Legislative Activity

The Safe Step Act establishes mandatory, transparent exception processes for health plans that use "step therapy" protocols for prescription drugs. This ensures patients or their doctors can quickly request coverage for a prescribed medication when specific clinical criteria are met, such as previous treatment failure or risk of harm. Plans must decide on standard requests within 72 hours and urgent requests within 24 hours, and approved exceptions must last for at least one year. Furthermore, insurers must report detailed data annually on exception requests, approvals, and denials to the Secretary of Health and Human Services.

This bill amends the Federal Water Pollution Control Act to expand eligibility for additional federal subsidies for water infrastructure projects. It specifically allows these funds to support investments in new technologies and processes that promote water efficiency, energy efficiency, and stormwater runoff reduction. The goal is to encourage the development of cost-effective and sustainable water infrastructure.

This Act addresses the unjust detention of U.S. nationals and their family members by the People's Republic of China. It mandates the development of a diplomatic action plan by the Secretary of State to secure releases and hold accountable Chinese officials responsible for these detentions. Furthermore, the bill calls for increased reporting to Congress and outlines specific policy actions to condemn China's use of detention and exit bans as leverage.

The MAP Roads Act establishes a pilot program to help states digitally map their unmapped county roads, aiming to improve rural business, safety, and navigation. The Secretary of Transportation will award grants to states that commit to creating a centralized, public repository for this standardized road data. Participating states must ensure the collected data is publicly accessible and updated annually. This grant authority is set to expire in 2031.

This House Resolution strongly condemns all forms of political violence and threats against elected officials and public figures, regardless of political affiliation. It affirms that disagreements must be resolved through peaceful and democratic means, not intimidation or force. The resolution urges law enforcement to prosecute those who commit or encourage such violence. Finally, it calls on all leaders to cease using dehumanizing rhetoric and promote civil discourse.

The No Tax on Overtime for All Workers Act amends the tax code to clarify and expand the definition of "qualified overtime compensation." This change ensures that overtime pay earned above a standard rate, whether mandated by the Fair Labor Standards Act or agreed upon beforehand with an employer, is treated favorably for tax purposes. The goal is to incentivize and reward workers for putting in extra hours.

The Prevent Youth Suicide Act mandates that schools serving grades 6 through 12 establish comprehensive, evidence-based suicide prevention and postvention protocols to maintain federal funding. These rules require biennial staff training, clear referral systems for at-risk students, and the adoption of a trauma-informed approach. The Secretary of Education is tasked with creating these regulations, providing resources, and monitoring compliance.

The SHINE for Autumn Act of 2025 aims to significantly improve federal support for state-level stillbirth research and data collection. It authorizes grants for states to enhance surveillance, track risk factors, and build local capacity for analyzing stillbirth data, provided the information remains de-identified. Furthermore, the bill mandates the development of standardized guidelines and educational materials regarding stillbirth awareness and risk factors, developed in consultation with experts and bereaved families.

The HEALTH Act of 2025 permanently updates Medicare rules for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) regarding telehealth. This legislation permanently recognizes audio-only calls as reimbursable telehealth services and removes geographic location requirements for patients receiving care from these clinics. Furthermore, it ensures permanent payment parity for these telehealth visits, treating them as standard outpatient services for billing purposes.

The Delivering Digitally to Our Veterans Act of 2025 modernizes how the Department of Veterans Affairs communicates with veterans by expanding outreach methods beyond traditional calling and mail to include texts and electronic messaging. This legislation specifically updates the Solid Start program and allows veterans to opt-in for digital correspondence regarding their educational assistance benefits. Additionally, the Act extends the expiration date for certain existing limits on pension payments.

The Fusion Advanced Manufacturing Parity Act amends the existing advanced manufacturing production credit to specifically include components used for fusion energy. This provides a temporary 25% tax credit on the sale price of qualifying fusion energy components, beginning after 2025. The credit is scheduled to phase out completely by the end of 2034. The bill also expands the list of eligible materials qualifying for the broader advanced manufacturing credit.

The HUD-USDA-VA Interagency Coordination Act mandates that the Departments of Housing and Urban Development, Agriculture, and Veterans Affairs formally agree to share relevant housing research and market data. This legislation requires the three agencies to submit a joint report to Congress detailing plans for improving interagency coordination on housing programs. Before submission, the proposed coordination plan must undergo a 30-day public review period.

The Medical Student Education Authorization Act of 2025 establishes a new federal grant program to bolster primary healthcare in medically underserved communities. This funding, administered by HRSA, will support public medical colleges that train students committed to practicing in high-need areas like rural or Tribal regions. Grants will focus on developing community-based training, increasing faculty capacity, and providing direct student support to improve the primary care workforce pipeline.

The **988 LGBTQ+ Youth Access Act of 2025** addresses the high rates of suicide risk among LGBTQ youth by strengthening specialized support through the national crisis hotline. This bill mandates that dedicated resources and services, such as a specific dialing option, must be maintained for LGBTQ individuals contacting 988. Furthermore, it requires that at least 9 percent of appropriated funds for the hotline be specifically reserved to ensure these specialized services for LGBTQ youth remain fully operational.

The Stop CMV Act of 2025 aims to establish a national framework for screening newborns for congenital Cytomegalovirus (CMV). This legislation authorizes federal funding for states to implement testing programs and improve data collection systems related to CMV. Furthermore, the bill mandates the expansion of research efforts through the NIH to improve CMV diagnostics, prevention, and treatment.

The "Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act" expands Medicare coverage to include FDA-approved multi-cancer early detection screening tests starting in 2028. It defines the criteria for these tests, sets payment guidelines, and establishes age and frequency limitations for coverage. The bill ensures that existing cancer screening coverage remains unaffected and allows for waivers of limitations based on recommendations from the United States Preventive Services Task Force.

This constitutional amendment seeks to grant Congress and the states the authority to regulate contributions and expenditures in political campaigns. It specifically allows for the establishment of public financing systems to offset the influence of private money in elections. The amendment ensures that any regulations enacted must not infringe upon the freedom of the press.

The Financial Exploitation Prevention Act of 2025 allows registered investment companies to temporarily postpone the redemption of securities for "specified adults" if they reasonably suspect financial exploitation is occurring. This measure requires companies to collect emergency contact information for these accounts and establish internal procedures for handling potential exploitation cases. The Act mandates the SEC to report to Congress with recommendations for further legislative changes to protect vulnerable security holders.

The Saving the American Dream Act mandates that key federal housing agencies collaborate to share research and data through a formal agreement. This legislation requires these agencies to jointly submit a comprehensive report to Congress outlining policy solutions for improving housing finance coordination, reducing mortgage costs, and addressing barriers to new home construction. The goal is to ensure federal housing policy is based on coordinated, evidence-based analysis.

The FAMILY Act establishes a national Paid Family and Medical Leave Insurance program administered by a new office within the Social Security Administration. This program provides monthly benefits to eligible individuals who take time off for qualified caregiving reasons, including serious health conditions or victims of violence. The Act also sets forth detailed eligibility requirements, benefit calculation formulas, and job protection guarantees for employees utilizing the leave. Finally, it creates a funding mechanism to support existing state-level paid leave programs that meet federal standards.