PI Post Acute Access Act This bill allows for separate payment under Medicare to skilled nursing facilities for items and services that are needed to administer intravenous immune globin (IVIG) to patients with primary immune deficiency diseases (rare genetic disorders that impair the immune system and increase vulnerability for other infections).

This bill would make permanent a tax savings account program currently operating as a pilot program, removing its scheduled expiration date of January 1, 2029. The legislation, called the Trump Accounts for All Generations Act, would allow the program to continue indefinitely and would add automatic inflation adjustments starting in 2029, with the contribution limit increasing annually based on cost-of-living changes, rounded to the nearest hundred dollars. The bill affects taxpayers who participate in or wish to participate in these accounts, which appear to be individual savings vehicles created under the Internal Revenue Code. The changes would take effect for tax years beginning after December 31, 2026. No specific funding amounts are mentioned in the legislation, as this is a tax code amendment rather than an appropriations measure.

This bill creates a new tax credit to help small businesses cover the startup costs of establishing dependent care flexible spending accounts (FSAs) for their employees. The credit applies to small employers with fewer than 100 employees who set up a new dependent care FSA for the first time. Eligible employers can claim up to $500 per year (or up to $250 per eligible non-highly-compensated employee, capped at $5,000) for three consecutive years starting when the plan becomes effective, covering expenses like plan administration and employee education. The credit is available only if the plan has at least one eligible participant and the employer hasn't maintained a similar plan in the three years prior to establishing the new one. The bill takes effect immediately and applies to costs paid after its enactment.

SOS: Sustaining Outpatient Services Act This bill allows for payment under the Medicare prospective payment system for hospital outpatient department services of certain items and services that are furnished at off-campus outpatient departments. Specifically, the bill allows for payment of items and services for which payments to physician specialists (under the Medicare physician fee schedule) did not exceed $2 million during the previous year.

H.R. 6280 would expand Medicare coverage to include genetic counseling services provided by licensed genetic counselors starting January 1, 2027. The bill defines covered genetic counselors as individuals licensed by their state or, in states without licensing, certified by the American Board of Genetic Counseling. Under this legislation, Medicare would pay genetic counselors 80 percent of the lesser of either their actual charge or 85 percent of the physician fee schedule amount, and the bill includes protections against balance billing to patients. The law affects Medicare beneficiaries seeking genetic counseling services and the genetic counseling profession, while requiring the Department of Health and Human Services to implement the changes through expedited rulemaking rather than the standard lengthy regulatory process.

The Ethanol for America Act of 2025 directs the Environmental Protection Agency to finalize a rule within 90 days that makes it easier for gas stations and fuel storage facilities to use E15 fuel, which contains 15 percent ethanol. The bill addresses two main areas: it requires the EPA to finalize labeling requirements for E15 pumps at gas stations, and it modifies compatibility standards for underground storage tanks so that most existing tanks are automatically considered compatible with E15 fuel without needing documentation, while new or replaced equipment must be compatible with even higher ethanol blends up to 100 percent. This legislation affects gas station owners, fuel distributors, and the ethanol industry by reducing regulatory barriers and costs associated with selling and storing higher-ethanol fuel blends. The bill has no specific funding provisions, as it primarily streamlines an existing EPA regulatory process rather than creating new spending programs.

The Critical Minerals Investment Tax Modernization Act of 2025 modifies tax rules for companies that extract rare earth minerals and related materials used in technology and defense applications. Specifically, it increases the percentage depletion allowance—a tax deduction that reduces taxable income for mining companies—from current rates to 22 percent for rare earth elements (including the 15 lanthanide elements and scandium), making mining these critical materials more financially attractive. This tax change affects mining companies and investors involved in domestic rare earth mineral extraction. The bill does not specify particular funding amounts but provides immediate tax benefits once enacted. The deduction applies to all taxable years beginning after the bill becomes law, meaning companies could begin claiming the higher depletion rate in the next tax year following enactment.

