Improving Seniors’ Timely Access to Care Act of 2025
Sponsored By: Representative Kelly (PA)
Introduced
Summary
Standardize prior authorization in Medicare Advantage plans to make approvals faster and more transparent for beneficiaries and providers. The bill would require plans that use prior authorization to adopt a secure electronic PA program, publish plan-level PA data, and follow federal timeframes and enrollee protections.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Faster prior authorization in Medicare Advantage
If you are in a Medicare Advantage plan that uses prior authorization, these rules would affect you. Starting with plan years on or after January 1, 2027, plans would have to report yearly data on approvals, denials, appeals results, response times, use of AI tools, and related grievances; CMS would post plan-level results. Starting with plan years on or after January 1, 2028, plans would need a secure electronic system for requests and responses and follow new enrollee protections, like yearly reviews and options to ease PA for high‑performing providers. Plans would have to share the list of services needing prior authorization and the criteria with providers, and give you the criteria on request. These rules would not apply to Part D drugs and would only apply to plans that use prior authorization; the Secretary could also set deadlines for plan response times.
Sponsors & CoSponsors
Sponsor
Kelly (PA)
PA • R
Cosponsors
DelBene
WA • D
Sponsored 5/20/2025
Joyce (PA)
PA • R
Sponsored 5/20/2025
Rep. Bera, Ami [D-CA-6]
CA • D
Sponsored 5/20/2025
Van Duyne
TX • R
Sponsored 5/20/2025
Rep. Chu, Judy [D-CA-28]
CA • D
Sponsored 5/20/2025
Crenshaw
TX • R
Sponsored 5/20/2025
Rep. Clarke, Yvette D. [D-NY-9]
NY • D
Sponsored 5/20/2025
Rep. Murphy, Gregory F. [R-NC-3]
NC • R
Sponsored 5/20/2025
Rep. Moore, Gwen [D-WI-4]
WI • D
Sponsored 5/20/2025
Balderson
OH • R
Sponsored 5/20/2025
Schrier
WA • D
Sponsored 5/20/2025
Rep. Yakym, Rudy [R-IN-2]
IN • R
Sponsored 5/20/2025
Sewell
AL • D
Sponsored 5/20/2025
Rep. Harshbarger, Diana [R-TN-1]
TN • R
Sponsored 5/20/2025
Rep. Larson, John B. [D-CT-1]
CT • D
Sponsored 5/20/2025
Rep. Carey, Mike [R-OH-15]
OH • R
Sponsored 5/20/2025
Rep. Evans, Dwight [D-PA-3]
PA • D
Sponsored 5/20/2025
Rep. Malliotakis, Nicole [R-NY-11]
NY • R
Sponsored 5/20/2025
Rep. Beyer, Donald S. [D-VA-8]
VA • D
Sponsored 5/20/2025
Rep. Tenney, Claudia [R-NY-24]
NY • R
Sponsored 5/20/2025
Rep. Tokuda, Jill N. [D-HI-2]
HI • D
Sponsored 5/20/2025
Rep. Miller, Carol D. [R-WV-1]
WV • R
Sponsored 5/20/2025
Rep. Stevens, Haley M. [D-MI-11]
MI • D
Sponsored 5/20/2025
Rep. Fitzpatrick, Brian K. [R-PA-1]
PA • R
Sponsored 5/20/2025
Costa
CA • D
Sponsored 5/20/2025
Rep. Smucker, Lloyd [R-PA-11]
PA • R
Sponsored 5/20/2025
Rep. Pressley, Ayanna [D-MA-7]
MA • D
Sponsored 5/20/2025
LaHood
IL • R
Sponsored 5/20/2025
Davis (NC)
NC • D
Sponsored 5/20/2025
Rep. Meuser, Daniel [R-PA-9]
PA • R
Sponsored 5/20/2025
Rep. Pocan, Mark [D-WI-2]
WI • D
Sponsored 5/20/2025
Salazar
FL • R
Sponsored 5/20/2025
Rep. Fields, Cleo [D-LA-6]
LA • D
Sponsored 5/20/2025
Rep. Bacon, Don [R-NE-2]
NE • R
Sponsored 5/20/2025
Rep. Foster, Bill [D-IL-11]
IL • D
Sponsored 5/20/2025
Rep. Mann, Tracey [R-KS-1]
KS • R
Sponsored 5/20/2025
Rep. Brownley, Julia [D-CA-26]
CA • D
Sponsored 5/20/2025
Ciscomani
AZ • R
Sponsored 5/20/2025
Conaway
NJ • D
Sponsored 5/20/2025
Rep. Finstad, Brad [R-MN-1]
MN • R
Sponsored 5/20/2025
Bonamici
OR • D
Sponsored 5/20/2025
Rep. Shreve, Jefferson [R-IN-6]
IN • R
Sponsored 5/20/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 5/20/2025
Rep. Kiggans, Jennifer A. [R-VA-2]
VA • R
Sponsored 5/20/2025
Rep. Deluzio, Christopher R. [D-PA-17]
PA • D
Sponsored 5/20/2025
Rep. Thompson, Glenn [R-PA-15]
PA • R
Sponsored 5/20/2025
Mrvan
IN • D
Sponsored 5/20/2025
Rep. Moulton, Seth [D-MA-6]
MA • D
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Rep. Case, Ed [D-HI-1]
