The American Patients First Act of 2026 establishes a new payment rate of $457 per square centimeter for skin substitute products used in Medicare between 2027 and 2030, provided these products are manufactured entirely within the United States using domestically sourced materials. To ensure compliance, the bill defines these products as those made from U.S. human tissue or synthetic materials and requires that all harvesting, processing, and manufacturing occur exclusively in the country, though the Secretary of Health and Human Services may grant temporary waivers for up to 180 days if domestic supply shortages threaten patient access. The legislation also introduces stricter oversight measures, including prepayment claim reviews, prior authorization requirements for certain providers, and limits on payment if a product was purchased for less than a specific threshold price. Additionally, the act mandates that only providers certified by specific wound care organizations can bill for these products and restricts reimbursement for wastage or repeated applications without clinical improvement. Finally, the bill requires the HHS to submit a report to Congress by 2030 analyzing the cost of producing these products and evidence of their effectiveness.
The RESCUE Act of 2026 updates how the federal government reimburses ground and air ambulance services by changing the payment schedule and data collection rules. Starting in 2028, the Secretary of Health and Human Services will adjust payment rates every three years based on new data regarding costs, labor, and uncompensated care, while years in between will see payments increase only by the standard inflation rate. The bill also requires air ambulance providers to submit cost information to the government at least once every three years, aligning this process with existing rules for ground ambulance services. Additionally, the law mandates a review by 2029 to gather expert recommendations on whether further changes are needed to ensure ambulance providers are paid appropriately. These changes directly affect ambulance companies and the federal programs that fund emergency medical transport.
This bill, known as the AI Kill Switch Act, requires companies developing high-cost artificial intelligence systems to build the technical ability to immediately stop or shut down their technology if it poses a serious risk. It defines "covered technology" as AI systems trained using more than $100 million in computing power and applies these rules to businesses that earn at least $500 million annually from such systems, while exempting non-commercial or academic users. Under the law, companies must report incidents causing significant harm or loss of control and could face emergency orders from the Department of Homeland Security to throttle, disable, or fully shut down their AI if a dangerous event occurs. The legislation also establishes a graduated framework for corrections, allowing for proportional responses like limiting user access or compute resources before resorting to a complete shutdown, and includes provisions for civil penalties and judicial review.
This resolution directs the Speaker of the House to file a lawsuit on behalf of Congress against the President and other executive officials who have failed to follow constitutional duties regarding military actions in Iran. The bill specifically targets the continuation of hostilities that exceed the time limits set by the War Powers Resolution and ignores a prior congressional order to withdraw troops. If passed, the House of Representatives would intervene in federal court to seek legal relief, with the Office of the General Counsel representing the institution in these civil actions.
This resolution expresses the sense of the House of Representatives that Charleston, South Carolina, should proceed with hosting the 2027 annual meeting of the Organization for Security and Cooperation in Europe Parliamentary Assembly. The bill cites Charleston's existing facilities as suitable for the event and notes that hosting the convention in South Carolina honors the legacy of late Senator Lindsey Olin Graham. It also highlights that the United States has not hosted this specific assembly since 2005. The measure does not change any laws or allocate funding but serves as a formal statement of support for the planned event.
This bill creates the United States Commission on Human Dignity, an independent advisory group within the federal government tasked with examining the ethical and policy impacts of emerging technologies like artificial intelligence, robotics, and biotechnology. The 17-member commission will be appointed by the President, congressional leaders, and committee chairs, with a focus on selecting experts in ethics, law, and science to ensure diverse perspectives. Its primary duties include developing ethical guidelines, monitoring federal programs for threats to human dignity, holding public hearings, and issuing annual reports to Congress and the President. The commission is explicitly limited to an advisory role and cannot issue regulations or enforce laws, and it will receive $2 million annually starting in 2027 until it dissolves in October 2032.
The Improving America's Literacy Act amends the Elementary and Secondary Education Act to provide grants to states that implement specific reading instruction methods. These funds are restricted to programs that use evidence-based strategies focusing on phonics and other core literacy skills while explicitly prohibiting the use of the "three-cueing model," an approach that relies on context and pictures for word recognition. The bill also requires states receiving these grants to undergo annual reviews of student outcomes and mandates that school improvement funds be directed only to districts utilizing approved literacy activities. Additionally, the legislation directs the Institute of Education Sciences to conduct research on effective literacy strategies and submit findings to Congress within five years. Finally, the act includes a provision ensuring that these new requirements do not limit protections for students with disabilities or allow the federal government to dictate specific local curriculum content.
The Temporary Protected Status Review Act restores the ability of courts to review decisions by the Department of Homeland Security to end Temporary Protected Status (TPS) designations for foreign nationals. Under this bill, the government must publish detailed written findings explaining why a country no longer qualifies for TPS protection, and these decisions would be subject to a legal challenge in federal court. If a TPS designation is terminated, the affected individuals would remain in the United States with their current status and work authorization intact while the legal challenge is pending. Additionally, the legislation requires the government to follow specific administrative procedures, such as considering all available evidence and avoiding bias, before making any termination decisions.
This bill establishes federal protections and funding to expand access to in vitro fertilization and intrauterine insemination for individuals, military service members, and veterans. It requires most private health plans, Medicaid programs, and Medicare to cover these fertility treatments without imposing higher cost-sharing than other medical services. Additionally, the legislation mandates that the Department of Defense and the Department of Veterans Affairs provide specific fertility preservation and treatment benefits to uniformed service members and eligible veterans. The bill also includes preemption clauses that override state laws restricting these procedures and prohibits discrimination based on marital status, sex, or sexual orientation in the provision of care.
This bill, known as the No Leniency for Fentanyl Dealers Act, aims to increase penalties for trafficking fentanyl and other synthetic opioids while enhancing detection efforts by the U.S. Postal Service. It lowers the quantity thresholds required for federal felony charges and mandates that sentencing guidelines be updated to reflect these stricter penalties. Additionally, the legislation directs the Postmaster General to purchase more chemical screening devices and hire scientists to identify illegal drugs in mail shipments, authorizing $9 million in funding to support these interdiction activities.
The AI Transparency in Elections Act of 2026 requires political advertisements containing content substantially generated by artificial intelligence to include clear and conspicuous disclaimers. These labels must appear on images, audio, and video ads that advocate for or against candidates, solicit contributions, or refer to candidates within 120 days of an election. The bill mandates that visual disclaimers be as large as the main text, while audio disclaimers must be spoken for at least four seconds at the beginning or end of the recording. Violations of these disclosure rules could result in civil money penalties of up to $50,000 per ad, and the Federal Election Commission is tasked with creating specific regulations to enforce the law.
The American Shipyard Investment Act of 2026 creates a new tax credit to encourage investment in U.S. shipyards that build or repair commercial and military vessels. This credit allows taxpayers to deduct 25 percent of their qualified investments in these facilities from their taxes, increasing to 35 percent for projects located in designated economic zones. The law defines eligible investments as property used for constructing, repairing, or manufacturing parts for ships and sets a deadline of December 31, 2033, for when the property must be put into service. Additionally, the bill permits businesses to transfer unused tax credits to other entities and provides an exemption from a specific alternative tax on shipping activities.