ACO Assignment Improvement Act of 2025This bill establishes additional requirements for assigning Medicare fee-for-service beneficiaries to accountable care organizations (ACOs) under the Medicare shared savings program. Under current law, the program enables ACOs to receive payments for savings stemming from care coordination and management.The bill requires the basis for assignment to reflect beneficiaries' utilization of not only primary care services provided by ACO physicians, but also those provided by other ACO practitioners—specifically, physician assistants, nurse practitioners, and clinical nurse specialists.

The Homecare for Seniors Act would allow people to use money from their health savings accounts (HSAs) tax-free to pay for in-home care services, expanding what these accounts can currently cover. Specifically, the bill permits HSA distributions for "qualified home care" contracts that provide at least three of seven types of assistance—such as help with eating, bathing, dressing, toileting, transferring, medication management, or continence—delivered in a person's residence by a state-licensed provider or in compliance with state requirements. The bill applies to tax years beginning after its enactment and prohibits using this benefit for care from related family members to prevent abuse. Additionally, the bill requires the Department of Health and Human Services and Treasury Department to run a public awareness campaign so seniors and their families know they can use HSA funds for these in-home care expenses.

Ensuring Community Access to Pharmacist Services ActThis bill provides for permanent coverage under Medicare of certain pharmacist services.Specifically, the bill provides for permanent coverage of testing and treatment services provided by pharmacists relating to (1) COVID-19, influenza, respiratory syncytial virus (RSV), and streptococcal pharyngitis (strep throat); and (2) other public health needs in relation to a declared public health emergency. (Similar authorities were temporarily granted during the COVID-19 public health emergency.) Such services must be provided in accordance with the applicable state laws governing pharmacists' scope of practice.

H.R. 2891 would allow people to transfer money directly from their individual retirement accounts (IRAs) to donor advised funds as charitable contributions. Currently, IRS rules prohibit this type of transfer, but the bill removes that restriction. This change would affect older Americans who want to donate to charity while managing their retirement savings, as well as donors who use donor advised funds to distribute charitable giving over time. The bill has no specific funding attached since it modifies existing tax rules rather than creating new spending programs. The provision would take effect immediately upon the bill's enactment.

The Targeting TANF to Families in Need Act would restrict Temporary Assistance for Needy Families (TANF) funding to support only families whose income falls below twice the federal poverty line. Currently, states have flexibility in setting income eligibility thresholds for TANF assistance; this bill would create a uniform federal cap nationwide. The legislation affects states administering TANF programs and the low-income families they serve, potentially narrowing eligibility for some families who currently qualify. The bill does not specify new funding amounts but rather targets existing TANF grant money more restrictively. The requirement would take effect on October 1, 2026, giving states time to adjust their programs before implementation.

H.R. 2398 modifies the federal tax code to exclude veterinary student loan repayment and forgiveness assistance from taxable income. Currently, when students receive help paying off education loans through certain programs, they may owe taxes on that assistance as if it were regular income; this bill removes that tax burden for veterinarians who receive loan repayment aid. The legislation applies to participants in federal veterinary loan repayment programs and any state-level veterinary loan forgiveness programs designed to improve veterinary service access in rural areas. The tax exclusion becomes effective for assistance received in 2026 and beyond. By removing the tax penalty for loan assistance, the bill aims to make rural veterinary practice more financially attractive and help address the shortage of veterinarians in rural communities.

Maintaining and Enhancing Hydroelectricity and River Restoration ActThis bill establishes a new investment tax credit in the amount of 30% of the basis of any hydropower improvement property.The bill defines hydropower improvement property as property thatadds or improves fish passage at a qualified dam;maintains or improves the quality of the water retained or released by a qualified dam;promotes downstream sediment transport and habitat maintenance;upgrades, repairs, or reconstructs a qualified dam to meet safety and security standards;improves public uses of, and access to, public waterways impacted by a qualified dam;removes an obsolete river obstruction; orplaces into service an approved remote dam.Further, written approval for hydropower improvement property must be obtained from the Federal Energy Regulatory Commission or state or local officials prior to January 1, 2032.The bill also allows an election to claim the investment tax credit for qualified progress expenses for some types of hydropower improvement property in advance of such property being placed into service. Any investment tax credit amount claimed for qualified progress expenses reduces the amount of the investment tax credit that may be claimed once the hydropower improvement property is placed into service. The bill authorizes certain entities, including tax-exempt and governmental entities, to treat the investment tax credit for hydropower improvement property as a payment of tax and receive a refund of any overpayment (also known as elective pay). Finally, the investment tax credit for hydropower improvement property may be transferred (i.e., sold).

