Victoria Spartz

This bill designates the facility of the United States Postal Service located at 501 West Memorial Drive in Muncie, Indiana, as the "Officer Blake A. Reynolds Post Office Building".

The Combat Veterans Retirement Restoration Act would allow military members who retire due to combat-related disabilities to receive both their military retirement pay and veterans' disability compensation at the same time, without one payment being reduced by the other. Currently, federal law prevents most service members from collecting both benefits simultaneously. Under this bill, all combat-disabled retirees would receive both payments in full, while those with fewer than 20 years of service would receive the lesser of either their actual combined benefits or a calculated amount based on 20 years of service. The legislation authorizes $9.4 billion in spending to cover the cost of these expanded benefits and would take effect on January 1, 2027. This change would primarily benefit disabled veterans who left military service due to combat injuries or illnesses.

This bill directs the Department of Health and Human Services to conduct annual studies on healthcare competition and consolidation at the state level for ten years. The studies will track metrics including professional licensing requirements, hospital and medical practice mergers, state regulatory laws affecting healthcare facilities, insurance options, the number of healthcare providers operating each year, and market concentration data using economic analysis tools. The studies will be conducted in consultation with the Federal Trade Commission and the Department of Justice Antitrust Division, drawing on data those agencies possess. Each year, the Assistant Secretary for Planning and Evaluation must submit reports to four congressional committees and publish the findings and underlying data on a public website in an interactive format so the public and policymakers can track trends in healthcare market competition across states.

This bill modifies federal nuclear regulatory procedures to streamline the licensing process for nuclear facilities. The primary change allows the Nuclear Regulatory Commission to issue permits and licenses without mandatory public hearings if no one requests one, though the agency must provide 30 days' notice in the Federal Register. The bill also permits the NRC to use informal procedures for hearings that do occur, rather than formal adjudicatory processes. Additionally, the legislation authorizes companies to begin construction on uranium enrichment facilities before receiving final licenses, similar to how other fuel cycle facilities are treated, though the NRC retains authority to deny licensing if construction doesn't meet regulatory standards. The NRC must issue updated regulations to implement these changes within 180 days of the bill's enactment. This legislation affects nuclear power plant operators, uranium enrichment companies, and any members of the public who may want to participate in nuclear facility licensing proceedings.

H.Amdt.207 amendment — An amendment numbered 49 printed in Part B of House Report 119-628 to remove costly, overreaching emissions mandates on farm equipment that drives up expenses for farmers and consumers.. The text for this legislation has not yet been released. A summary will be generated when there is text available.

Farm Equipment Safety Act This bill provides that emissions standards under the Clean Air Act for nonroad engines and nonroad vehicles do not apply to nonroad engines and nonroad vehicles that are used for agricultural purposes.

The Farm Freedom to Repair Act would amend federal copyright law to allow farmers and independent repair technicians to diagnose, maintain, and repair digital agricultural equipment without violating anti-circumvention laws. Currently, manufacturers can use digital locks to prevent owners from accessing the software and systems that control modern farm equipment like tractors and harvesters, forcing farmers to rely on authorized dealers for repairs. This bill would make it legal for farmers and third-party repair shops to bypass these digital restrictions and create the tools needed to fix their own equipment. The legislation affects farmers, equipment manufacturers, and independent repair businesses, with no specific funding or implementation timeline mentioned in the bill text.

The Checkoff Transparency Act requires the U.S. Department of Agriculture to publish detailed financial and operational information about commodity boards—organizations that promote agricultural products like milk, beef, and eggs—on the USDA website. Specifically, the law mandates public disclosure of audit reports, approved budgets and activities, and results of independent evaluations for each commodity board. The USDA must publish information from the previous five fiscal years within 180 days of the law's enactment, and then annually publish new fiscal year data within 365 days of each year's end. The bill aims to increase transparency and accountability for these federally regulated boards, which are funded through mandatory assessments on farmers and producers. No specific funding is allocated in the legislation; rather, it directs existing USDA resources to compile and publish information already submitted by commodity boards.

The SMART Health Care Act makes several changes to Medicare to address what supporters view as payment system abuses and improve affordability. The bill modifies how Medicare Advantage plans are paid by requiring the use of two years of diagnostic data (starting in 2026) to better reflect patient health status. It also promotes "site-neutral payments" by eliminating certain payment exceptions for hospital outpatient departments effective January 1, 2026, meaning these facilities would receive the same payment rates as independent physician offices for identical services—though rural and critical access hospitals are exempted from this requirement. Additionally, the legislation allows physician-owned hospitals to operate in rural areas under certain conditions and requires covered entities receiving federal drug discounts to pass those savings directly to Medicare patients, with the Secretary establishing enforcement mechanisms and public reporting of drug pricing data. The bill also gives the Secretary discretion to adjust skilled nursing facility payment rates by 2 to 5 percentage points in fiscal year 2025 and beyond.

This bill directs the Government Accountability Office (GAO) to study anti-competitive contract clauses used between health insurers and healthcare providers within 18 months of passage. The study will examine four specific clause types—anti-steering, anti-tiering, all-or-nothing, and gag clauses—and assess their effects on industry consolidation, consumer prices, and access to care. The GAO will also document all enforcement actions taken by the Federal Trade Commission and Department of Justice against these practices and evaluate whether those agencies have adequate resources to enforce antitrust laws in this area. The report will include recommendations for any additional legislative or administrative measures needed to strengthen enforcement. The findings will be submitted to relevant committees in both the House and Senate, helping Congress determine if new protections are needed to promote competition in healthcare markets.

