizing those serving rural areas, to cover costs associated with transportation, staffing, and outreach. This act authorizes $10 million annually from 2026 to 2028 for these initiatives.

The "Prevent Interruptions in Physical Therapy Act of 2025" ensures Medicare beneficiaries can continue receiving uninterrupted physical therapy services. It allows physical therapists to utilize temporary staffing arrangements, known as "locum tenens," when the regular therapist is temporarily unavailable. This ensures Medicare payments for services provided by qualified substitute physical therapists, maintaining consistent care for patients.

The Veterans Education and Technical Skills Opportunity Act of 2025 aims to improve educational benefits and support for service members and veterans. This bill revises the repayment process for voluntarily contributed Post-9/11 GI Bill funds, clarifies standards for independent study programs, and updates rules regarding educational absences due to service orders. Additionally, it modifies VA compliance survey notice periods and mandates timely notification to school officials regarding handbook updates.

The "Sporting Goods Excise Tax Modernization Act" modifies excise tax regulations by treating marketplace providers as the importer and seller for excise tax purposes on taxable sporting goods sold through their platform if the goods are shipped from outside the U.S. This applies when the marketplace provider lists the product, collects payments, and the manufacturer is not the marketplace provider. The regulations will be applied to sales in calendar quarters starting 60 days after the enactment of this Act.

The Public Safety Employer-Employee Cooperation Act establishes a framework for collective bargaining rights for public safety officers (law enforcement, firefighters, and emergency medical services personnel) at the state level. It directs the Federal Labor Relations Authority to determine if states substantially protect these rights, and if not, the Authority will establish collective bargaining procedures. The Act aims to promote cooperation between public safety employers and employees while respecting existing state laws and prohibiting strikes and lockouts. This law does not override state laws that provide similar or stronger protections for public safety officers.

The "Make American Flags in America Act of 2025" mandates that U.S. flags displayed on Federal property or bought by Federal agencies be entirely manufactured in the U.S. using 100% U.S.-made materials, in accordance with international agreements. It also directs the Federal Trade Commission to study and report on country-of-origin labeling enforcement for U.S. flags, aiming to improve enforcement and deter violations.

The 9/11 Responder and Survivor Health Funding Correction Act of 2025 amends the Public Health Service Act to improve the World Trade Center (WTC) Health Program by expanding the types of healthcare providers who can conduct mental health evaluations, modifying provider credentialing, clarifying enrollment calculations, and extending the time frame for adding health conditions for WTC responders. The act adjusts the funding formula for fiscal years 2026 through 2090 and requires the Secretary of Health and Human Services to report to Congress on the program's budget, including projected needs through 2090 and recommendations for changes to the funding formula. It also stipulates that remaining funds in the Supplemental Fund, Special Fund, and Pentagon-Shanksville Fund will revert to the Treasury.

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 LPOE Modernization Trust Fund Act establishes a dedicated fund within the U.S. Treasury sourced from specific border-related fees and surcharges. This fund is intended to finance the modernization, construction, and staffing of U.S. Land Ports of Entry. Access to these funds requires annual appropriation by Congress, and an oversight board will advise on project prioritization.

The Tipped Income Protection and Support (TIPS) Act eliminates the subminimum wage for tipped employees, requiring employers to pay the standard minimum wage before tips. It ensures that all tips go to the employees, allowing for traditional tip pooling. The bill also introduces a tax deduction for qualified cash tips for employees earning up to $112,500 annually, effective for taxable years after 2025.

The "I CAN Act" is comprehensive legislation designed to remove existing practice and billing barriers for various Advanced Practice Registered Nurses (APRNs)—including Nurse Practitioners, CRNAs, and CNMs—within Medicare and Medicaid. It aims to expand patient access to care by allowing these qualified professionals to supervise, order, and bill for services to the full extent of their state-defined scope of practice. Furthermore, the bill enhances transparency and accountability for Medicare's local coverage decisions affecting APRN services. Overall, this act seeks to integrate APRNs more fully into federal healthcare programs, improving efficiency and service delivery.

The Ohkay Owingeh Rio Chama Water Rights Settlement Act of 2025 authorizes and ratifies a settlement of water rights claims for the Ohkay Owingeh Pueblo within the Rio Chama Stream System, establishing a trust fund to support water infrastructure, resource management, and economic development for the Pueblo. The Act defines Pueblo water rights, outlines the process for managing and distributing funds from the trust, and requires specific waivers and releases of claims from the Pueblo and the United States. It also sets forth the conditions for the Act's enforceability, including necessary funding, legal changes by the State of New Mexico, and judicial approval of the settlement.

The Navajo Nation Rio San José Stream System Water Rights Settlement Act of 2025 seeks to resolve Navajo Nation water rights claims in the Rio San José Stream System by ratifying a settlement agreement between the Navajo Nation, the State of New Mexico, and other parties. The Act establishes a trust fund for the Navajo Nation to manage and utilize for water-related projects and infrastructure, while also defining the scope and limitations of the Navajo Nation's water rights. It also addresses the water rights of individual allottees and allows for the expansion of the Navajo-Gallup Water Supply Project service area. The Act includes waivers and releases of certain claims, and requires specific actions by the Secretary of the Interior and the State of New Mexico to ensure the agreement's enforceability.

This bill resolves water rights disputes in New Mexico for the Pueblos of Acoma, Laguna, Jemez, and Zia by ratifying existing agreements and establishing trust funds to manage settlement money. It clarifies and protects the water rights of each Pueblo, ensuring long-term access to water resources, and requires the Pueblos to waive certain claims in exchange for the settlement benefits. The legislation allocates specific funding for water infrastructure, watershed protection, and economic development, contingent upon meeting key conditions and timelines for implementation. By settling these disputes, the bill aims to enhance water security and support economic development for the Pueblos.

The Supporting the Local Radio Freedom Act prevents Congress from imposing new performance fees on local radio stations for playing music. It emphasizes the mutually beneficial relationship between broadcasters and the recording industry, where radio provides free publicity that boosts music sales and supports artists. The act recognizes local radio's crucial role in communities by providing news, weather updates, and public service announcements. Ultimately, this bill aims to protect local radio stations and businesses from economic harm, ensuring they can continue serving their communities without additional financial burdens.