United States · United States Congress · 8 September 2025
Sickle Cell Disease Comprehensive Care Act This bill allows state Medicaid programs to establish health homes to provide coordinated care for individuals with sickle-cell disease. (Under current law, state Medicaid programs may establish health homes to provide coordinated care for individuals with specified chronic conditions.) States must ensure that such care includes dental and vision services. The Centers for Medicare & Medicaid Services must issue best practices for states on how to design and implement such health homes.
United States · United States Congress · 4 September 2025
District of Columbia Judicial Nominations Reform Act This bill terminates the District of Columbia (DC) Judicial Nomination Commission. Currently, the commission recommends to the President nominees for judges for DC's Superior Court and Court of Appeals, who must then be confirmed by the Senate. The commission also appoints the chief judges for these courts. The bill terminates the commission's involvement in nominations and requires the President to appoint the chief judges.
United States · United States Congress · 4 September 2025
District of Columbia Policing Protection Act This bill repeals restrictions on the circumstances under which law enforcement officers in the District of Columbia (DC) may engage in vehicular pursuits (i.e., police chases) of suspects fleeing in motor vehicles, and instead generally requires such pursuits in the absence of other means of apprehension. Currently, pursuant to DC's Comprehensive Policing and Justice Reform Amendment Act of 2022, law enforcement officers generally may not engage in vehicular pursuits of suspects fleeing in motor vehicles unless the officer reasonably believes (1) the suspect was involved in a crime of violence or poses an immediate and serious threat to another person, (2) the pursuit is necessary to prevent that threat and is not likely to result in death or serious injury to any person, and (3) all other options have been exhausted or are unreasonable given the circumstances. The bill repeals these restrictions and instead requires law enforcement officers to engage in vehicular pursuits of suspects fleeing in motor vehicles unless the officer or a higher-ranking officer reasonably believes that (1) such pursuit would be futile, (2) the pursuit would entail an unacceptable risk of harm to a person other than the suspect, or (3) the suspect can be apprehended more effectively or expeditiously by other means. The bill also requires the Department of Justice to report to Congress on the costs and benefits of DC’s Metropolitan Police Department adopting technology that alerts the public of an active police pursuit in their immediate vicinity.
United States · United States Congress · 4 September 2025
This bill lowers the age at which an individual may be tried as an adult for certain criminal offenses in the District of Columbia (DC) to 14 years of age. Under current DC law, an individual who is under 18 years of age is tried as a juvenile in family court. However, an individual who is 16 years of age or older may be tried as an adult if the individual is charged with murder, first-degree sexual abuse, burglary in the first degree, robbery while armed, or assault with intent to commit any such offense. Additionally, an individual who is 15 years of age or older may be tried as an adult if the individual is alleged to have committed a felony and it is determined that (1) it is in the interest of the public welfare to try the individual as an adult, and (2) there are no reasonable prospects for the individual's rehabilitation. The bill lowers the minimum age to be tried as an adult in these cases to 14 years of age.
United States · United States Congress · 26 August 2025
Freedom From Union Violence Act of 2025 This bill broadens the scope of conduct that constitutes extortion under the federal criminal statute commonly known as the Hobbs Act. The Hobbs Act prohibits robbery or extortion affecting interstate commerce. Currently, an extortion offense includes obtaining property of another through the wrongful use of force, violence, or fear. Typically, Hobbs Act violations are investigated by the Federal Bureau of Investigation and prosecuted by the U.S. Attorney's Office. In 1973, in United States v. Enmons , the U.S. Supreme Court held that the use of violence by union members during a strike did not constitute extortion under the Hobbs Act because its purpose —to achieve legitimate union objectives—was not wrongful. This bill eliminates the requirement that the use of force, violence, or fear of force or violence to obtain property must be wrongful. The bill specifies that the use of fear not involving force or violence must still be wrongful. Finally, the bill exempts from the Hobbs Act prohibition conduct that (1) is incidental to peaceful picketing during a labor dispute, (2) consists solely of minor bodily injury or property damage, and (3) is not part of a pattern of violent conduct or of coordinated violent activity. A violation involving exempted conduct is subject to prosecution by state and local authorities.
