Nonpartisan civic infrastructure
AllCiv·Legis1
·

Rosa DeLauro

D
U.S. Representative · Connecticut-3 · 102th-119th, 35 years 7 months
Legislation
BillHouseIntroduced
U.S. House of Representatives·Introduced Jun 25, 2026·Jun 25, 2026 — Referred to the House Committee on Education and Workforce.
Labor and EmploymentD25R0(25 co-sponsors)
Introduced
This bill strengthens protections for workers against wage theft by increasing penalties, requiring employers to honor employment contracts that promise compensation above the federal minimum, and extending the time workers have to sue over stolen wages from two to three years up to four to five years. The legislation also suspends the statute of limitations while the Department of Labor is actively investigating wage violations, giving workers more opportunity to recover unpaid wages in court. The bill funds partnerships between enforcement agencies and worker advocacy organizations to prevent wage violations, expand outreach in industries with histories of noncompliance, and help detect violations. The main wage protection provisions take effect either six months after the Labor Department issues final regulations or within 18 months of the bill's enactment, whichever comes first, allowing the department time to develop implementing rules while ensuring timely implementation.
BillHouseIntroduced
U.S. House of Representatives·Introduced Jun 18, 2026·Jun 18, 2026 — Referred to the Committee on Education and Workforce, and in addition to the Committee on Oversight and Government Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Labor and EmploymentD24R0(24 co-sponsors)
Introduced
The CHILD Labor Act strengthens federal protections against child labor by expanding the definition of oppressive child labor to prohibit anyone under 18 from working in six high-risk industries—manufacturing, mining, trenching, meat processing, demolition, and explosives—while giving the Labor Secretary authority to designate additional hazardous occupations and complete prohibition on employment for children under 14 except by parents or guardians. The bill extends accountability throughout supply chains, holding companies responsible for child labor violations by contractors and subcontractors unless they obtain written assurances and take preventive steps, and provides new enforcement tools including authority to investigate records, issue tags on goods made with child labor, and halt operations with worker compensation. Federal contractors receiving Davis-Bacon and Service Contract Act work must comply with these standards or face liquidated damages of $20 per day per illegally employed child, contract cancellation, and three-year bans from federal contracts, with successor companies held jointly liable for violations. The legislation also requires the Labor Department to establish training and education programs to prevent child labor violations, identify risks, and support victims, and mandates annual data collection and reporting to Congress on work-related injuries, illnesses, and deaths among workers. The Labor Secretary must issue detailed regulations within 180 days and review them every five years to keep protections current.
BillHouseIntroduced
U.S. House of Representatives·Introduced May 22, 2026·May 22, 2026 — Referred to the House Committee on Foreign Affairs.
International Affairs
Introduced
This bill authorizes a new international health program to train obstetrician-gynecologists and urogynecology specialists in least developed countries to address obstetric fistula, a devastating childbirth injury that affects approximately 500,000 women and girls worldwide. The legislation directs the President, through the John E. Fogarty International Center for Advanced Study in the Health Sciences, to establish fellowship and residency programs and training centers in poor countries, in coordination with local medical institutions. The bill also requires the development of a comprehensive 10-year strategy to address physician shortages and childbirth-related injuries, with a report to Congress due within two years of enactment, followed by annual progress reports. While the bill does not specify dollar amounts for funding, it authorizes assistance through the federal government to support these educational and training initiatives focused on prevention, treatment, and social reintegration of fistula survivors. The legislation reflects a commitment to align U.S. health aid with the United Nations' goal to end obstetric fistula by 2030.
BillHouseIntroduced
U.S. House of Representatives·Introduced May 21, 2026·May 21, 2026 — Referred to the House Committee on Energy and Commerce.
HealthD6R2(8 co-sponsors)DRBipartisan
Introduced
The DONOR Milk Act establishes new federal safety standards and oversight for pasteurized donor human milk, which is milk expressed by one mother and donated for use by another family's infant. The legislation requires that entities manufacturing, processing, or handling donor milk register as food establishments with the FDA and be subject to mandatory annual inspections, including unannounced visits, to ensure compliance with food safety and labeling requirements. The bill authorizes eight million dollars in grants to nonprofit milk banks to help them meet the new safety standards through equipment upgrades, certifications, and consulting services. These requirements take effect beginning one year after the law is enacted, with annual inspections to follow thereafter. The legislation aims to improve the safety of an increasingly common milk-sharing practice used by hospitals and families when mothers cannot provide breast milk for their own infants.