HI • D
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McBride
DE • D
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Rep. Ross, Deborah K. [D-NC-2]
NC • D
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Budzinski
IL • D
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Rep. Quigley, Mike [D-IL-5]
IL • D
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Rep. Sorensen, Eric [D-IL-17]
IL • D
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Rep. McGarvey, Morgan [D-KY-3]
KY • D
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Rep. Davids, Sharice [D-KS-3]
KS • D
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Rep. Brown, Shontel M. [D-OH-11]
OH • D
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Crow
CO • D
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Rep. Torres, Ritchie [D-NY-15]
NY • D
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Rep. Wasserman Schultz, Debbie [D-FL-25]
FL • D
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Rep. Stanton, Greg [D-AZ-4]
AZ • D
Sponsored 5/20/2025
Levin
CA • D
Sponsored 5/20/2025
Keating
MA • D
Sponsored 5/20/2025
Rep. Johnson, Julie [D-TX-32]
TX • D
Sponsored 5/20/2025
Gonzalez, V.
TX • D
Sponsored 5/20/2025
Rep. Goodlander, Maggie [D-NH-2]
NH • D
Sponsored 5/20/2025
Craig
MN • D
Sponsored 5/20/2025
Rep. Goldman, Daniel S. [D-NY-10]
NY • D
Sponsored 5/20/2025
Barragan
CA • D
Sponsored 5/20/2025
Rep. Balint, Becca [D-VT-At Large]
VT • D
Sponsored 5/20/2025
Rep. Ryan, Patrick [D-NY-18]
NY • D
Sponsored 5/20/2025
Rep. Houlahan, Chrissy [D-PA-6]
PA • D
Sponsored 5/20/2025
Rep. Miller-Meeks, Mariannette [R-IA-1]
IA • R
Sponsored 5/20/2025
Peters
CA • D
Sponsored 5/21/2025
Rep. Kim, Young [R-CA-40]
CA • R
Sponsored 5/21/2025
Rep. Panetta, Jimmy [D-CA-19]
CA • D
Sponsored 5/21/2025
Rep. Nadler, Jerrold [D-NY-12]
NY • D
Sponsored 5/21/2025
Feenstra
IA • R
Sponsored 5/29/2025
Rep. Perez, Marie Gluesenkamp [D-WA-3]
WA • D
Sponsored 5/29/2025
Rep. Moore, Blake D. [R-UT-1]
UT • R
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Rep. Matsui, Doris O. [D-CA-7]
CA • D
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Rep. Steube, W. Gregory [R-FL-17]
FL • R
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Rep. Harder, Josh [D-CA-9]
CA • D
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Rep. Arrington, Jodey C. [R-TX-19]
TX • R
Sponsored 5/29/2025
McClellan
VA • D
Sponsored 5/29/2025
Rep. Lieu, Ted [D-CA-36]
CA • D
Sponsored 5/29/2025
Auchincloss
MA • D
Sponsored 5/29/2025
Cohen
TN • D
Sponsored 5/29/2025
Rep. Lynch, Stephen F. [D-MA-8]
MA • D
Sponsored 5/29/2025
Smith (WA)
WA • D
Sponsored 5/29/2025
Rep. Krishnamoorthi, Raja [D-IL-8]
IL • D
Sponsored 6/2/2025
Mannion
NY • D
Sponsored 6/2/2025
Rep. Carbajal, Salud O. [D-CA-24]
CA • D
Sponsored 6/2/2025
Rep. Amo, Gabe [D-RI-1]
RI • D
Sponsored 6/3/2025
Rep. Moolenaar, John R. [R-MI-2]
MI • R
Sponsored 6/3/2025
Onder
MO • R
Sponsored 6/3/2025
Rep. McClain Delaney, April [D-MD-6]
MD • D
Sponsored 6/3/2025
Rep. Sánchez, Linda T. [D-CA-38]
CA • D
Sponsored 6/3/2025
Wittman
VA • R
Sponsored 6/3/2025
Rep. Castor, Kathy [D-FL-14]
FL • D
Sponsored 6/3/2025
Rep. Flood, Mike [R-NE-1]
NE • R
Sponsored 6/3/2025
Rep. Grothman, Glenn [R-WI-6]
WI • R
Sponsored 6/4/2025
Bost
IL • R
Sponsored 6/4/2025
Scott, David
GA • D
Sponsored 6/4/2025
Gomez
CA • D
Sponsored 6/4/2025
Rutherford
FL • R
Sponsored 6/4/2025
Rep. Smith, Adrian [R-NE-3]
NE • R
Sponsored 6/4/2025
Aderholt
AL • R
Sponsored 6/5/2025
Rep. Strickland, Marilyn [D-WA-10]
WA • D
Sponsored 6/5/2025
McCollum
MN • D
Sponsored 6/5/2025
Rep. Vasquez, Gabe [D-NM-2]
NM • D
Sponsored 6/6/2025
Rep. Meng, Grace [D-NY-6]
NY • D
Sponsored 6/6/2025
Rep. Rouzer, David [R-NC-7]
NC • R
Sponsored 6/6/2025
Aguilar
CA • D
Sponsored 6/9/2025
Rep. Thanedar, Shri [D-MI-13]
MI • D
Sponsored 6/9/2025
Thompson (MS)
MS • D
Sponsored 6/9/2025
Rep. Fischbach, Michelle [R-MN-7]