Undertaking Negotiations on Investment and Trade for Economic Dynamism Act or the UNITED ActThis bill grants certain authorities to the President for entering into a comprehensive trade agreement between the United States and the United Kingdom (UK).Specifically, the bill directs the President to seek to initiate negotiations with the UK regarding tariff and nontariff barriers affecting any industry, product, or service sector.The bill authorizes the President to enter into a comprehensive trade agreement with the UK, with such authority expiring on March 1, 2029. Further, the President may proclaim a modification or continuance of any existing duty or a continuance of existing excise or duty-free treatment to carry out an agreement, with certain limitations.The bill also requires the President to consult with and notify Congress regarding the intention of the President to enter into an agreement or make a proclamation.

North Platte Canteen Congressional Gold Medal ActThis bill provides for the award of a Congressional Gold Medal to recognize the individuals and communities that provided financial and other support for the North Platte Canteen in North Platte, Nebraska, during World War II.

Nationwide Consumer and Fuel Retailer Choice Act of 2025This bill amends the Clean Air Act to address the limitations on Reid Vapor Pressure (a measure of gasoline's volatility) that are placed on gasoline during the summer ozone season. Specifically, the bill applies the waiver for Reid Vapor Pressure requirements that is applicable to gasoline blended with 10% ethanol (E10) to gasoline blended with up to 15% ethanol (E15). This change allows gasoline that is blended with 10% to 15% ethanol to be sold year-round.Currently, states may be excluded from the waiver for Reid Vapor Pressure requirements by submitting documentation supporting that the waiver would increase air pollution. The bill nullifies existing state exclusions, but states may submit documentation after enactment of the bill to be excluded going forward.The bill also modifies the Renewable Fuel Standard Program, which requires transportation fuel sold or introduced into commerce in the United States to contain minimum volumes of renewable fuel. Under the existing program, obligated parties, such as small refineries, must satisfy the volume obligations by either blending renewable fuels into their gasoline or diesel fuel products or by acquiring credits that represent the required renewable fuel volume. The bill directs the Environmental Protection Agency to return compliance credits to small refineries under certain circumstances.

The AIMM Act (American Investment in Manufacturing and Main Street Act) modifies the tax code to permanently extend a depreciation allowance that helps businesses deduct interest expenses. Specifically, it allows companies to count depreciation, amortization, and depletion when calculating the limit on how much business interest they can deduct for tax purposes. The bill removes a temporary sunset provision that was set to expire, making this tax benefit permanent for tax years beginning after December 31, 2021. The legislation is sponsored by a bipartisan group of House members and aims to support manufacturing and small business investment by providing more favorable tax treatment for business interest deductions. The bill carries no specified new federal funding and would primarily affect businesses with significant depreciation or amortization expenses.

Medicare IVIG Access Enhancement Act of 2025This bill provides for Medicare coverage of in-home administration of intravenous immune globulin to treat chronic inflammatory demyelinating polyneuropathy (CIDP) or multifocal motor neuropathy. (CIDP is an autoimmune condition that causes symptoms such as muscle weakness and numbness; multifocal motor neuropathy is a variant of CIDP that only causes asymmetric muscle weakness.)

H.R. 833 creates federal tax credits to encourage private donations to nonprofit scholarship organizations that fund elementary and secondary education for low-income students. Individual taxpayers can claim a credit of up to 10% of their adjusted gross income or $5,000 (whichever is greater) for donations, while corporations can claim credits up to 5% of their taxable income, though both are subject to volume caps and reduced by any state tax credits already claimed. Qualifying scholarship organizations must maintain strict safeguards, including separate donation accounts, annual independent audits, income verification for recipients (up to 300% of area median income), and prohibition of donations earmarked for specific students. These organizations must distribute at least 90% of their annual receipts within three years, minus allowances for up to 10% in administrative costs and up to 15% carried forward, or lose their tax-qualified status. The bill also protects the autonomy of participating schools and organizations from government control and prohibits excluding religious or private schools from the program.

Educational Choice for Children Act of 2025This bill establishes a nonrefundable tax credit for contributions (cash or stock) made by an individual to a tax-exempt organization that provides scholarships for qualified elementary and secondary school expenses to eligible students (scholarship granting organization), subject to limitations.Under the bill, the tax credit is limited to the greater of $5,000 or 10% of adjusted gross income.Further, the bill establishes a $5 billion annual volume cap (for 2025-2028) for the tax credit (which may be increased under certain circumstances). The volume cap is allocated by the Department of the Treasury for the tax credit on a first-come, first-serve basis (based on the contribution date). However, under the bill, 10% of the volume cap must be divided evenly among states for allocation to individuals residing in those states.The bill allows any portion of the tax credit that exceeds the individual’s tax liability (less certain other tax credits) to be carried forward for up to five tax years.The bill alsoestablishes specific requirements for a scholarship granting organization,requires a scholarship granting organization to distribute all contributions within a specific timeframe (exceptions apply), andexcludes from gross income scholarships received by an individual from a scholarship granting organization.Finally, the bill prohibits federal, state, and local government entities, officers, and employees from imposing requirements that prevent the use of scholarship funds for private or religious elementary or secondary education expenses or discouraging the use of scholarship funds at such education institutions.

Critical Access Hospital Relief Act of 2025This bill repeals the 96-hour physician-certification requirement for inpatient critical access hospital services under Medicare. Under current law, as a condition for Medicare payment for such services, a physician must certify that a patient may reasonably be expected to be discharged or transferred to a hospital within 96 hours after admission to the critical access hospital.

Fostering Autonomy in Independent Returns by Prohibiting Redundant and Extralegal Programs Act of 2025 or the FAIR PREP Act of 2025This bill prohibits the Internal Revenue Service (IRS) from preparing federal tax returns or refund claims, with some exceptions. The bill specifically prohibits the preparation of federal income tax returns or refund claims through the IRS’s Direct File program. (The Direct File program currently allows qualified taxpayers in 25 participating states to prepare and electronically file free federal tax returns through a portal on the IRS’s website.)The bill defines prepare with respect to federal tax returns and refund claims as (1) the completion (in whole or in part) of any form or schedule for the purpose of calculating federal taxes or refunds, and (2) the filing (either electronically or on paper) of such federal tax returns or refund claims.However, under the bill, federal and state tax returns and refund claims may be prepared through the IRS’s Free File program (a program that allows certain taxpayers to prepare and file free federal and state income tax returns using third-party tax-preparation software) or the Volunteer Income Tax Assistance grant program (through which the IRS partners with local community organizations to help low-income and disabled individuals and persons with limited English proficiency prepare and file free federal and state income tax returns). Further, the Department of the Treasury may not award grants or enter into contracts or other transactions for the development or operation of an electronic tax preparation service.

Family and Small Business Taxpayer Protection Act This bill rescinds unobligated funds that were provided by the Inflation Reduction Act of 2022 to the Internal Revenue Service (IRS) for enforcement activities related to the determination and collection of taxes, for operations support for taxpayer services and enforcement activities, and for a task force to research options for a free, direct electronic filing (e-filing) tax return system. The bill also rescinds unobligated funds that were provided by the Inflation Reduction Act of 2022 for expenses of theTreasury Inspector General for Tax Administration,Office of Tax Policy,U.S. Tax Court, andoffices within the Department of the Treasury that provide oversight and support for the IRS.