United States · United States Congress · 15 May 2025
SNAP Administrator Retention Act of 2025 This bill directs the Food and Nutrition Service (FNS) to pay Supplemental Nutrition Assistance Program (SNAP) state agencies for 100% of SNAP administrative personnel costs. The bill also requires that state SNAP agency administrators be paid at least the same amount as federal employees. (Under current law, FNS generally pays 50% of a state's administrative costs for SNAP.) Specifically, FNS must pay a state agency for 100% of all SNAP administrative personnel costs that are part of an FNS-approved state agency personnel wage plan. This must include all costs associated with hiring and training new employees, maintaining those personnel costs, and complying with wage standards. The state agency must use these funds (1) to supplement, not supplant, nonfederal funds used for existing administrative personnel costs; and (2) for existing or additional full-time positions that are above the number of positions that were held in FY2024. The bill also requires that the wage standards for SNAP state agency administrators be (1) at least the same amount as the General Schedule (GS) pay rate for federal employees; and (2) updated annually based on any increase in the GS pay rate, including locality adjustments.
United States · United States Congress · 14 May 2025
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 This bill requires hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Hospitals must post a notice regarding nurse-to-patient ratios in each unit and maintain records of actual ratios for each shift in each unit. The bill also requires hospitals to follow certain procedures regarding how ratios are determined, and other staff are prohibited from performing nurse functions unless specifically authorized within a state's scope of practice rules. HHS must adjust Medicare payments to hospitals to cover additional costs attributable to compliance with these ratios. Nurses may object to, or refuse to participate in, an assignment if it would violate minimum ratios or if they are not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing their nurse's license. Hospitals may not (1) take adverse actions against a nurse based on the nurse's reasonable refusal to accept an assignment; or (2) discriminate against individuals for good faith complaints relating to the care, services, or conditions of the hospital or related facilities. HHS may impose civil monetary penalties on hospitals violating the ratio requirements and must publish the names of such hospitals. The bill provides stipends to the nurse workforce loan repayment and scholarship program and expands the nurse retention grant program to include nurse preceptorship and mentorship projects.
United States · United States Congress · 1 May 2025
Affordable and Safe Prescription Drug Importation Act of 2025 This bill expands the categories of prescription drugs that may be imported into the United States and the countries from which such drugs may be imported. Current law allows the Department of Health and Human Services (HHS) to authorize importation of certain eligible prescription drugs from Canada if HHS certifies that doing so would pose no additional risk to public health and safety, among other requirements. HHS long declined to make the requisite certification, citing safety concerns (e.g., contamination, counterfeiting), but ultimately made the certification in 2020 and has since approved one state plan to import drugs. The bill removes the certification requirement and requires HHS to issue regulations that permit importation of qualifying prescription drugs from the United Kingdom, Switzerland, and member states of the European Union, in addition to Canada. After one year, if HHS determines that importation of drugs from these countries has been conducted safely, HHS may authorize importation from other countries that meet certain requirements. The bill also expands the types of prescription drugs eligible for importation to include, for example, biologics such as insulin. Further, the bill allows individuals to use an eligible licensed foreign pharmacy to fill a U.S.-issued prescription for a qualifying drug for personal use. Currently, an individual seeking to import a prescription drug generally must acquire a waiver from HHS. Finally, the bill imposes criminal penalties for websites that sell counterfeit drugs or dispense drugs without a required prescription.
United States · United States Congress · 1 May 2025
Ensuring Community Access to Pharmacist Services Act This bill provides for permanent coverage under Medicare of certain pharmacist services. Specifically, the bill provides for permanent coverage of testing and treatment services provided by pharmacists relating to (1) COVID-19, influenza, respiratory syncytial virus (RSV), and streptococcal pharyngitis (strep throat); and (2) other public health needs in relation to a declared public health emergency. (Similar authorities were temporarily granted during the COVID-19 public health emergency.) Such services must be provided in accordance with the applicable state laws governing pharmacists' scope of practice.
United States · United States Congress · 30 April 2025
Assault Weapons Ban of 2025 This bill makes it a crime to knowingly import, sell, manufacture, transfer, or possess a semiautomatic assault weapon (SAW) or large capacity ammunition feeding device (LCAFD). The prohibition does not apply to a firearm that is (1) manually operated by bolt, pump, lever, or slide action, except for certain shotguns; (2) permanently inoperable; (3) an antique; (4) only capable of firing rimfire ammunition; or (5) a rifle or shotgun specifically identified by make and model. The bill also exempts from the prohibition the following, with respect to a SAW or LCAFD: importation, sale, manufacture, transfer, or possession related to certain law enforcement efforts, or authorized tests or experiments; importation, sale, transfer, or possession related to securing nuclear materials; and possession by a retired law enforcement officer. The bill permits continued possession, sale, or transfer of a grandfathered SAW, which must be securely stored. A licensed gun dealer must conduct a background check prior to the sale or transfer of a grandfathered SAW between private parties. The bill permits continued possession of, but prohibits sale or transfer of, a grandfathered LCAFD. Newly manufactured LCAFDs must display serial number identification. Newly manufactured SAWs and LCAFDs must display the date of manufacture. The bill also allows a state or local government to use Edward Byrne Memorial Justice Assistance Grant Program funds to compensate individuals who surrender a SAW or LCAFD under a buy-back program.
