The Pay PCPs Act of 2026 would allow Medicare to create a new hybrid payment system for primary care doctors that combines monthly per-patient payments with traditional fee-for-service charges. Under this system, primary care providers could receive 40 to 70 percent of their expected annual revenue as upfront monthly payments for each patient, with the remainder paid through standard billing for individual services. The bill aims to better compensate doctors for care coordination, team-based care, patient communications, and other important primary care activities that currently go unpaid under Medicare's complex billing system. The legislation appropriates $10 billion for fiscal years 2027 through 2031 to fund these hybrid payments and allows Medicare to reduce patient cost-sharing by 50 percent for primary care services under the new system, provided beneficiaries designate a primary care provider. Additionally, the bill establishes a technical advisory committee to review and improve how Medicare values different physician services, addressing concerns that the current fee schedule with over 8,000 billing codes produces inaccurate payment rates.

The Fairness in Foreign Filing Act modifies how the Internal Revenue Service handles certain tax penalties, primarily those related to foreign financial reporting requirements. The bill treats tax penalties more like regular taxes for assessment purposes and requires the IRS to provide taxpayers with advance written notice at least 60 days before assessing covered penalties, along with information about the penalty basis and the right to request an independent review. Taxpayers can request a review by the IRS Office of Appeals within the notice period, during which time the IRS cannot assess or collect the penalty. The covered penalties addressed in this bill relate to foreign trusts, controlled foreign corporations, foreign financial assets, and other international tax reporting obligations. The bill also repeals certain due date requirements for information returns relating to foreign trusts effective for tax years beginning after December 31, 2026, and includes an exception allowing the IRS to bypass these notice and review requirements when collection is considered in jeopardy.

This bill amends federal election law to close loopholes allowing foreign money to influence U.S. elections through domestic business entities. Currently, the ban on foreign contributions applies only to foreign individuals and governments, but this legislation extends it to U.S. companies that are significantly owned, controlled, or influenced by foreign nationals. The bill captures companies where a foreign national owns at least 50 percent of the business, as well as companies where foreign interests own as little as 1 percent but have control over U.S. election spending decisions. The legislation requires company executives to certify under penalty of perjury within seven days of making political donations or expenditures that their company is not foreign-controlled, and recipients of such funds cannot use them in elections unless they receive and maintain copies of these certifications. Corporate political action committees must also annually certify that their managers and decision-makers are U.S. citizens or permanent residents and that no foreign nationals participate in their spending decisions. The rules take effect 180 days after the law is enacted, regardless of whether federal election regulators have finished writing implementing regulations.

This bill would fundamentally restructure the Supreme Court by establishing a system where the President appoints one new justice every two years during their term, with these appointments occurring in the first and third years of each presidential administration. The Court would expand beyond nine justices, with only the nine most recently appointed justices hearing most cases, while additional justices would handle only original jurisdiction cases and other special duties. The legislation would require Senate confirmation for all appointments and would take effect at the start of the next presidential term following enactment. The bill aims to regularize the appointment process, which currently occurs only when justices retire or die, and would ensure more predictable turnover on the nation's highest court. No specific funding is required since the changes involve personnel and procedural adjustments to an existing institution.

The Curtailing Executive Overcompensation (CEO) Act would impose a new federal excise tax on large corporations where chief executive officers earn significantly more than their median employees. The tax would apply to companies with at least $100 million in annual revenue and $10 million in total wages, and would be calculated as 1 percent of either a formula based on the CEO-to-median-worker pay ratio or 1 percent of the company's gross receipts, whichever is less. The tax only applies when a company's pay disparity ratio exceeds 50 to 1, meaning the CEO earns more than 50 times the median employee wage, and the bill includes inflation adjustments to these thresholds starting in 2028. The legislation would take effect for tax years beginning after its enactment and is designed to discourage extreme executive compensation relative to worker pay.

The Medical Bankruptcy Fairness Act of 2026 creates special bankruptcy protections for people whose debts are primarily driven by medical expenses. The bill defines a "medically distressed debtor" as someone who has incurred significant medical debt in the past three years—either more than 10 percent of their adjusted gross income or at least $10,000—or who lost income due to a medical condition or caring for a sick family member. These debtors would receive several key benefits: they can exempt up to $250,000 in home equity or burial plot value from bankruptcy proceedings, they are waived from certain income-based bankruptcy requirements that normally prevent them from filing, they can be excused from mandatory credit counseling, and they may be able to discharge student loans based on undue hardship more easily. Additionally, bankruptcies filed by medically distressed debtors would not appear on credit reports, protecting their financial reputation. The changes take effect immediately upon enactment and apply only to bankruptcy cases filed after the bill becomes law.

This bill creates a new federal grant program called the EMS and First Responder Wellness Grant Program to support the mental health and wellbeing of emergency medical service workers, firefighters, and other first responders. The program, administered through the National Highway Traffic Safety Administration, will distribute grants to fire departments, EMS agencies, and emergency dispatch centers to fund mental health services, suicide prevention programs, peer support, confidential counseling, and family support services for first responders and their families. The bill also authorizes spending of 7.5 million dollars annually from fiscal year 2028 through 2032 to support these wellness initiatives. The legislation is sponsored by a bipartisan group of senators and addresses the growing mental health crisis among first responders who face significant occupational stress and trauma.

In the nature of a substitute.

This resolution recognizes June 8, 2026, as World Oceans Day in the United States and celebrates the nation's maritime heritage, ocean-based economy, and coastal communities. The resolution highlights the ocean's importance to American history, security, and prosperity, noting that the ocean economy contributes trillions of dollars annually and supports millions of jobs in fishing, shipping, tourism, and related industries. It honors contributions from fishermen, mariners, scientists, members of the Armed Forces, and other ocean workers, while also marking two significant anniversaries: the 50th anniversary of the Magnuson-Stevens Fishery Conservation and Management Act, which established sustainable U.S. fisheries management, and the 20th anniversary of the Marine Debris Program. The resolution expresses bipartisan support for ocean stewardship, scientific exploration, and addressing challenges like marine debris and microplastics. This is a symbolic resolution with no direct funding or implementation requirements.

This bill requires the Environmental Protection Agency to establish a competitive grant program to fund research on tropospheric ozone, which is ground-level ozone that affects climate and air quality. Universities, national laboratories, and nonprofit research organizations can apply for grants to study how tropospheric ozone impacts global and regional temperatures, crop yields, forests, and ecosystems, as well as to improve monitoring systems and climate models that account for ozone's effects. The EPA must establish the program within 90 days of receiving funding and select grant recipients within 180 days, with results reported publicly annually and a comprehensive EPA report due within four years. The bill authorizes $10.5 million annually for fiscal years 2027 through 2029 for grants and program oversight, plus $1 million in 2030 for the final report.

This joint resolution seeks to overturn a specific EPA rule that changed the timeline for when companies must begin submitting reports on their use of PFAS chemicals, commonly known as "forever chemicals," under the Toxic Substances Control Act. Using authority granted by the Congressional Review Act, lawmakers are formally disapproving the rule, which was published in the Federal Register on April 13, 2026, and would delay when the reporting and recordkeeping requirements take effect. If passed, the resolution would nullify the EPA's rule entirely, meaning it would have no legal force, effectively reverting to the original reporting timeline requirements. This action primarily affects manufacturers, processors, and importers of PFAS chemicals who must comply with EPA's tracking and disclosure rules, as well as public health advocates concerned about regulatory delays for these substances linked to environmental and health risks. The resolution was introduced by Senator Whitehouse and advanced out of committee via petition in July 2026, now placed on the Senate calendar for further action.

This joint resolution seeks to block the Environmental Protection Agency from repealing emission standards that limit hazardous air pollutants from coal and oil-fired power plants. The EPA issued a rule in February 2026 that would have eliminated these pollution controls, but Congress is using the Congressional Review Act to disapprove and nullify that deregulatory action. If this resolution passes both chambers and becomes law, the EPA's repeal would be void and the original emission standards for hazardous air pollutants would remain in effect. The resolution primarily affects electric utilities that operate coal and oil-fired power plants, as well as communities near these facilities who would continue to receive protection from toxic air emissions. The measure was introduced in April 2026 and placed on the Senate calendar in May 2026, with no specific funding provisions since it simply blocks an EPA rule rather than creating new programs.

The No Passes for Polluters Act of 2026 amends the Clean Air Act to require congressional approval before the President can grant exemptions from air pollution regulations, shifting authority over these decisions from the executive branch to Congress. Under the bill, the President must submit a detailed proposal to Congress for any exemption, which the Comptroller General reviews before Congress votes on it through a joint resolution requiring a two-thirds majority in the House and a simple majority in the Senate, with debate limited and amendments prohibited. The legislation eliminates at least one existing exemption related to hazardous air pollutant compliance schedules and creates a private right of action allowing citizens to sue the federal government if exemptions are granted without proper congressional authorization. This bill represents a significant increase in legislative oversight of environmental regulatory decisions that were previously made through executive action alone.