United States · United States Congress · 8 August 2025
DC Criminal Reforms to Immediately Make Everyone Safe Act or the DC CRIMES Act This bill limits the authority of the District of Columbia (DC) government over its criminal sentencing laws. The bill eliminates the DC government’s authority to enact any act, resolution, or rule to change any criminal liability sentence in effect on the date of the bill's enactment. The bill also (1) reduces the maximum age of a youth offender from 24 years to 18 years, and (2) repeals a provision that allows a DC criminal court to issue a sentence to a youth offender that is less than the mandatory minimum term otherwise required by law. A DC criminal court currently has the discretion to reduce or modify certain criminal sentences for a youth offender under specified circumstances. For example, a DC court may sentence a youth offender to probation in lieu of confinement. (However, this discretion does not apply to several specified violent crimes.) Additionally, the bill directs the Office of the Attorney General for DC to publish, and update monthly, certain youth offender crime data on a publicly accessible website.
United States · United States Congress · 23 July 2025
Fixing Emergency Management for Americans Act of 2025 or the FEMA Act of 2025 This bill reestablishes the Federal Emergency Management Agency (FEMA) (currently within the Department of Homeland Security) as an independent, cabinet-level agency. It also makes broad changes to FEMA’s disaster and hazard mitigation assistance programs. The bill generally transfers FEMA’s current functions and authorities to the independent FEMA, except for certain security-related programs. The bill makes various changes to the Public Assistance program, including by establishing new grants for expedited funding to repair or replace disaster-damaged facilities, establishing block grants that recipients may choose instead of Public Assistance for smaller disasters, expediting and expanding uses of funding for emergency response and debris removal, and allowing use of excess administrative funds for increasing recipients’ disaster management capacity. The bill makes various changes to the Individual Assistance program, including by expanding eligibility for housing assistance, expanding mitigation and direct (non-financial) assistance for residences, reducing certain restrictions on funds duplicating program benefits, and establishing a unified disaster application system. The bill makes various changes to FEMA’s mitigation programs, including by establishing mitigation plans with preapproved projects, authorizing an entire Hazard Mitigation Grant Program grant to be provided before costs are incurred, changing pre-disaster mitigation assistance to noncompetitive formula grants, and allowing recipients to combine mitigation project funds from multiple federal programs. Additionally, federal entities must publish various information relating to disaster assistance and conduct various studies on related topics (e.g., preliminary damage assessments, fast-moving disasters, and government emergency alerting systems).
United States · United States Congress · 23 July 2025
Resident Physician Shortage Reduction Act of 2025 This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits. The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.
United States · United States Congress · 17 July 2025
This bill reauthorizes and revises programs of the Centers for Disease Control and Prevention (CDC) that support services and education addressing breast and cervical cancer. The bill reauthorizes through FY2030 and makes changes to the CDC’s National Breast and Cervical Cancer Early Detection Program. This program provides grants to states for breast and cervical cancer screening, diagnostic, and treatment services for individuals who have low incomes, are uninsured, or otherwise lack access to such services. The bill increases flexibility in how states may spend grant funds under the program. The Government Accountability Office must report to Congress on the work of the National Breast and Cervical Cancer Early Detection Program, including the number of individuals served and barriers to accessing screenings. Also, the bill reauthorizes through FY2031 CDC programs relating to young women’s awareness of breast health and breast cancer. These programs include campaigns to educate young women and health care professionals, research on preventing breast cancer in younger women, and grants for resources and services to young women diagnosed with breast cancer and precancerous conditions.
