The Stop CMV Act of 2025 requires hospitals to screen all infants under 21 days old for congenital cytomegalovirus (CMV), a virus that can cause hearing loss and developmental delays. States must establish screening standards - including parent notification - within two years of the law’s enactment, or the federal Advisory Committee on Heritable Disorders will set them. The bill provides federal grants for states to implement screening, improve data systems, and fund research on CMV prevention, diagnostics, and treatments through the CDC and NIH.
HR 5428 creates a federal grant program to support medical education for students planning to work in underserved areas. It provides $75 million annually (2026-2028) to accredited public medical schools in states with severe primary care physician shortages, prioritizing schools in states with multiple Indian Tribes and partnerships with tribal organizations or health centers. Grantees must use funds for community-based training, developing primary care programs emphasizing Tribal/rural underserved communities, faculty development, scholarships, and tracking graduates' practice locations. The bill directly affects medical schools and future physicians committed to serving Tribal, rural, or medically underserved communities after residency.
This bill requires the 988 Suicide Prevention Lifeline to establish a dedicated "Press 3" option (via IVR) for LGBTQ+ youth seeking crisis support, directly affecting LGBTQ+ youth who face a four times higher suicide risk than peers. It mandates that at least 9% of funds allocated for the lifeline's services be reserved specifically for these specialized LGBTQ+ youth services. The bill amends existing law to formalize this dedicated resource, building on current services that handled over 1.5 million contacts from LGBTQ+ youth in 2025. This creates a concrete policy change for accessing tailored crisis support without altering other lifeline operations.
HR 5395, the Disaster Relief Disbursement Accountability Act, requires federal disaster fund recipients (like state and local governments) to report how quickly they distribute funds to subrecipients after disaster declarations. It mandates recipients to submit annual reports on average disbursement times for programs including hazard mitigation grants and public assistance (sections 403, 404, 406, 407, 428, and 502 of the Stafford Act). Recipients must also provide a retroactive report within one year for disasters declared before the bill’s enactment. The Administrator must then compile these reports and submit an annual summary to Congress starting three years after the bill’s enactment. This focuses on transparency and accountability in the disbursement process, not on changing eligibility or funding levels.
This bill ensures Medicare coverage for new medical devices designated as "breakthrough devices" during a 4-year period after FDA approval. To qualify, devices must meet specific criteria, including FDA priority review, clinical data from Medicare beneficiaries, and a safety review showing benefits outweigh risks. Medicare must finalize coverage decisions within 6 months of manufacturer applications and before the 4-year period ends. The law appropriates $10 million annually (2025-2030) for Medicare to administer this process.
The FAMILY Act (S 2823) would establish a federal paid family and medical leave insurance program that provides wage replacement benefits for eligible workers who need time off for family or medical reasons. It directly affects workers who need leave to care for a family member with a serious health condition, address their own serious health condition, or deal with family violence or other qualifying acts of violence. The program would pay a percentage of an individual's average earnings (up to 85% for lower earners), with maximum monthly benefits of $4,000 and minimum benefits of $580 in 2026, while requiring employers to maintain health coverage during leave. The Social Security Administration would administer the program through a new Office of Paid Family and Medical Leave, with benefits available starting 18 months after enactment.
This bill prohibits Federal Reserve Board members, bank presidents, directors, and senior employees from holding other government positions appointed by the President (including on leave). It specifically bans dual appointments to prevent conflicts of interest between political roles and monetary policy decisions. The law requires clear separation between elected officials and Fed leadership by eliminating any overlap in appointments. This aims to strengthen the Federal Reserve's institutional independence, as emphasized in the bill's congressional findings.
HR 5401, the Pay Our Troops Act of 2026, ensures military personnel, civilian Defense workers, and supporting contractors receive pay during government funding gaps in fiscal year 2026. It appropriates emergency funds for active-duty service members, reserves, and their supporting personnel (including Coast Guard staff under DHS) if regular appropriations aren't enacted by the end of the fiscal year. The bill provides necessary pay and allowances during any period when full-year funding is unavailable, covering both active service and support roles. Funding expires when regular appropriations are passed, a funding resolution is enacted, or January 1, 2027, whichever comes first. This is a procedural measure to prevent pay delays for military and support staff during fiscal year 2026 funding lapses.
HR 5392, the Northern Arizona Protection Act, nullifies President Biden's August 2023 proclamation creating the Baaj Nwaavjo I'tah Kukveni-Ancestral Footprints of the Grand Canyon National Monument in Arizona. It prohibits the future designation or extension of national monuments within the specific area shown on the August 2023 map without explicit congressional approval. This bill directly affects federal land management in that region by blocking monument designations under the Antiquities Act without Congress authorizing them.
HR 5393, the Southern Arizona Protection Act, nullifies a 2000 presidential proclamation that established the Ironwood Forest National Monument in Arizona. It prohibits the future creation or expansion of national monuments within the specific area depicted in the 2000 Ironwood Forest National Monument map, except with explicit approval from Congress. The bill directly affects land management decisions in that Southern Arizona region by restricting the use of the Antiquities Act, which allows presidents to designate national monuments. This changes the process by requiring Congressional action instead of presidential authority for monument designations in the specified area.
HR 5410, the Critical Mineral Brine Extraction Research and Development Act, directs the U.S. Department of Energy to fund research and demonstrations for extracting critical minerals (like lithium or cobalt) from saltwater solutions (brine). It requires the Department to collaborate with private industry to scale up this technology, improve its performance, and lower costs through pilot projects. The bill authorizes $2 million annually from 2026 to 2030 for this work and mandates a congressional report within one year assessing the technology’s feasibility, barriers, and potential federal-private partnerships for domestic mineral supply. This directly affects the Department of Energy, private sector partners, and future domestic mineral production, focusing solely on advancing the technology’s development without mandating specific extraction or use.
The FAMILY Act would establish a national paid family and medical leave insurance program that provides wage replacement benefits for workers needing time off for caregiving or medical reasons. It defines "qualified caregiving" to include caring for a family member with a serious health condition, personal medical needs, or recovery from violence (including domestic violence, sexual assault, or stalking). Benefits would be calculated based on earnings, with a minimum monthly benefit of $580 and maximum of $4,000, administered by a new Office of Paid Family and Medical Leave within the Social Security Administration. Eligible individuals would need to have worked for at least 8 quarters in the previous year and file an application with required documentation, while existing state paid leave programs would continue to operate alongside this federal program.
