Access to Prescription Digital Therapeutics Act of 2025 This bill provides for Medicare and Medicaid coverage of prescription digital therapeutics (i.e., software applications that are used to prevent, manage, or treat medical conditions). The Centers for Medicare & Medicaid Services must establish a Medicare payment methodology for payments to manufacturers that takes into account certain factors (e.g., ongoing use); manufacturers must report specified information about private payors, subject to civil penalties.
Medicaid VBPs for Patients Act or the MVP Act This bill provides statutory authority for regulations that allow for the use of varying best price points under value-based purchasing arrangements for purposes of the Medicaid Drug Rebate Program. ( Value-based purchasing arrangements refer to arrangements in which the price of a drug is linked to clinical outcomes; such arrangements are particularly used for new high-cost treatments, such as gene therapies.) The Government Accountability Office must study the impact of value-based purchasing arrangements on federal health care programs, including with respect to the bill's changes. Additionally, the bill (1) exempts sales of drugs that are made under value-based purchasing arrangements from calculations of the manufacturer average sales price for purposes of payments under Medicare medical services, if the manufacturer reports multiple best prices under Medicaid in accordance with the bill's changes; and (2) requires the Centers for Medicare & Medicaid Services to issue guidance on how state Medicaid programs may cover drugs in inpatient settings via value-based purchasing arrangements.
This bill allows businesses to immediately deduct research and development (R&D) costs instead of spreading them over 60 months, directly benefiting companies investing in innovation. It increases the refundable R&D credit cap for small businesses from $250,000 to $750,000 over time, with specific phase-in amounts starting in 2025. Additionally, it expands access for startups by raising the gross receipts threshold for eligibility from $5 million to $15 million and increasing credit rates for qualified small businesses. These changes aim to make R&D tax incentives more accessible and valuable for smaller companies and new ventures.
This bill delays Medicare payment changes for ground ambulance services until 2028 and adds temporary rate increases during a transition period. It directly affects Medicare beneficiaries using ambulance services and ambulance providers who bill Medicare, particularly in rural areas. Key provisions extend the effective date for payment adjustments from October 2025 to January 2028 and establish temporary payment rates: 26.7% for super-rural ambulance services and 4.3% or 3.4% for regular ground ambulance services during the transition period (October 2025-January 2028). These changes aim to prevent sudden payment cuts that could disrupt access to ambulance care.
This bill creates a dedicated single point of contact within the Social Security Administration for individuals affected by identity theft involving their Social Security number. It directly affects victims whose SSN was misused to fraudulently claim benefits (under Titles II, VIII, or XVI of the Social Security Act) or whose physical card was lost during delivery. The key provision requires the SSA to assign a specially trained team to coordinate all aspects of the victim's case, track it to resolution, and maintain continuity even if team members change. The team must be accountable for the case until fully resolved, with procedures ensuring case history continuity and victim notification during transitions. The requirement takes effect 180 days after the bill becomes law.
This bill requires broadband providers and large "edge providers" (like social media, streaming, and search companies) to contribute to the Universal Service Fund (USF), which supports affordable broadband in rural and high-cost areas. It expands the USF contribution base beyond traditional phone companies to include these digital services, with exemptions for smaller providers (e.g., those handling under 3% of U.S. data or earning under $5 billion annually). The Federal Communications Commission must create new rules within 18 months to ensure fair contributions and establish a specific support mechanism for broadband providers serving high-cost areas. The goal is to make broadband more affordable for consumers by ensuring broader funding for universal service programs.
HR 3244, the CASH Act, requires providers of factoring agreements to give small businesses clear written disclosures before signing deals under $500,000 in total value. These disclosures must detail the discount rate, all fees, reserve terms, agreement duration, and include a sample calculation for a $10,000 transaction showing net payment. The bill directly affects small businesses that use factoring to access cash for unpaid invoices and their providers. It preempts state laws that would impose stricter disclosure rules, creating a uniform federal standard. This aims to make factoring terms more transparent for small businesses entering these agreements.
HR 3237, the "No Student Visas for Sanctuary Cities Act of 2025," blocks F-1 student visas (for academic studies) and M-1 visas (for vocational training) for international students seeking to attend schools in jurisdictions designated as "sanctuary jurisdictions." The bill defines a sanctuary jurisdiction as any state or local government with laws obstructing immigration enforcement, such as refusing to comply with ICE detainers or denying access to incarcerated immigrants. The Department of Homeland Security would identify these jurisdictions annually, and institutions located in them would be barred from receiving new student visas under the F or M categories. This policy directly affects international students and educational institutions in designated areas, with no visa issuance permitted for those locations during the fiscal year unless the jurisdiction is reclassified.
HR 3228, the Constitutional Hearing Protection Act, reclassifies firearm silencers as firearms under federal tax law and eliminates their separate registration under the National Firearms Act. It requires the Attorney General to destroy all existing federal silencer registration records within one year and preempts state laws that impose taxes, registration, or recordkeeping requirements on silencers. The bill defines "firearm silencer" and specifies that manufacturers must mark silencers on a "keystone part" with a serial number. This directly affects silencer owners, manufacturers, and state governments by standardizing federal regulation and removing state-level restrictions.
This bill increases mandatory prison sentences for non-citizens convicted of certain crimes after entering the U.S. without authorization or being deported. It raises the minimum sentence from 2 to 5 years for those who improperly enter the U.S. and later commit a crime punishable by over one year in prison. For non-citizens previously deported who commit crimes, it increases the minimum sentence from 2 to 10 years and mandates at least 10 years for offenses including aggravated felonies, state/federal felonies, or crimes punishable by over one year. These changes apply to all non-citizens convicted under these circumstances, regardless of jurisdiction.
This bill (S 1612) prevents U.S. funding for United Nations agencies if Palestine gains any status beyond observer status. It amends existing laws to replace "full membership" with "any status, rights, or privileges beyond observer status" in U.S. funding rules for UN agencies. This would block U.S. financial support for UN bodies if Palestine achieves full membership or equivalent standing. The bill directly affects U.S. foreign aid policy toward UN agencies and Palestine's potential UN representation.
The MOMS Act establishes a federal website called pregnancy.gov that will connect pregnant and postpartum women with local resources for healthcare, housing, childcare, and other support services. It creates grant programs for nonprofits that assist women in carrying pregnancies to term, with restrictions prohibiting these organizations from providing or referring for abortion services. The bill also amends child support laws to allow for child support obligations to begin at conception for unborn children, with payment amounts determined by courts based on the best interests of the mother and child. Additionally, it provides grants for telehealth equipment to improve prenatal and postnatal care access in rural and medically underserved areas.