United States · United States Congress · 27 June 2025
Treat and Reduce Obesity Act of 2025 This bill expands Medicare coverage of intensive behavioral therapy for obesity. Specifically, the bill allows coverage for therapy that is provided by (1) a physician who is not a primary care physician; or (2) other health care providers (e.g., physician assistants and nurse practitioners) and approved counseling programs, if provided upon a referral from, and in coordination with, a physician or primary care practitioner. Currently, such therapy is covered only if provided by a primary care practitioner. The bill also allows coverage under Medicare's prescription drug benefit of drugs used for the treatment of obesity or for weight loss management for individuals who are overweight.
United States · United States Congress · 27 June 2025
Disaster Loan Accountability and Reform Act or the DLARA This bill modifies the Small Business Administration (SBA) disaster loan program to require additional oversight and reports regarding the program. First, the bill requires the SBA to report monthly on the operation of the disaster loan program. (Currently, the SBA must report only during the applicable period for a major disaster.) The report must estimate the date on which available funding for such loans will reach 10% of the most recent appropriation and the date on which the funds will be depleted. If a report is not submitted by the required date, no funds may be obligated for official travel by the SBA Administrator until the report is submitted. Second, the President's annual budget must include separate statements regarding the appropriations request for SBA disaster loans and COVID-19 Economic Injury Disaster Loans (EIDL), including explanations for any difference between the amount requested and the 10-year average cost for such loans. Third, the SBA must notify Congress when the unobligated balance of amounts available for disaster loans is less than 10% of the 10-year average annual cost provided in the most recent presidential budget. Finally, the bill requires additional oversight of the disaster loan program, including Government Accountability Office reports on the disbursement of disaster loans and the cost of specified SBA rules that modified the loan program; and an SBA report on its actions to improve forecasting, data quality, and budget assumptions for the cost of disaster loans.
United States · United States Congress · 23 June 2025
Tren de Aragua Border Security Threat Assessment Act This bill requires the Department of Homeland Security (DHS) to submit a border threat assessment and strategic plan regarding Tren de Aragua and other transnational criminal organizations. (Tren de Aragua is a gang that originated in Venezuela.) The threat assessment must include current and potential criminal threats from Tren de Aragua and a description of its origins, strategic aims, funding sources, and U.S. growth and presence. DHS must submit a strategic plan not later than one year after submission of the threat assessment. The plan must include, for example, a consideration of the threat assessment and mitigation efforts regarding Tren de Aragua and other transnational criminal organizations and efforts to disseminate information between DHS and other departments, agencies, and law enforcement entities with missions associated with the border.
United States · United States Congress · 10 June 2025
Protecting Health Care for All Patients Act of 2025 This bill prohibits all federal health care programs, including the Federal Employees Health Benefits Program, and federally funded state health care programs (e.g., Medicaid) from using prices that are based on quality-adjusted life years (i.e., measures that discount the value of a life based on disability, age, or terminal illness) to determine relevant thresholds for coverage, reimbursements, or incentive programs. The Government Accountability Office must annually report on how the use of quality-adjusted life years negatively affects individuals with intellectual and developmental disabilities. The bill also reduces funding for the Prevention and Public Health Fund for FY2026-FY2031.
United States · United States Congress · 6 June 2025
Expanding Access to Diabetes Self-Management Training Act of 2025 This bill expands Medicare coverage of diabetes outpatient self-management training. Specifically, the bill specifies that in addition to physicians, other health care practitioners may also provide such services. It also specifies that coverage includes an initial 10 hours of training until used, as well as an additional 2 hours of training per year. The bill also prohibits the Centers for Medicare & Medicaid Services from limiting training that is deemed medically necessary. Additionally, the Center for Medicare and Medicaid Innovation must test a model in which such training is provided virtually and evaluate any effects on costs, services, and health outcomes.
United States · United States Congress · 5 June 2025
Accelerating Access to Dementia and Alzheimer’s Provider Training Act or the AADAPT Act This bill reauthorizes through FY2031 and revises the Technology-enabled Collaborative Learning Program, which is administered by the Health Resources and Services Administration. This program provides grants to support the use of technology that connects different health care professionals to improve access to health care, including specialty care, for certain rural and medically underserved populations. The bill explicitly adds dementia care to the types of specialty care that the program may address.