The PBM Reform Act of 2025 aims to increase transparency and fairness in pharmacy benefit manager (PBM) operations within Medicare Part D and Medicaid programs. The bill requires Medicare Part D plans to allow any pharmacy meeting standard terms to join their networks, establishes "essential retail pharmacies" in underserved areas (with limited pharmacy access), and mandates detailed reporting on drug pricing, rebates, and reimbursement rates. It creates a process for pharmacies to report PBM violations of reasonable contract terms and prohibits "spread pricing" in Medicaid, where PBMs retain the difference between what they pay pharmacies and what they charge plans. These provisions aim to improve pharmacy access for Medicare beneficiaries and ensure fairer reimbursement practices for pharmacies.
This bill reauthorizes two existing federal diabetes programs through 2027. It provides $160 million annually for fiscal years 2026 and 2027 for the Special Diabetes Program for Type I Diabetes (serving people with Type I diabetes) and the Special Diabetes Program for Indians (serving Native American communities through Indian Health Services). A final $40 million is allocated for October-December 2027 for both programs, with all funds remaining available until expended. The bill extends current funding levels without changing program eligibility or structure.
This bill requires drug manufacturers to pay rebates to Medicare when their "selected drugs" (cancer and complex therapies subject to negotiated maximum fair prices) are used. Manufacturers must calculate rebates based on the difference between current Medicare payment rates (ASP+6) and new negotiated rates (MFP+6), covering the gap for beneficiaries. This lowers patient coinsurance from the current 20% of ASP+6 to 20% of MFP+6 for these specific drugs during the negotiated price period. The rebates are paid to the Medicare trust fund and apply to Medicare Part B beneficiaries using these drugs, directly affecting drug manufacturers and patients covered under Medicare Part B.
This bill requires online contact lens sellers to provide a secure electronic method for customers to transmit their contact lens prescriptions, directly affecting online retailers. It mandates that such electronic transmissions comply with HIPAA privacy rules and that any protected health information sent via email must be encrypted. The law updates existing rules to modernize prescription verification for online sales while maintaining privacy protections.
HR 4272, the Prioritizing Rural Hospitals Act, requires the U.S. Department of Agriculture to prioritize rural health care facilities (including mental health clinics) for direct loans and grants under the Consolidated Farm and Rural Development Act from 2026 to 2031. Eligible entities can use these funds for medical supplies, expanding telehealth services, staffing (capped at 25% of funds), or renovating closed facilities. The bill also prohibits the Secretary of Agriculture from making national reprioritizations within rural health funding programs during this period. It directly affects rural hospitals and clinics seeking federal support for infrastructure, technology, and services.
This bill requires adding a citizenship checkbox to the 2030 and future decennial censuses, asking respondents about their U.S. citizenship status for themselves and all household members. It mandates that the Census Bureau publicly release each state's total citizen and noncitizen population counts within 120 days after each census. The bill then changes how congressional representation is calculated by excluding noncitizens from the population numbers used to apportion House seats and electoral votes starting with the 2030 census. This directly affects how states' representation in Congress and the Electoral College is determined based on citizen population counts rather than total population.
HRES 550 is a non-binding House resolution recognizing June 2025 as LGBTQIA+ Pride Month. It formally encourages all U.S. citizens to celebrate Pride Month to learn about LGBTQIA+ history, including the Stonewall Inn and Compton's Cafeteria uprisings. The resolution affirms that LGBTQIA+ rights are human rights and emphasizes the ongoing struggle for equality. It has no legal effect but serves as a symbolic statement of support for the LGBTQIA+ community and its history.
HR 4244 prohibits Medicaid from covering conversion therapy, defined as any paid practice attempting to change a person's sexual orientation or gender identity. This applies to all Medicaid enrollees and providers starting in the first quarter after the law takes effect. The bill explicitly excludes supportive services like gender transition assistance or counseling focused on acceptance and coping. It directly affects Medicaid-funded healthcare providers who offer conversion therapy and enrollees who might otherwise access such services through Medicaid.
The GLOBE Act of 2025 aims to advance global LGBTQI human rights by requiring the U.S. State Department to document and report on violence and discrimination against LGBTQI people worldwide. It establishes a permanent Special Envoy for LGBTQI rights at the State Department and creates an interagency group to coordinate U.S. government responses to threats against LGBTQI populations. The bill authorizes sanctions against foreign individuals responsible for human rights violations against LGBTQI people, including banning them from entering the United States. It also includes provisions to improve U.S. foreign assistance programs to better protect LGBTQI rights and makes changes to immigration policy to better protect LGBTQI asylum seekers.
HR 4234 prohibits U.S. officials from temporarily allowing certain individuals to enter the country at the border. It specifically bans parole (temporary entry) for refugees and individuals identified as having terrorism links, being on terror watchlists, or posing a national security risk due to potential ties to terrorism. The bill defines "known terrorist" (arrested/convicted for terrorism), "special interest alien" (with potential terrorism nexus), and "suspected terrorist" to establish these restrictions. These provisions apply to people seeking entry at the border who meet these criteria, replacing existing parole authority for such cases.
HR 875 amends immigration law to make non-citizens with DUI convictions inadmissible (preventing entry) and deportable (requiring removal after entry). It applies to any conviction for driving while intoxicated or impaired under state, tribal, or local law, regardless of whether the offense is classified as a misdemeanor or felony. The bill directly affects non-citizens convicted of driving under the influence of alcohol or drugs, including impairment from other substances. This policy change expands immigration consequences for DUI offenses beyond current standards.
This resolution expresses the Senate's preference that the Parliamentarian of the Senate serve no more than one 6-year term. It references historical service averages of 15 years (since 1981) to argue that term limits would prevent long tenures, promote accountability, and encourage fresh perspectives. As a non-binding resolution, it does not change current appointment rules but states the Senate's view on the role's structure.