United States · United States Congress · 29 April 2025
Equality Act This bill prohibits discrimination based on sex, sexual orientation, or gender identity with respect to businesses, employment, housing, federally funded programs, and other settings. Specifically, the bill expands Title II and Title VI of the Civil Rights Act of 1964 to prohibit public accommodations and federally funded programs, respectively, from discriminating based on sex, sexual orientation, or gender identity. It also includes stores, transit services, recreational facilities, and establishments that provide health care, accounting, or legal services as public accommodations under Title II. The bill also expands Title IV (desegregation of public schools) and Title VII (employment discrimination) to specifically include sexual orientation and gender identity. (The Supreme Court held in Bostock v. Clayton County that Title VII's prohibition of employment discrimination based on sex also prohibits employment discrimination based on sexual orientation or gender identity.) The bill similarly expands the Fair Housing Act (discrimination in public and private housing) to include sexual orientation and gender identity. It also prohibits discrimination based on sexual orientation or gender identity by creditors and with respect to jury selection. The bill defines sex for purposes of the aforementioned provisions to include sex stereotypes, pregnancy, childbirth, sexual orientation, gender identity, and sex characteristics.
United States · United States Congress · 29 April 2025
Medicare for All Act This bill establishes a national health insurance program that is administered by the Department of Health and Human Services (HHS). Among other requirements, the program must (1) cover all U.S. residents; (2) provide for automatic enrollment of individuals upon birth or residency in the United States; and (3) cover items and services that are medically necessary or appropriate to maintain health or to diagnose, treat, or rehabilitate a health condition, including hospital services, prescription drugs, mental health and substance abuse treatment, dental and vision services, long-term care, gender affirming care, and reproductive care, including contraception and abortions. The bill prohibits cost-sharing (e.g., deductibles, coinsurance, and copayments) and other charges for covered services. Additionally, private health insurers and employers may only offer coverage that is supplemental to, and not duplicative of, benefits provided under the program. Health insurance exchanges and specified federal health programs terminate upon program implementation. However, the program does not affect coverage provided through the Department of Veterans Affairs or the Indian Health Service. The bill also establishes a series of implementing provisions relating to (1) health care provider participation; (2) HHS administration; and (3) payments and costs, including the requirement that HHS negotiate prices for prescription drugs. Individuals who are age 18 or younger, age 55 or older, or already enrolled in Medicare may enroll in the program starting one year after enactment of this bill; other individuals may buy into the program at this time. The program must be fully implemented two years after enactment.
United States · United States Congress · 14 April 2025
Ukraine Support Act This bill addresses the war between Russia and Ukraine by (1) providing assistance to Ukraine and certain European countries, and (2) establishing penalties for Russia and certain foreign persons (individuals and entities). Assistance provided under the bill includes establishing a reconstruction trust fund for Ukraine, requiring the U.S. International Development Finance Corporation to prioritize support for Ukraine, reviving the President’s authority to lend or lease defense articles to Ukraine or Eastern European countries affected by the war through FY2028, extending through 2027 the Department of Defense’s authority to provide security assistance and intelligence support to Ukrainian forces, and requiring the Department of State to take certain actions to build the capacity of the militaries and border forces of Baltic countries. Additionally, the President must periodically determine if the Russian government or any proxy is waging a war of aggression against Ukraine, refusing to sincerely negotiate a peace agreement with Ukraine, or acting in violation of a negotiated peace agreement with Ukraine. If the President makes such a determination, the President must impose certain penalties including property- and visa-blocking sanctions on certain Russian officials; property-blocking sanctions on Russian companies in the oil and mining sectors, Rosatom (Russia's state-owned nuclear enterprise) and its subsidiaries, and certain Russian financial institutions; and increasing the rate of duty on all goods and services imported from Russia into the United States to at least 500% relative to the value of such goods and services.
United States · United States Congress · 10 April 2025
Child Care Nutrition Enhancement Act of 2025 This bill increases and modifies reimbursements for meals and snacks served under the Child and Adult Care Food Program (CACFP). CACFP is a Food and Nutrition Service program that provides federal reimbursements for meals and snacks provided to eligible children and adults who are enrolled at participating child care centers, day care homes (i.e., private homes that provide nonresidential child care services), and adult day care centers. Specifically, the bill eliminates the two-tiered system for CACFP reimbursement rates for day care homes and generally makes all day care homes eligible for the same reimbursement rates. Under current law, day care homes located in a low-income area or with a low-income provider receive higher reimbursement rates (i.e., Tier I rates). Day care homes that do not qualify for Tier I rates receive Tier II rates, which are lower. Further, the bill provides an additional 10-cent reimbursement for each eligible meal and snack served in the CACFP. The bill also allows the provider of a family or group day care home to serve reimbursable meals and snacks to their own children when serving meals and snacks to children in their care. Specifically, the bill eliminates the current requirement that the child of a day care home provider meet the program's income eligibility requirement in order for the day care provider to receive reimbursement for the meals and snacks served to their child.