Empowering Patient Choice of Medical Care Act This bill prohibits the Centers for Medicare & Medicaid Services from refusing to designate a service as a covered hospital outpatient service under Medicare based solely on its determination that the service can only be furnished in an inpatient setting.

Restoring Rights of Physicians to Own Hospitals Act This bill repeals provisions under the Stark law (i.e., the Physician Self-Referral Law) that require rural providers and physician-owned hospitals to meet certain additional criteria in order to be excepted under the Stark law. Specifically, the bill repeals provisions that require hospitals to meet the following criteria: the hospital had physician ownership or investment and a Medicare provider agreement as of December 31, 2010; the hospital does not expand the number of operating rooms, procedure rooms, or beds beyond the number in existence as of March 23, 2010, with limited exceptions; the hospital discloses certain information regarding physician ownership and investments to patients, the public, and the Centers for Medicare & Medicaid Services; the hospital does not offer certain financial opportunities, and the percentage of ownership or investments does not exceed that in effect as of March 23, 2010; the hospital discloses certain information to patients relating to the availability of physicians and makes alternative arrangements when necessary; and the hospital was not converted from an ambulatory surgical center on or after March 23, 2010.

Preventing Hospital Overbilling of Medicare Act This bill repeals certain exceptions to site-neutral payments with respect to Medicare payments to an off-campus outpatient department of a health care provider. It also requires providers to use separate, unique health identifiers when submitting a claim to a health insurance issuer for services provided at an off-campus outpatient department.

H.R. 3019 tightens requirements for nonprofit hospitals that receive federal tax exemptions, effective for tax years beginning after December 31, 2025. The bill requires tax-exempt hospitals to maintain community boards, serve Medicare and Medicaid patients without limiting their numbers, and spend money equal to the value of their tax exemptions on community benefits such as training, research, facility improvements, or free/discounted care—with facility improvements capped at 50 percent of this spending requirement. Nonprofit hospitals must also clearly offer financial assistance at Medicare rates to patients who qualify. The legislation directs the Treasury Inspector General to annually review hospital financial assistance policies and their compliance, while the Comptroller General must review IRS enforcement of these standards every three years and report findings to Congress. These changes aim to ensure that nonprofit hospitals receiving significant tax breaks provide meaningful community health benefits in return.

This bill expands the Federal Trade Commission's authority to regulate nonprofit hospitals by bringing them under FTC oversight for the first time. Currently, the FTC can regulate for-profit businesses but lacks clear authority over tax-exempt hospitals organized under section 501(c)(3) of the tax code. The legislation amends the Federal Trade Commission Act to explicitly include nonprofit hospitals and hospital cooperative organizations within the FTC's jurisdiction, allowing the agency to investigate and take action against anticompetitive practices in the hospital sector. The bill does not specify new funding or implementation timelines, but would give federal regulators a new tool to address concerns about hospital consolidation and monopolistic behavior that may be driving up healthcare costs for consumers.

This bill requires the Department of Health and Human Services to conduct an annual study for 10 years measuring healthcare competition and consolidation across states. The study will track data on professional licensing requirements for doctors and nurses, hospital and insurance company mergers, state approval mechanisms for healthcare facility expansion, alternative insurance options, and the number of hospitals and medical practices operating in each state. The department will work with the Federal Trade Commission and the Justice Department's Antitrust Division to collect this information and use the Herfindahl-Hirschman Index—a standard measure of market concentration—to assess competition in healthcare services like hospitals and ambulatory care. Each year, the department must publish detailed reports to Congress and make all collected data publicly available online in an interactive format. The bill has no specific funding authorization mentioned, but establishes a decade-long data collection and reporting requirement aimed at understanding whether healthcare markets are becoming more or less competitive at the state level.

This bill repeals a special antitrust exemption that currently protects medical resident matching programs from federal antitrust laws. The exemption, originally created in the Pension Funding Equity Act of 2004, allows these matching programs to operate without the usual competition restrictions that apply to other industries. Medical residents—doctors in training who go through a matching process to secure their first positions—would be affected by this change, as would the medical institutions and matching organizations that coordinate the resident placement system. The bill would take effect on March 18 of the first year after it becomes law. Essentially, the legislation aims to subject medical resident matching to standard antitrust rules, potentially opening up the current matching system to legal challenges and competitive pressures it doesn't currently face.

Delphi Retirees Pension Restoration ActThis bill restores the full vested monthly benefits for eligible participants of certain pension plans that were sponsored by Delphi Corporation and terminated as a result of General Motors' bankruptcy in 2009.The Pension Benefit Guaranty Corporation (PBGC) must recalculate and adjust each plan participant's monthly benefits payment. The PBGC must also apply the recalculation to previously-made monthly payments and make a lump-sum payment for any additional benefits based on the recalculation.Monthly benefits under the bill must be paid using specified PBGC funds, and the bill specifies how the lump-sum payments are treated for tax purposes.