ResolutionHouseIntroduced
U.S. House of Representatives·Introduced May 14, 2026·May 14, 2026 — Referred to the House Committee on Ways and Means.
Foreign Trade and International FinanceD48R0(48 co-sponsors)
Introduced
This resolution expresses the House's position on what U.S. trade policy should prioritize, rejecting what its sponsors view as both past corporate-friendly trade agreements and the current administration's approach to tariffs. The resolution calls for trade agreements that include strong labor and environmental standards with enforcement mechanisms, fair wage guarantees, domestic content requirements for government purchases, and restrictions on companies that offshore jobs. It also addresses specific sectors, including pharmaceuticals (opposing price-inflating monopolies), agriculture (supporting family farmers and country-of-origin labeling), and the digital economy (protecting workers and data privacy). The resolution emphasizes that Congress should have a vote on any new trade agreements, that tariffs should support domestic production and workers, and that trade enforcement agencies need full funding to combat unfair practices like dumping. As a resolution rather than legislation, it does not create law or allocate funding but instead serves as an expression of congressional sentiment on trade policy priorities.
BillHouseIntroduced
U.S. House of Representatives·Introduced Apr 30, 2026·Apr 30, 2026 — Referred to the House Committee on Education and Workforce.
EducationD17R0(17 co-sponsors)
Introduced
The CHARTER Act would prohibit charter schools and charter management organizations from contracting with for-profit companies to operate, oversee, or manage their schools if those schools receive federal education funding. The bill is a response to charter schools that have restructured to work around a 2006 court ruling finding that for-profit charter schools were ineligible for federal funds under education law. The legislation would allow charter schools to continue contracting with for-profit entities only for specific support services like food, payroll, facilities maintenance, transportation, textbooks, and other ancillary supplies. The new restrictions would take effect three years after the law is enacted and would apply to any contract entered into, renewed, or extended from the date of enactment. The bill affects all charter schools receiving funds through the Elementary and Secondary Education Act or the Individuals with Disabilities Education Act.
BillHouseIntroduced
U.S. House of Representatives·Introduced Apr 23, 2026·Apr 23, 2026 — Referred to the House Committee on Education and Workforce.
EducationD10R0(10 co-sponsors)
Introduced
Savings Opportunity and Affordable Repayment ActThis bill creates a new income-driven repayment plan for student loans called the Savings Opportunity and Affordable Repayment (SOAR) plan. The SOAR plan has similar provisions to, but further expands on, the Department of Education's (ED's) final rule published on July 10, 2023, that created the Saving on a Valuable Education (SAVE) plan. The SAVE plan was blocked by federal courts.The bill directs ED to carry out a SOAR plan program that complies with specified requirements. The bill allows all federal student loan types to be eligible for repayment under the SOAR plan, including Parent PLUS Loans and Federal Family Education Loans.Under the SOAR plan, a federal student loan borrower whose income is at or below 250% of the federal poverty level (FPL) has $0 monthly payments. A borrower whose income is over 250% of the FPL pays 5% of their discretionary income on loans obtained for undergraduate study and 10% of their discretionary income for all other outstanding loans (e.g., loans obtained for graduate study).Additionally, under the SOAR plan, holders of eligible federal student loans (e.g., ED or private lenders) must apply 50% of the borrower's monthly payment toward outstanding principal. The other 50% must be applied in the following order: (1) accrued charges and collection costs on the loan, (2) outstanding interest, and (3) outstanding principal.ED must forgive any loan balance that remains outstanding after a specified maximum repayment period (e.g., 10 years or 15 years).
BillHouseIntroduced
U.S. House of Representatives·Introduced Mar 9, 2026·Mar 9, 2026 — Referred to the House Committee on Energy and Commerce.
HealthD40R3(43 co-sponsors)DRBipartisan
Introduced
This bill strengthens safety standards for infant formula by requiring manufacturers to conduct regular testing for dangerous pathogens and microorganisms—including botulism bacteria—in both their manufacturing facilities and finished products. Manufacturers must notify the FDA within one business day of any positive test results and keep detailed records for inspection purposes. The bill also requires the FDA to establish consistent inspection standards for all infant formula products regardless of their origin and mandates that Congress be notified within one business day when the FDA receives reports of positive pathogen tests or issues enforcement actions against formula manufacturers. The FDA must issue final regulations implementing these requirements within 90 days of the bill's enactment, with no specific funding allocated in the legislation itself.