MN • R
Sponsored 6/10/2025
Rep. Dingell, Debbie [D-MI-6]
MI • D
Sponsored 6/10/2025
Rep. Vindman, Eugene Simon [D-VA-7]
VA • D
Sponsored 6/11/2025
Rep. Baumgartner, Michael [R-WA-5]
WA • R
Sponsored 6/17/2025
Stansbury
NM • D
Sponsored 6/17/2025
Himes
CT • D
Sponsored 6/17/2025
Rep. Subramanyam, Suhas [D-VA-10]
VA • D
Sponsored 6/17/2025
Rep. Kennedy, Mike [R-UT-3]
UT • R
Sponsored 6/17/2025
Rep. Kelly, Robin L. [D-IL-2]
IL • D
Sponsored 6/23/2025
Rep. Pappas, Chris [D-NH-1]
NH • D
Sponsored 6/23/2025
Rep. Dexter, Maxine [D-OR-3]
OR • D
Sponsored 6/23/2025
Rep. Gottheimer, Josh [D-NJ-5]
NJ • D
Sponsored 6/23/2025
Rep. Boyle, Brendan F. [D-PA-2]
PA • D
Sponsored 6/24/2025
Rep. Frankel, Lois [D-FL-22]
FL • D
Sponsored 6/27/2025
Randall
WA • D
Sponsored 6/30/2025
Messmer
IN • R
Sponsored 7/2/2025
Castro (TX)
TX • D
Sponsored 7/10/2025
Rep. Correa, J. Luis [D-CA-46]
CA • D
Sponsored 7/10/2025
Norcross
NJ • D
Sponsored 7/10/2025
Rep. Veasey, Marc A. [D-TX-33]
TX • D
Sponsored 7/14/2025
Adams
NC • D
Sponsored 7/14/2025
Rep. Hayes, Jahana [D-CT-5]
CT • D
Sponsored 7/14/2025
Rep. Carter, Earl L. "Buddy" [R-GA-1]
GA • R
Sponsored 7/14/2025
Rep. Pou, Nellie [D-NJ-9]
NJ • D
Sponsored 7/14/2025
Pfluger
TX • R
Sponsored 7/15/2025
Rep. Schneider, Bradley Scott [D-IL-10]
IL • D
Sponsored 7/15/2025
Rep. Scanlon, Mary Gay [D-PA-5]
PA • D
Sponsored 7/16/2025
Bilirakis
FL • R
Sponsored 7/17/2025
Rep. Gillen, Laura [D-NY-4]
NY • D
Sponsored 7/21/2025
Cole
OK • R
Sponsored 7/22/2025
Rep. Foushee, Valerie P. [D-NC-4]
NC • D
Sponsored 7/22/2025
Rep. Fleischmann, Charles J. "Chuck" [R-TN-3]
TN • R
Sponsored 7/22/2025
Rep. Morelle, Joseph D. [D-NY-25]
NY • D
Sponsored 7/22/2025
Rep. Courtney, Joe [D-CT-2]
CT • D
Sponsored 7/23/2025
Rep. Miller, Max L. [R-OH-7]
OH • R
Sponsored 7/23/2025
Rep. Latimer, George [D-NY-16]
NY • D
Sponsored 7/23/2025
Rep. Ruiz, Raul [D-CA-25]
CA • D
Sponsored 8/12/2025
Cherfilus-McCormick
FL • D
Sponsored 8/12/2025
Rep. Landsman, Greg [D-OH-1]
OH • D
Sponsored 8/12/2025
Rep. Beatty, Joyce [D-OH-3]
OH • D
Sponsored 8/12/2025
Rep. Newhouse, Dan [R-WA-4]
WA • R
Sponsored 8/15/2025
Allen
GA • R
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Jackson (IL)
IL • D
Sponsored 8/15/2025
Goldman (TX)
TX • R
Sponsored 8/15/2025
Rep. Suozzi, Thomas R. [D-NY-3]
NY • D
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Rep. Dunn, Neal P. [R-FL-2]
FL • R
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Obernolte
CA • R
Sponsored 8/19/2025
Mullin
CA • D
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Soto
FL • D
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Rep. Dean, Madeleine [D-PA-4]
PA • D
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Schakowsky
IL • D
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Rep. Mackenzie, Ryan [R-PA-7]
PA • R
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Rep. Garamendi, John [D-CA-8]
CA • D
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Van Drew
NJ • R
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Rep. Sherman, Brad [D-CA-32]
CA • D
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Trahan
MA • D
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Rep. Walberg, Tim [R-MI-5]
MI • R
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Rep. Lawler, Michael [R-NY-17]
NY • R
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Rep. Raskin, Jamie [D-MD-8]
MD • D
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Cisneros
CA • D
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Rep. Salinas, Andrea [D-OR-6]
OR • D
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Fletcher
TX • D
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Latta
OH • R
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Thompson (CA)
CA • D
Sponsored 9/4/2025
Rep. Sykes, Emilia Strong [D-OH-13]
OH • D
Sponsored 9/8/2025
Rep. Guest, Michael [R-MS-3]
MS • R
