This bill, known as the Daughters of the American Revolution Membership Integrity Act, amends federal law to explicitly limit membership in the Daughters of the American Revolution to adult human females. It defines a female as someone who naturally possesses or would have the reproductive system capable of producing ova for fertilization, regardless of any congenital anomalies or medical disruptions. By adding this specific definition to the organization's governing code, the legislation clarifies the genealogical and biological requirements for joining the group. The change directly affects the organization's eligibility rules but does not alter its internal operations or funding.
The Patients First Act of 2026 modifies how Medicare reimburses physicians and primary care providers to improve access and stabilize payments. It establishes a new hybrid payment model for primary care services from 2027 to 2031, which pays a monthly fee per patient to eligible independent practices while covering specific services like care management and telehealth without cost-sharing for patients. The bill also updates the formula for calculating reimbursement rates to account for high inflation years and requires more frequent updates to the costs used in calculating payments. Additionally, the legislation reforms the performance-based payment system by adding care efficiency measures, creating a task force to recommend new quality metrics, and adjusting penalties for providers who fail to report on certain data.
The Medicare Access to Rural Anesthesiology Act changes how Medicare pays for anesthesia services at specific small rural hospitals and critical access hospitals. To qualify for these changes, a hospital must be located in a rural area, have fewer than 800 surgeries requiring anesthesia, and employ or contract with no more than one full-time anesthesiologist who agrees not to bill Medicare separately for those services. Once a hospital meets these criteria, anesthesia care provided by an anesthesiologist there will be paid based on the hospital's actual costs rather than a fixed fee, and it will be classified as part of the hospital's inpatient services instead of a separate billable service. The law also requires the Department of Health and Human Services to update its regulations to reflect these new payment rules.
The Essential Caregivers Act of 2026 requires nursing homes, long-term care hospitals, rehabilitation facilities, and intermediate care facilities to allow two chosen family members or friends to visit residents during times when regular visitation is suspended. These essential caregivers must agree to follow the facility's existing safety and infection control rules, which are no more restrictive than those applied to staff. While facilities can limit access for the first seven days of a suspension or deny entry if a caregiver shows symptoms of a serious infectious disease, they cannot block visits for end-of-life care. Additionally, the bill mandates that complaints about denied access to essential caregivers be investigated and resolved within three days.
HR 7651, the Chloe Cole Act of 2026, prohibits healthcare providers from performing certain medical interventions on minors under 18 aimed at altering physical development to align with gender identity. These "covered interventions" include puberty blockers, hormone treatments, and specific surgeries, but exclude medically necessary care for conditions like disorders of sexual development or traumatic injuries. The bill creates a federal civil lawsuit right for affected minors or their parents against providers who perform such interventions, allowing claims for damages including emotional distress and punitive awards, with strict liability for providers after the law's enactment. It explicitly allows exceptions for legitimate medical treatments and requires providers to prove such exceptions apply if challenged.
This bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.
Protecting Privacy in Purchases Act This bill prohibits payment card networks from using merchant codes that distinguish firearms retailers from general-merchandise retailers or sporting-goods retailers. The Department of Justice must enforce this bill and report annually on the resulting investigations and cases.
The Sunshine Protection Act of 2025 would make daylight saving time permanent across the United States, ending the current practice of changing clocks twice yearly. It repeals the 1966 law requiring seasonal time changes and adjusts time zone offsets to reflect permanent daylight saving time (e.g., shifting from "4 hours" to "3 hours" in historical references). States that currently opt out of daylight saving time (like Arizona and Hawaii) would retain their existing arrangements, while all other states would adopt permanent daylight saving time unless they choose to stay on standard time. This change would directly affect all U.S. residents by eliminating the need to reset clocks in spring and fall.
This resolution honors National Boys and Girls Club Week by formally recognizing the organization's work with youth across the United States. It highlights the efforts of over 5,500 clubs that provide safe out-of-school programming and support more than 4.2 million young people annually. The Senate encourages the public to celebrate this week and commend the Boys and Girls Clubs of America for helping students develop essential skills in areas like STEM, leadership, and financial literacy.
The Stop Settlement Slush Funds Act of 2026 restricts federal agencies from entering into settlement agreements that require payments to third parties unless those funds directly remedy actual harm or compensate for services rendered. This law prohibits officials from directing settlement money to entities other than the United States for purposes such as slush funds or unrelated projects. To ensure compliance, the bill mandates annual reports to the Congressional Budget Office detailing the distribution of settlement funds and requires federal Inspectors General to publicly report any violations to congressional committees. These reporting requirements are set to expire seven years after the bill is enacted.
The American Citizenship Act proposes changes to how birthright citizenship is determined for children born in the United States. Under this bill, a newborn would automatically be a U.S. citizen only if at least one parent is a U.S. citizen or has lawful permanent resident status at the time of birth. The legislation explicitly excludes children born to parents who are both undocumented or do not meet these residency requirements from receiving citizenship solely based on their birthplace. Importantly, the bill states that these new rules will not apply retroactively to anyone who was already born before the law takes effect.
The STOP Child Care Fraud Act aims to reduce fraud and improve oversight within the federal child care subsidy program by requiring stricter verification processes for parents and providers. States must now verify family income and assets without relying on self-certification, limit payment exceptions for absent children to six days per month, and use electronic tools to confirm attendance. The bill also mandates that states integrate data from various systems to detect suspicious patterns and requires the federal government to review state compliance at least every three years. Additionally, the law establishes a national database of disqualified providers, imposes stricter penalties for audit failures, and sets specific asset and income limits for eligible families.