BillHouseIntroduced
U.S. House of Representatives·Introduced Mar 5, 2026·Mar 5, 2026 — Referred to the House Committee on Ways and Means.
Foreign Trade and International FinanceD3R0(3 co-sponsors)
Introduced
The Tariff Relief for Consumers Act directs the Treasury Department to create a program refunding tariffs that the Supreme Court ruled invalid under the International Emergency Economic Powers Act. The bill targets major importers—those who paid at least $5 million in these tariffs—and requires them to pass refunds directly to consumers through price reductions or rebates rather than keeping the money for corporate profits. Companies must demonstrate how they will lower prices on essential goods like baby formula, diapers, food, and basic clothing in proportion to their refunds, with priority given to those who've already begun reducing prices in anticipation of relief. The Treasury must issue regulations within 30 days and complete all refunds within 180 days, while prohibiting companies from using refunds for stock buybacks or dividends until they've met their consumer price-reduction commitments.
ResolutionHouseIn Committee
U.S. House of Representatives·Introduced Mar 3, 2026·Mar 18, 2026 — Motion to Discharge Committee filed by Ms. DeLauro. Petition No: 119-17. (<a href="https://clerk.house.gov/DischargePetition/2026031817">Discharge petition</a> text with signatures.)
Congress
Committee
This resolution provides for the consideration of the bill (H.R. 4213) making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2026, and for other purposes.
BillHouseIntroduced
U.S. House of Representatives·Introduced Feb 12, 2026·Feb 12, 2026 — Referred to the Committee on Education and Workforce, and in addition to the Committees on House Administration, and Oversight and Government Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Labor and EmploymentD156R0(156 co-sponsors)
Introduced
The Healthy Families Act requires employers to provide paid sick leave to their employees, with a minimum of 1 hour of paid time off for every 30 hours worked, capped at 56 hours per year unless employers provide more. Employees can use this paid sick time for their own medical care, family care, or for absences related to domestic violence, sexual assault, or stalking, and can begin using it after 60 days of employment. The bill prohibits employers from retaliating against workers who use sick leave or report violations, with enforcement mechanisms including civil fines up to $100 per violation, Department of Labor investigations, and the ability for employees to sue employers to recover lost wages and attorney's fees. The Department of Labor must collect annual data on sick time availability and usage, and a Government Accountability Office study within 5 years will evaluate how the law has been implemented and its impact on different demographic groups. States that accept federal funding must also waive sovereign immunity to ensure compliance with the new requirements.
BillHouseIntroduced
U.S. House of Representatives·Introduced Feb 11, 2026·Feb 11, 2026 — Referred to the Committee on Appropriations, and in addition to the Committee on the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Economics and Public FinanceD114R0(114 co-sponsors)
Introduced
Department of Homeland Security Appropriations Act, 2026This bill provides FY2026 appropriations for various agencies and offices within the Department of Homeland Security (DHS), except for U.S. Immigration and Customs Enforcement (ICE), U.S. Customs and Border Protection (CBP), and management and oversight activities of the Office of the Secretary.Specifically, the bill provides appropriations to DHS for the Federal Protective Service,the Office of Inspector General,the Transportation Security Administration,the U.S. Coast Guard,the U.S. Secret Service,the Cybersecurity and Infrastructure Security Agency,the Federal Emergency Management Agency (FEMA),U.S. Citizenship and Immigration Services,the Federal Law Enforcement Training Centers, andthe Science and Technology Directorate.The bill does not provide appropriations for some agencies and activities that have been funded in prior DHS appropriations acts, including ICE, CBP, and management and oversight activities of the Office of the Secretary.
