Sen. Thom Tillis

Financial Integrity and Regulation Management Act or the FIRM Act This bill prohibits the consideration of reputational risk by federal banking agencies when regulating, examining, or supervising a depository institution or credit union. The bill defines reputational risk as the potential for negative publicity or public attention to decrease confidence in the institution, lead to litigation, reduce revenues, or result in other adverse impacts to the institution.  Agencies must report on the implementation of this bill.

Rebuild America’s Health Care Schools Act of 2025 This bill allows hospitals to receive reimbursement under Medicare for certain costs associated with training nursing and allied health students in settings other than the hospital itself.  Currently, hospitals may receive reimbursement under Medicare for the reasonable costs associated with training nursing and allied health students if certain conditions are met; the criteria vary depending on whether the students are enrolled in an educational program that is operated by the hospital or another entity. If the students are part of a program that is operated by another entity, the training must occur at the hospital itself or in areas immediately surrounding the hospital in order to qualify for reimbursement (among other requirements). The bill allows hospitals to receive reimbursement for these costs if the training is conducted at an entity that is related to the hospital (i.e., common ownership or control). The bill requires the Centers for Medicare & Medicaid Services (CMS) to update regulations to reflect these changes. Additionally, the CMS may not recoup or reduce payments to hospitals with respect to costs that are allowed under the bill and must refund any such recoupments or reductions that occurred during the six-year period prior to the bill's enactment.

Radiation Oncology Case Rate Value Based Program Act of 2025 or the ROCR Value Based Program Act This bill establishes a specialized payment program under Medicare for providers and suppliers of radiation oncology services.  Specifically, the Centers for Medicare & Medicaid Services (CMS) must establish a program under which radiation therapy providers (i.e., hospital outpatient departments) and suppliers (i.e., physician group practices and freestanding radiation therapy centers) receive payments for each episode of care provided to individuals with specified types of cancer. An episode of care  means the period beginning on the day radiation therapy planning is furnished to the individual and ending (1) for individuals with bone or brain metastases, 30 days later; and (2) for individuals with other cancer types, 90 days later. Participation in the program is mandatory for providers and suppliers that participate in Medicare, unless the provider or supplier is part of a state-based Center for Medicare & Medicaid Innovation model or qualifies for a significant hardship exemption. The CMS must set payment rates for the program based on national payment rates with specified adjustments (e.g., geographic adjustments). Providers and suppliers who provide certain transportation services for individuals under their care may receive an additional payment. Providers and suppliers must be accredited in accordance with certain standards, subject to payment reductions. The Government Accountability Office must report on (1) implementation of the program, and (2) underserved areas that are in need of more or newer radiation therapy resources.

Maddy summaryS 1043 extends the federal tax credit for qualified fuel cell property by changing the expiration date in the tax code from January 1, 2025, to January 1, 2033. This extension directly affects businesses and individuals investing in eligible fuel cell technology by allowing them to claim the credit for projects starting after December 31, 2024. The bill modifies Section 48(c)(1)(E) of the Internal Revenue Code to maintain this incentive for a longer period. It does not create new requirements but prolongs an existing tax benefit for clean energy investments.

Maddy summaryThe One Agency Act (S 1059) would transfer primary responsibility for enforcing U.S. antitrust laws from the Federal Trade Commission (FTC) to the Department of Justice (DOJ). It would transfer all FTC antitrust actions, employees, assets, and funding to the DOJ during a transition period of up to 18 months, during which the FTC could no longer initiate new antitrust investigations or enforcement actions. The bill would also make technical amendments to various laws to replace references to the FTC with references to the DOJ in antitrust contexts. This consolidation aims to eliminate overlapping enforcement jurisdiction between the two agencies and improve efficiency in antitrust enforcement.

Maddy summaryThe FOCA Act (S 1064) requires federal agencies to ensure open competition on construction projects by prohibiting them from mandating or banning contractors from entering into labor agreements (like union contracts) or discriminating against contractors based on such agreements. It directly affects federal contractors, subcontractors, and agencies awarding construction contracts or grants for projects involving federal funds. Key provisions ban specific bid specifications or project documents from requiring labor affiliations, apply to all contracts after enactment, and mandate updates to federal procurement rules within 60 days. The bill aims to reduce taxpayer costs, expand opportunities for small businesses, and maintain federal neutrality in labor relations for construction projects.

Maddy summaryThe Concrete and Asphalt Innovation Act of 2025 establishes a federal research, development, and demonstration program focused on reducing greenhouse gas emissions in cement, concrete, asphalt binder, and asphalt mixture production. The program, funded with $200 million over fiscal years 2025-2029, will support demonstration projects, provide technical assistance to update building codes and standards, and establish Manufacturing USA institutes for low-emissions materials. It also creates a Federal Highway Administration initiative that reimburses states for higher costs of using low-emissions materials in highway projects and offers 2% incentives on project costs. The bill aims to reduce embodied greenhouse gas emissions in construction materials while supporting domestic manufacturing and creating jobs in the construction sector.

This joint resolution nullifies the rule titled Gross Proceeds Reporting by Brokers That Regularly Provide Services Effectuating Digital Asset Sales and issued by the Internal Revenue Service (IRS) on December 30, 2024. The rule generally requires persons effectuating decentralized financial (DeFi) transactions to report certain information regarding digital asset sales to the IRS.

Maddy summarySenate Resolution 126 calls on the United Nations Security Council to expand the existing Darfur arms embargo to cover all of Sudan and strengthen enforcement mechanisms. It specifically requests extending the embargo to include dual-use equipment and holding violators accountable, aiming to prevent weapons from reaching the Sudanese Armed Forces (SAF) and Rapid Support Forces (RSF). The resolution is procedural and does not impose new U.S. sanctions, but urges international action to block weapons flowing into Sudan. This follows documented reports of foreign weapons supply to both parties, which have been linked to ongoing atrocities.

Maddy summaryThis bill amends the Food Security Act of 1985 to create an exception for farmers and ranchers seeking disaster program payments. It allows individuals or entities to qualify for payments under specific programs (like those in the 2014 and 1996 Farm Acts) if at least 75% of their average adjusted gross income comes from farming, ranching, silviculture, agritourism, or related activities. The key provision removes income-based eligibility barriers for those whose primary livelihood is agriculture. This directly affects farmers who previously might have been disqualified due to income thresholds from non-farming sources. The change applies to crop, fiscal, or program years as determined by the Secretary.