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Rep. Frost, Maxwell [D-FL-10]
FL • D
Sponsored 9/8/2025
Rep. Bynum, Janelle S. [D-OR-5]
OR • D
Sponsored 9/9/2025
Loudermilk
GA • R
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Rep. Owens, Burgess [R-UT-4]
UT • R
Sponsored 9/9/2025
Moore (NC)
NC • R
Sponsored 9/9/2025
Rep. Hinson, Ashley [R-IA-2]
IA • R
Sponsored 9/10/2025
Rep. McDonald Rivet, Kristen [D-MI-8]
MI • D
Sponsored 9/15/2025
Rep. Rulli, Michael A. [R-OH-6]
OH • R
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Rep. Tlaib, Rashida [D-MI-12]
MI • D
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Rep. Joyce, David P. [R-OH-14]
OH • R
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Rep. Neguse, Joe [D-CO-2]
CO • D
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Kennedy (NY)
NY • D
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Johnson (SD)
SD • R
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Sessions
TX • R
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Rep. Wilson, Joe [R-SC-2]
SC • R
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Rep. Morrison, Kelly [D-MN-3]
MN • D
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Rep. Zinke, Ryan K. [R-MT-1]
MT • R
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Rep. Larsen, Rick [D-WA-2]
WA • D
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Rep. Magaziner, Seth [D-RI-2]
RI • D
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Lee (FL)
FL • R
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Rep. Houchin, Erin [R-IN-9]
IN • R
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Rep. Omar, Ilhan [D-MN-5]
MN • D
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Ivey
MD • D
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Rep. Carter, Troy A. [D-LA-2]
LA • D
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Rep. Hoyle, Val T. [D-OR-4]
OR • D
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Rep. Horsford, Steven [D-NV-4]
NV • D
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Bresnahan
PA • R
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Kean
NJ • R
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Escobar
TX • D
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Womack
AR • R
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Rep. Tonko, Paul [D-NY-20]
NY • D
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Rep. Walkinshaw, James R. [D-VA-11]
VA • D
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Rep. Cammack, Kat [R-FL-3]
FL • R
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Rep. Smith, Christopher H. [R-NJ-4]
NJ • R
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Davis (IL)
IL • D
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Rescom. Hernández, Pablo Jose [D-PR-At Large]
PR • D
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Rep. Harris, Andy [R-MD-1]
MD • R
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Rep. Bice, Stephanie I. [R-OK-5]
OK • R
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Rep. Harrigan, Pat [R-NC-10]
NC • R
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Rep. Baird, James R. [R-IN-4]
IN • R
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Schmidt
KS • R
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Rep. Scholten, Hillary J. [D-MI-3]
MI • D
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Riley (NY)
NY • D
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Barr
KY • R
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Rep. DeSaulnier, Mark [D-CA-10]
CA • D
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Rep. Taylor, David J. [R-OH-2]
OH • R
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Rep. Graves, Sam [R-MO-6]
MO • R
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Pingree
ME • D
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Rep. Nunn, Zachary [R-IA-3]
IA • R
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Rep. Jackson, Ronny [R-TX-13]