United States · United States Congress · 10 April 2025
Combating Organized Retail Crime Act of 2025 This bill expands federal enforcement of criminal offenses related to organized retail and supply chain crime. The term organized retail and supply chain crime includes criminal offenses involving the interstate transportation of stolen property, the sale or receipt of stolen goods, or theft from an interstate or foreign shipment that is committed by, in coordination with, or at the instruction of an organization. First, with respect to criminal offenses involving the interstate transportation of stolen property or the sale or receipt of stolen goods, the bill broadens the scope of conduct that qualifies as offenses by allowing prosecutions to be based on the aggregate value of stolen items over a 12-month period. Additionally, the bill makes the offenses predicate offenses (i.e., underlying offenses) for prosecutions under the federal money laundering statute and authorizes the criminal forfeiture of any property obtained from the proceeds of an offense. Second, with respect to criminal offenses involving theft from an interstate or foreign shipment, the bill also makes an offense an underlying offense for prosecution under the federal money laundering statute and authorizes the criminal forfeiture of any associated property. Third, the bill expands the federal money laundering statute to include offenses involving general-use prepaid cards, gift certificates, or store gift cards. Finally, the bill temporarily establishes a center within the Department of Homeland Security to coordinate federal law enforcement activities related to organized retail and supply chain crime.
United States · United States Congress · 10 April 2025
Supplemental Oxygen Access Reform Act of 2025 or the SOAR Act of 2025 This bill establishes certain requirements with respect to the payment and provision of supplemental oxygen and related services under Medicare. For example, the bill provides for separate payments, indexed to inflation, of oxygen and related equipment, supplies, and services under Medicare (rather than under the competitive acquisition program). It also specifically covers services that are provided by respiratory therapists under Medicare and provides for an additional payment adjustment for these services. Additionally, the bill (1) requires the Centers for Medicare & Medicaid Services to develop an electronic template for providers to use when prescribing oxygen and related equipment, supplies, and services; and (2) establishes certain rights for beneficiaries receiving these items and services, such as the right to choose their suppliers and to receive clear communications and be informed about the services provided.
United States · United States Congress · 9 April 2025
Benton MacKaye National Scenic Trail Feasibility Study Act of 2026 This bill requires the Department of Agriculture to study the feasibility of designating the Benton MacKaye Trail (located in Georgia, Tennessee, and North Carolina) as a national scenic trail.
United States · United States Congress · 9 April 2025
Gas-Operated Semi-Automatic Firearms Exclusion Act or the GOSAFE Act This bill establishes a framework to regulate gas-operated semiautomatic firearms and large capacity ammunition feeding devices under federal firearms laws. First, the bill generally prohibits the import, sale, manufacture, transfer, receipt, or possession of a firearm that is or is modified to operate as a prohibited gas-operated semiautomatic firearm; a combination of parts that modify or can be assembled into a prohibited gas-operated semiautomatic firearm, or that produce an unlawful gas-operated semiautomatic cycling action; a device or combination of parts designed to materially increase the rate of fire of a semiautomatic firearm; or a firearm that is modified to materially increase the rate of fire. Second, the bill generally prohibits (1) the import, sale, manufacture, transfer, or receipt of a large capacity ammunition feeding device; or (2) the possession of a large capacity ammunition feeding device manufactured after the date of enactment. A violation is subject to criminal penalties—a fine, a prison term of up to 12 months, or both, for each violation. In addition, an individual who possesses a prohibited gas-operated semiautomatic firearm during a federal felony offense is subject to additional penalties—a fine, a mandatory minimum prison term of two years, or both. Finally, the bill allows a state or local government to use Edward Byrne Memorial Justice Assistance Grant Program funds to compensate individuals who surrender gas-operated semiautomatic firearms and large capacity ammunition feeding devices under a buy-back program.
United States · United States Congress · 9 April 2025
Medicare Audiology Access Improvement Act of 2025 This bill provides for Medicare coverage of certain audiology services. Specifically, the bill expands coverage to include diagnostic and treatment services that are furnished by audiologists and that would otherwise be covered if provided by a physician, including incidental services, regardless of whether such services are provided pursuant to a referral from, or under the supervision of, a physician or other health care practitioner.
![Official portrait of Rep. Cohen, Steve [D-TN-9]](https://www.congress.gov/img/member/c001068_200.jpg)