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.
HR 3100 amends the National Child Protection Act of 1993 to expand background check requirements. It allows businesses and organizations working with vulnerable populations (like children or elderly individuals) to request background checks for their contractors and for people they license or certify to provide care. The bill modifies the law to include individuals "contracted with" or "licensed/certified by" these organizations as those requiring background checks. This change directly affects organizations serving vulnerable groups, their contractors, and licensed care providers by broadening the scope of background checks mandated under the Act.
HR 3108, the RPM Access Act, increases Medicare reimbursement for remote patient monitoring (RPM) in rural areas by setting a minimum reimbursement floor of 100% for practice expenses and malpractice costs starting in 2026. It requires that RPM services include real-time physician availability to address health issues, use data systems compatible with electronic health records, and mandates providers to report data on cost savings and adherence to medications. The bill directly affects rural Medicare beneficiaries with chronic conditions like heart failure and diabetes, as well as healthcare providers delivering RPM services in underserved rural communities. It also requires a 5-year report to Congress analyzing cost savings from RPM use, including reduced hospitalizations and medication adherence. The law aims to improve access to RPM in rural areas where healthcare shortages are most severe.
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 Protecting Innocent Taxpayers from Endless Assessments Act limits the time the government has to collect unpaid taxes when a tax preparer commits fraud. Specifically, it prevents the statute of limitations from being extended if the taxpayer did not intentionally cause the error. This change directly benefits individuals who were victims of fraudulent tax filing practices by ensuring their tax liability cannot be pursued indefinitely. The law applies to any tax assessments or legal proceedings that begin after the bill is enacted.
The Securing America's Water Supply Act directs the Army Corps of Engineers to create a new office dedicated to improving water supply, conservation, and drought resilience. This office will identify opportunities to use existing federal authorities to store and manage water for municipal and industrial needs, while also helping states and local groups access technical and financial assistance. Key actions include clearing backlogs on water supply studies, updating internal policies on how reservoir storage is allocated, and coordinating with other agencies to plan for future water shortages. The bill also requires the Corps to report annually on the office's progress, staffing levels, and the status of ongoing water projects.
The Protecting American Taxpayers Act is a comprehensive bill designed to combat government fraud, recover misused funds, and strengthen oversight across various federal programs. It directly affects federal agencies, state governments administering public assistance, small businesses, veterans, and contractors by imposing new reporting requirements, extending statutes of limitations for fraud cases, and restricting financial assistance to entities linked to foreign agents or the Taliban. Key mechanisms include requiring child care payments to be based on recorded attendance rather than enrollment, mandating investigations into sudden spikes in health care spending, prohibiting small businesses with convicted fraudsters from receiving loans, and creating a new officer within the Department of Veterans Affairs dedicated to scam prevention. Additionally, the legislation rescinds unspent pandemic-era funds for deficit reduction, expands whistleblower protections for defense and non-defense contractors, and establishes stricter rules against transferring public assistance money abroad via remittance transfers.
HR 3978, the Nuclear REFUEL Act, amends the Atomic Energy Act to exclude certain nuclear fuel reprocessing methods from the definition of a "production facility." Specifically, it exempts facilities that reprocess spent nuclear fuel without separating plutonium from other elements, or continue uranium enrichment. This change would directly affect nuclear fuel recycling companies and facilities seeking to process spent reactor fuel under streamlined regulations. The bill focuses on altering regulatory classification to potentially simplify licensing for specific recycling processes.
HR 3194, the LOCOMOTIVES Act, prevents states from setting their own emissions standards for locomotives used in interstate commerce. It amends the Clean Air Act to clarify that federal emissions rules exclusively apply to locomotives providing common carrier railroad transportation for hire (like commercial freight or passenger services across state lines), excluding these from state regulation. This directly affects railroads operating interstate services and state environmental agencies that previously could establish stricter local rules for such locomotives. The bill does not change the actual emissions requirements but shifts regulatory authority solely to the federal government for this specific category of locomotives.
The Declaration of Independence Reaffirmation Act of 2026 directs Congress to formally reaffirm the Declaration of Independence as an organic law of the United States. This legislative measure is intended to commemorate the 250th anniversary of American independence by restating the document's principles regarding natural rights, equal citizenship, and government by consent. The bill includes the full text of the Declaration of Independence as part of its provisions. It does not create new legal obligations or alter existing laws but serves as a symbolic recognition of the document's foundational role in American political order.
This bill amends the Small Business Act to establish a "Rule of Two" for federal contracts. It requires contracting officers to reserve contracts over the simplified acquisition threshold for small businesses if they reasonably expect two or more small businesses can compete and offer a fair market price. The law directly affects federal agencies and small business contractors by changing how government contracts are awarded. It ensures small businesses have a clear opportunity to compete for eligible contracts without requiring them to be the sole source.