BillHouseIntroduced
U.S. House of Representatives·Introduced Feb 9, 2026·Feb 9, 2026 — Referred to the Committee on Oversight and Government Reform, and in addition to the Committee on Armed Services, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Government Operations and Politics
Introduced
The American Business for American Companies Act of 2026 prohibits federal agencies from awarding government contracts to "inverted domestic corporations"—foreign companies that acquired American businesses or assets since May 2014 while remaining primarily controlled by former U.S. shareholders. The ban applies to both civilian and defense contracts and extends to joint ventures where such inverted corporations hold more than 10 percent. For contracts exceeding $10 million, prime contractors are required to prevent subcontractors from circumventing these restrictions and face potential contract termination or debarment for violations. The legislation defines inverted corporations broadly to capture companies where U.S. management and control remain dominant or where the corporate group maintains significant domestic business activities (at least 25 percent of employees, compensation, assets, or income in the U.S.). Agencies can waive the prohibition only for national security reasons or critical public health programs, with waivers requiring congressional notification within 14 days. The restrictions apply to new contracts and task orders issued after enactment, with the Treasury Secretary required to issue implementing regulations.
BillHouseIntroduced
U.S. House of Representatives·Introduced Dec 17, 2025·Dec 17, 2025 — Referred to the Committee on Education and Workforce, and in addition to the Committees on House Administration, Oversight and Government Reform, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Government Operations and PoliticsD54R0(54 co-sponsors)
Introduced
The Schedules That Work Act would protect workers in retail, food service, hospitality, warehousing, and cleaning jobs at employers with 15 or more employees by requiring advance scheduling, stable hours, and compensation for unpredictable changes. Covered employees could request flexible or predictable schedules, and employers must engage in good-faith discussions before denying requests; employers must provide schedules at least 14 days in advance, notify workers of expected monthly hours, and pay penalties for violations ($75 per day for non-compliance). The law requires "predictability pay"—an extra hour of regular pay for last-minute added or shifted hours, or half-pay for canceled shifts—and prohibits retaliation against workers who exercise these rights. Employees can sue for damages and attorney fees, while the Department of Labor can investigate and impose penalties of $500–$5,000 per willful violation; the law requires federal agencies to issue regulations within 180 days and establishes pilot programs to test fairer scheduling practices. The bill preserves existing labor protections and allows unions to negotiate different terms through collective bargaining.
BillHouseIntroduced
U.S. House of Representatives·Introduced Dec 10, 2025·Dec 10, 2025 — Referred to the House Committee on Energy and Commerce.
HealthD10R0(10 co-sponsors)
Introduced
The Federal Food Administration Act of 2025 would create a new standalone agency within the Department of Health and Human Services dedicated to regulating food safety and labeling, separate from the FDA's current jurisdiction. The bill would transfer all food-related responsibilities, staff, and resources from the FDA to this new Federal Food Administration, which would be led by a Commissioner of Foods appointed by the President and confirmed by the Senate. The legislation requires the agency to establish an inspection program with specific timelines—inspecting high-risk food facilities annually, intermediate-risk facilities every two years, low-risk facilities every three years, and infant formula facilities every six months—with at least half of these inspections carried out by contracted state officials. The bill must be implemented within one year of enactment and authorizes whatever funding is necessary for fiscal year 2026 and beyond, with appropriations transferred from the existing FDA food program budget.
BillHouseIntroduced
U.S. House of Representatives·Introduced Nov 28, 2025·Nov 28, 2025 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Foreign Trade and International FinanceD24R0(24 co-sponsors)
Introduced
The No GOUGE Act prohibits companies from engaging in price gouging on goods subject to tariffs that took effect on or after January 20, 2025, for a five-year period following each tariff's implementation. Companies cannot raise prices on tariffed goods by more than the actual costs generated by the tariff itself, unless they can demonstrate additional legitimate business costs unrelated to executive compensation or stock buybacks. The law applies to final products, components, and U.S.-assembled goods containing tariffed parts, but exempts small businesses with parent companies earning less than $100 million annually (adjusted annually for inflation). Enforcement falls to the Federal Trade Commission, which treats violations as unfair or deceptive practices under existing law, with state attorneys general also authorized to bring civil lawsuits on behalf of residents. The FTC must establish a consumer reporting mechanism within 180 days and issue annual reports on enforcement activities and pricing impacts, while the International Trade Commission and Bureau of Labor Statistics must jointly report annually on pricing changes by large companies.
BillHouseIn Committee
U.S. House of Representatives·Introduced Nov 20, 2025·Jan 15, 2026 — Referred to the Subcommittee on Health.
HealthD62R9(71 co-sponsors)DRBipartisan
Committee
The Find It Early Act requires health insurance plans and government health programs to cover advanced breast cancer screening and diagnostic imaging at no cost to patients starting January 1, 2026. The bill applies to private insurance plans, Medicare, Medicare Advantage, Medicaid, TRICARE (military health coverage), and the Veterans Affairs system, ensuring that individuals with dense breast tissue, genetic risk factors, or other elevated risk receive mammograms, ultrasounds, MRIs, and other imaging services without copayments or deductibles. Coverage frequency is based on medical guidelines established by organizations like the National Comprehensive Cancer Network. The legislation aims to improve early detection of breast cancer by removing financial barriers to screening for high-risk populations across all major health insurance programs.
ResolutionHouseIntroduced
U.S. House of Representatives·Introduced Oct 17, 2025·Oct 17, 2025 — Referred to the House Committee on Oversight and Government Reform.
Government Operations and PoliticsD5R4(9 co-sponsors)DRBipartisan
Introduced
H.Res. 813 is a congressional resolution urging Americans to observe October 2025 as Italian and Italian American Heritage Month. The resolution recognizes the significant contributions Italian and Italian American people have made to the United States and the world throughout history, including achievements in military service, medicine, philosophy, government, music, sports, and science. The measure encourages citizens and communities across the country to mark the month with appropriate events and activities that celebrate Italian and Italian American culture and heritage. This is a symbolic resolution with no budget allocation or enforcement mechanism—it simply expresses the House of Representatives' support for recognizing this heritage. The resolution was introduced by a bipartisan group of representatives and referred to the Committee on Oversight and Government Reform.
ResolutionHouseIntroduced
U.S. House of Representatives·Introduced Sep 30, 2025·Sep 30, 2025 — Referred to the House Committee on Oversight and Government Reform.
HealthD0R1(1 co-sponsor)
Introduced
This resolution expresses support for the designation of National Ovarian Cancer Awareness Month and expresses support for the month's goals and ideals.
BillHouseIntroduced
U.S. House of Representatives·Introduced Sep 18, 2025·Sep 18, 2025 — Referred to the Committee on Appropriations, and in addition to the Committees on Ways and Means, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Economics and Public Finance
Introduced
Continuing Appropriations and Extensions and Other Matters Act, 2026This bill provides continuing FY2026 appropriations for federal agencies, permanently extends the expanded premium tax credit for purchasing health insurance, provides additional funding for Medicaid and security for federal officials, and extends various expiring programs.Specifically, the bill provides continuing FY2026 appropriations to federal agencies through the earlier of October 31, 2025, or the enactment of the applicable appropriations act. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2026 appropriations bills have not been enacted when FY2026 begins on October 1, 2025.The CR funds most programs and activities at the FY2025 levels with several exceptions that provide funding flexibility and additional appropriations for various programs. For example, the CR provides additional funding for the Corporation for Public Broadcasting and security for federal officials.In addition, the CRpermanently extends provisions that expanded the premium tax credit, which generally reduces premiums for health insurance purchased through a health insurance exchange;repeals health care provisions that were included in the One Big Beautiful Bill Act, including provisions that reduced Medicaid funding; authorizes the District of Columbia to spend local funds at the rates included in its FY2026 local budget;extends the availability of certain funds that are being withheld by the Office of Management and Budget (OMB); andlimits the authority of OMB to withhold appropriations.Finally, the bill extends several expiring programs and authorities, including programs related to health care, veterans, homeland security, and agriculture.
ResolutionHouseIntroduced
U.S. House of Representatives·Introduced Sep 18, 2025·Sep 18, 2025 — Referred to the House Committee on Oversight and Government Reform.
HealthD2R0(2 co-sponsors)
Introduced
H.Res. 736 is a symbolic resolution that designates September 15-21, 2025, as "National Diaper Need Awareness Week" to highlight the widespread challenge of diaper affordability facing American families. According to the resolution, nearly half of families with young children struggle to afford an adequate supply of diapers, which can cost $80-$100 monthly and consume 14 percent of low-income families' after-tax income. This shortage has serious consequences, including parents missing an average of 5.1 work days per month because childcare programs require a steady diaper supply, and babies facing health risks like infections when diapers are insufficient. The resolution recognizes the work of over 300 diaper banks across all 50 states and territories that provide free diapers to struggling families, and it encourages Americans to support these charitable organizations through donations and volunteering. Since this is a House resolution rather than a law, it carries no funding or enforcement requirements—it serves purely to raise awareness and express congressional support for addressing diaper need as a public health and family economic issue.
BillHouseIntroduced
U.S. House of Representatives·Introduced Sep 16, 2025·Sep 16, 2025 — Referred to the House Committee on Ways and Means.
Labor and EmploymentD207R0(207 co-sponsors)
Introduced
The FAMILY Act creates a new federal paid family and medical leave insurance program administered by the Social Security Administration, providing monthly cash benefits to workers who take time off to care for seriously ill family members, address their own serious health conditions, or deal with domestic violence or sexual assault. To qualify, individuals must have recent work income above a minimum threshold (starting at $2,000 in 2026) and engage in qualifying caregiving within a 120-day window, with benefits calculated as 50–85 percent of average monthly earnings (capped at $4,000 monthly) based on income level. The program grants workers up to 12 times their regular weekly hours of caregiving leave per benefit period and explicitly prohibits employers from retaliating against employees who use these benefits, with workers able to sue for lost wages and damages if violated. States that already have their own paid leave programs will receive federal grants beginning in 2027 to help cover program costs, provided they share data with federal authorities. The Social Security Administration will develop implementing regulations with input from an advisory board, and the Government Accountability Office will conduct comprehensive reviews every five years to evaluate program administration and identify any delays or disparities.
BillHouseIntroduced
U.S. House of Representatives·Introduced Sep 11, 2025·Sep 11, 2025 — Referred to the House Committee on Financial Services.
Civil Rights and Liberties, Minority IssuesD187R19(206 co-sponsors)DRBipartisan
Introduced
The Congressional Tribute to Constance Baker Motley Act of 2025 posthumously awards a congressional gold medal to civil rights pioneer Constance Baker Motley in recognition of her groundbreaking legal and public service career. Motley was a pioneering civil rights attorney who worked alongside Thurgood Marshall at the NAACP Legal Defense Fund, argued ten major cases before the Supreme Court (winning all but one), and later became the first African-American woman appointed as a federal judge, serving on the U.S. District Court for the Southern District of New York and eventually becoming its Chief Judge. The Treasury Secretary will design and strike the gold medal featuring Motley's image and name, with the medal to be presented to her son, Joel Motley III, and niece, Constance Royster. The bill authorizes the Treasury to charge costs against the United States Mint Public Enterprise Fund and permits the sale of duplicate bronze medals, with proceeds returned to the fund. This tribute recognizes Motley's enduring contributions to civil rights and her historic service as an elected official and federal judge from the 1960s through the mid-1980s.
BillHousePassed House
U.S. House of Representatives·Introduced Jul 23, 2025·Dec 19, 2025 — Referred to the Subcommittee on Health.
Armed Forces and National Security
Passed
Captain Paul W. "Bud" Bucha VA Medical Center Act of 2025This bill designates the medical center of the Department of Veterans Affairs in West Haven, Connecticut, as the Captain Paul W. "Bud" Bucha Department of Veterans Affairs Medical Center or the Captain Paul W. "Bud" Bucha VA Medical Center.
BillHouseIn Committee
U.S. House of Representatives·Introduced Jul 23, 2025·Dec 19, 2025 — Referred to the Subcommittee on Health.
HealthD4R0(4 co-sponsors)
Committee
H.R. 4648 requires health insurance plans—including private insurance, federal employee benefits, TRICARE, Veterans Affairs, Medicare, and state Medicaid programs—to cover fertility treatments such as in vitro fertilization, egg and sperm preservation, artificial insemination, genetic testing of embryos, and fertility medications without imposing higher out-of-pocket costs than other medical services. The bill applies to all plans that cover obstetrical services and prohibits insurers from denying coverage, penalizing providers, or discouraging patients from pursuing fertility treatment. Implementation varies by program, with private plans and federal employee benefits required to notify patients of coverage by January 1, 2027, Medicare coverage beginning January 1, 2026, and Medicaid coverage effective October 1, 2026. Under Medicare, the federal government will cover 100 percent of fertility treatment costs, waiving deductibles and coinsurance. The legislation aims to expand access to fertility care across all major health insurance programs serving Americans.