TX • R
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Simon
CA • D
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Bishop
GA • D
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Mfume
MD • D
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Rep. Valadao, David G. [R-CA-22]
CA • R
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Rep. Titus, Dina [D-NV-1]
NV • D
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Bentz
OR • R
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Rep. Letlow, Julia [R-LA-5]
LA • R
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Rep. Underwood, Lauren [D-IL-14]
IL • D
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Rep. Van Orden, Derrick [R-WI-3]
WI • R
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Rep. Menendez, Robert [D-NJ-8]
NJ • D
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McGuire
VA • R
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McBath
GA • D
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Rep. Figures, Shomari [D-AL-2]
AL • D
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Estes
KS • R
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Rep. Cleaver, Emanuel [D-MO-5]
MO • D
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Rep. Cline, Ben [R-VA-6]
VA • R
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Rose
TN • R
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Espaillat
NY • D
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Langworthy
NY • R
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Rep. Huizenga, Bill [R-MI-4]
MI • R
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Crockett
TX • D
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Wilson (FL)
FL • D
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Khanna
CA • D
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Rep. Moskowitz, Jared [D-FL-23]
FL • D
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Rep. Green, Al [D-TX-9]
TX • D
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Rep. Schweikert, David [R-AZ-1]
AZ • R
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LaLota
NY • R
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Gonzales, Tony
TX • R
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Rep. Leger Fernandez, Teresa [D-NM-3]
NM • D
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Hern (OK)
OK • R
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Stauber
MN • R
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Rep. Gooden, Lance [R-TX-5]
TX • R
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Bean (FL)
FL • R
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McGovern
MA • D
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Rep. Steil, Bryan [R-WI-1]
WI • R
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Rep. Olszewski, Johnny [D-MD-2]
MD • D
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Lofgren
CA • D
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Amodei (NV)
NV • R
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Edwards
NC • R
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Rep. Weber, Randy K. Sr. [R-TX-14]
TX • R
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Rep. Alford, Mark [R-MO-4]
MO • R
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Rep. Calvert, Ken [R-CA-41]
CA • R
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Grijalva
AZ • D
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Rep. Hill, J. French [R-AR-2]
AR • R
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Rep. Wagner, Ann [R-MO-2]
MO • R
Sponsored 4/23/2026
Hudson
NC • R
Sponsored 4/29/2026
Rep. Bergman, Jack [R-MI-1]
MI • R
Sponsored 4/29/2026
Rep. McIver, LaMonica [D-NJ-10]
NJ • D
Sponsored 4/30/2026
Simpson
ID • R
Sponsored 5/7/2026
Biggs (SC)
SC • R
Sponsored 5/13/2026
Babin
TX • R
Sponsored 5/13/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov