HR4206119th CongressWALLET

CONNECT for Health Act of 2025

Sponsored By: Representative Thompson (CA)

Introduced

Summary

Expands Medicare telehealth access by removing geographic limits and ending an in-person requirement for telemental health. It would also change payment rules for clinics and require more oversight, training, and data reporting.

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  • Medicare beneficiaries would be able to receive telehealth across geographies beginning October 1, 2025. Telemental health would no longer require a six-month in-person visit and tribal and Native Hawaiian facilities would be exempt from originating-site rules starting January 1, 2026.
  • Federally Qualified Health Centers and Rural Health Clinics would be paid for telehealth under outpatient or prospective payment methods and telehealth costs as distant-site care would count as allowable PPS costs. The HHS Secretary could waive limits on which practitioner types may furnish telehealth starting October 1, 2025 with annual public comment and a three-year reassessment requirement.
  • The bill would strengthen program integrity funding for telehealth, require CMS to post quarterly telehealth data, and add telehealth to quality-measure reviews within 180 days. It also mandates a beneficiary engagement study and a Government Accountability Office report on hospice recertification within three years.

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 5 benefits, 0 costs, 0 mixed.

Stronger oversight and public telehealth data

If enacted, HHS would identify and notify providers with unusually high Medicare telehealth billing, and Telehealth Resource Centers would train those providers. CMS would post quarterly public data on who uses telehealth and recent effects on Medicare spending and use, starting within 180 days. The bill would authorize $3 million each year for fiscal years 2026–2030 for Inspector General audits and investigations on telehealth. It would also clarify that providers may give patients certain telehealth or remote‑monitoring tech without violating fraud rules, if not used for advertising and they meet HHS conditions.

More Medicare telehealth at clinics and tribal sites

If enacted, Medicare telehealth visits at Federally Qualified Health Centers and Rural Health Clinics would count as clinic outpatient visits. Starting October 1, 2025, those visits would be paid under the clinic payment systems, and clinic costs for distant‑site telehealth would count. The bill would end the six‑month in‑person rule for telemental health. It would expand originating‑site rules on enactment and lift geographic limits after September 30, 2025. For care on or after January 1, 2026, Indian Health Service, tribal, and Native Hawaiian sites would not need certain originating‑site rules, and no facility fee could be charged when only that exemption applies.

Emergency telehealth waivers during public health emergencies

If enacted, public health emergencies declared after this bill would count as emergency periods for special waiver rules. That would let HHS use telehealth‑specific waivers during those emergencies to keep care available.

More clinicians allowed for Medicare telehealth

If enacted, starting October 1, 2025, the Secretary could waive limits on which clinicians may provide Medicare telehealth when it is clinically appropriate. The Secretary could set safeguards, take public comment at least yearly, and review waivers at least every three years. Waivers found no longer appropriate would end.

Telehealth training, quality measures, and reports

If enacted, within six months HHS would issue resources and training to help people with limited English and disabilities use telehealth, and would train providers on payment, privacy, and engaging underserved groups. HHS would review telehealth quality measures within 180 days, publish guidance and best practices, and report to Congress within two years. The Government Accountability Office would report to Congress within three years on hospice recertification by telehealth and related oversight. Funds would be authorized as needed for the education and study work.

Sponsors & CoSponsors

Sponsor

Thompson (CA)

CA • D

Cosponsors

  • Rep. Schweikert, David [R-AZ-1]

    AZ • R

    Sponsored 6/26/2025

  • Rep. Matsui, Doris O. [D-CA-7]

    CA • D

    Sponsored 6/26/2025

  • Balderson

    OH • R

    Sponsored 6/26/2025

  • Rep. Bacon, Don [R-NE-2]

    NE • R

    Sponsored 6/30/2025

  • Rep. Krishnamoorthi, Raja [D-IL-8]

    IL • D

    Sponsored 6/30/2025

  • Rep. Case, Ed [D-HI-1]

    HI • D

    Sponsored 6/30/2025

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 7/10/2025

  • Rep. Kim, Young [R-CA-40]

    CA • R

    Sponsored 7/25/2025

  • Rep. Clarke, Yvette D. [D-NY-9]

    NY • D

    Sponsored 8/12/2025

  • Rep. Subramanyam, Suhas [D-VA-10]

    VA • D

    Sponsored 8/12/2025

  • McBride

    DE • D

    Sponsored 8/12/2025

  • McClellan

    VA • D

    Sponsored 8/12/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 8/22/2025

  • Barragan

    CA • D

    Sponsored 8/22/2025

  • Budzinski

    IL • D

    Sponsored 8/22/2025

  • Rep. Tokuda, Jill N. [D-HI-2]

    HI • D

    Sponsored 8/22/2025

  • Rep. Torres, Ritchie [D-NY-15]

    NY • D

    Sponsored 8/22/2025

  • Cohen

    TN • D

    Sponsored 8/26/2025

  • Rep. Landsman, Greg [D-OH-1]

    OH • D

    Sponsored 8/26/2025

  • Cisneros

    CA • D

    Sponsored 8/29/2025

  • Rep. Carbajal, Salud O. [D-CA-24]

    CA • D

    Sponsored 8/29/2025

  • Riley (NY)

    NY • D

    Sponsored 9/3/2025

  • Rep. Golden, Jared F. [D-ME-2]

    ME • D

    Sponsored 9/9/2025

  • Rep. Lynch, Stephen F. [D-MA-8]

    MA • D

    Sponsored 9/17/2025

  • Rep. Guest, Michael [R-MS-3]

    MS • R

    Sponsored 9/18/2025

  • Soto

    FL • D

    Sponsored 9/26/2025

  • Rep. Gimenez, Carlos A. [R-FL-28]

    FL • R

    Sponsored 9/26/2025

  • Levin

    CA • D

    Sponsored 9/26/2025

  • Rep. Moulton, Seth [D-MA-6]

    MA • D

    Sponsored 9/26/2025

  • Rep. Panetta, Jimmy [D-CA-19]

    CA • D

    Sponsored 9/26/2025

  • Norcross

    NJ • D

    Sponsored 9/26/2025

  • Rep. Larsen, Rick [D-WA-2]

    WA • D

    Sponsored 9/26/2025

  • Rep. Bynum, Janelle S. [D-OR-5]

    OR • D

    Sponsored 9/26/2025

  • Rep. Beatty, Joyce [D-OH-3]

    OH • D

    Sponsored 9/26/2025

  • Rep. Tlaib, Rashida [D-MI-12]

    MI • D

    Sponsored 9/26/2025

  • Elfreth

    MD • D

    Sponsored 9/26/2025

  • Rep. DeSaulnier, Mark [D-CA-10]

    CA • D

    Sponsored 9/30/2025

  • Bresnahan

    PA • R

    Sponsored 9/30/2025

  • Rep. Dingell, Debbie [D-MI-6]

    MI • D

    Sponsored 9/30/2025

  • Rep. Menendez, Robert [D-NJ-8]

    NJ • D

    Sponsored 10/3/2025

  • Johnson (GA)

    GA • D

    Sponsored 10/3/2025

  • Cherfilus-McCormick

    FL • D

    Sponsored 10/3/2025

  • Scott, David

    GA • D

    Sponsored 10/3/2025

  • Rep. Meng, Grace [D-NY-6]

    NY • D

    Sponsored 10/6/2025

  • Rep. McClain Delaney, April [D-MD-6]

    MD • D

    Sponsored 10/6/2025

  • DelBene

    WA • D

    Sponsored 10/8/2025

  • Bonamici

    OR • D

    Sponsored 10/8/2025

  • Rep. Stevens, Haley M. [D-MI-11]

    MI • D

    Sponsored 10/8/2025

  • Rescom. Hernández, Pablo Jose [D-PR-At Large]

    PR • D

    Sponsored 10/8/2025

  • Liccardo

    CA • D

    Sponsored 10/8/2025

  • Rep. Foster, Bill [D-IL-11]

    IL • D

    Sponsored 10/8/2025

  • Sewell

    AL • D

    Sponsored 10/8/2025

  • Conaway

    NJ • D

    Sponsored 10/8/2025

  • Rep. Deluzio, Christopher R. [D-PA-17]

    PA • D

    Sponsored 10/8/2025

  • Rep. Hayes, Jahana [D-CT-5]

    CT • D

    Sponsored 10/8/2025

  • Davis (IL)

    IL • D

    Sponsored 10/8/2025

  • Kennedy (NY)

    NY • D

    Sponsored 10/10/2025

  • Rep. Lieu, Ted [D-CA-36]

    CA • D

    Sponsored 10/10/2025

  • McCollum

    MN • D

    Sponsored 10/10/2025

  • Bishop

    GA • D

    Sponsored 10/10/2025

  • Amodei (NV)

    NV • R

    Sponsored 10/10/2025

  • Rep. Vargas, Juan [D-CA-52]

    CA • D

    Sponsored 10/10/2025

  • Rep. Raskin, Jamie [D-MD-8]

    MD • D

    Sponsored 10/10/2025

  • Rep. Frankel, Lois [D-FL-22]

    FL • D

    Sponsored 10/10/2025

  • Rep. Scholten, Hillary J. [D-MI-3]

    MI • D

    Sponsored 10/14/2025

  • Rep. Goodlander, Maggie [D-NH-2]

    NH • D

    Sponsored 10/14/2025

  • Rep. Sykes, Emilia Strong [D-OH-13]

    OH • D

    Sponsored 10/14/2025

  • Rep. Huffman, Jared [D-CA-2]

    CA • D

    Sponsored 10/17/2025

  • Rep. Amo, Gabe [D-RI-1]

    RI • D

    Sponsored 10/17/2025

  • Rep. Frost, Maxwell [D-FL-10]

    FL • D

    Sponsored 10/17/2025

  • Mfume

    MD • D

    Sponsored 10/17/2025

  • Himes

    CT • D

    Sponsored 10/17/2025

  • Ciscomani

    AZ • R

    Sponsored 10/17/2025

  • Schmidt

    KS • R

    Sponsored 10/17/2025

  • Ivey

    MD • D

    Sponsored 10/17/2025

  • Rep. Bera, Ami [D-CA-6]

    CA • D

    Sponsored 10/17/2025

  • Rep. Salinas, Andrea [D-OR-6]

    OR • D

    Sponsored 10/17/2025

  • Rep. Brownley, Julia [D-CA-26]

    CA • D

    Sponsored 10/17/2025

  • Jackson (IL)

    IL • D

    Sponsored 10/17/2025

  • Rep. Ansari, Yassamin [D-AZ-3]

    AZ • D

    Sponsored 10/17/2025

  • Keating

    MA • D

    Sponsored 10/17/2025

  • Rep. Garamendi, John [D-CA-8]

    CA • D

    Sponsored 10/21/2025

  • Rep. Schneider, Bradley Scott [D-IL-10]

    IL • D

    Sponsored 10/21/2025

  • Rep. Houlahan, Chrissy [D-PA-6]

    PA • D

    Sponsored 10/21/2025

  • Stansbury

    NM • D

    Sponsored 10/21/2025

  • Carson

    IN • D

    Sponsored 10/21/2025

  • Rep. Chu, Judy [D-CA-28]

    CA • D

    Sponsored 10/21/2025

  • Rep. Wasserman Schultz, Debbie [D-FL-25]

    FL • D

    Sponsored 10/21/2025

  • Rep. Fields, Cleo [D-LA-6]

    LA • D

    Sponsored 10/24/2025

  • Thompson (MS)

    MS • D

    Sponsored 10/24/2025

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

    Sponsored 10/24/2025

  • Rep. Harder, Josh [D-CA-9]

    CA • D

    Sponsored 10/24/2025

  • Trahan

    MA • D

    Sponsored 10/24/2025

  • Rep. Olszewski, Johnny [D-MD-2]

    MD • D

    Sponsored 10/24/2025

  • Gonzalez, V.

    TX • D

    Sponsored 10/24/2025

  • Rep. McIver, LaMonica [D-NJ-10]

    NJ • D

    Sponsored 10/24/2025

  • Cuellar

    TX • D

    Sponsored 10/24/2025

  • Rep. Goldman, Daniel S. [D-NY-10]

    NY • D

    Sponsored 10/24/2025

  • Davis (NC)

    NC • D

    Sponsored 10/24/2025

  • Rep. Dexter, Maxine [D-OR-3]

    OR • D

    Sponsored 10/24/2025

  • Randall

    WA • D

    Sponsored 10/28/2025

  • Rep. Bell, Wesley [D-MO-1]

    MO • D

    Sponsored 10/28/2025

  • Rep. Latimer, George [D-NY-16]

    NY • D

    Sponsored 10/28/2025

  • Rep. Garbarino, Andrew R. [R-NY-2]

    NY • R

    Sponsored 10/28/2025

  • Rep. Brown, Shontel M. [D-OH-11]

    OH • D

    Sponsored 10/28/2025

  • Rep. Johnson, Julie [D-TX-32]

    TX • D

    Sponsored 10/28/2025

  • Rep. Ross, Deborah K. [D-NC-2]

    NC • D

    Sponsored 10/28/2025

  • Rep. Torres, Norma J. [D-CA-35]

    CA • D

    Sponsored 10/28/2025

  • Rep. Waters, Maxine [D-CA-43]

    CA • D

    Sponsored 10/28/2025

  • Rep. Horsford, Steven [D-NV-4]

    NV • D

    Sponsored 10/31/2025

  • Rep. Kiggans, Jennifer A. [R-VA-2]

    VA • R

    Sponsored 10/31/2025

  • Rep. Morelle, Joseph D. [D-NY-25]

    NY • D

    Sponsored 10/31/2025

  • Swalwell

    CA • D

    Sponsored 10/31/2025

  • Rep. Strickland, Marilyn [D-WA-10]

    WA • D

    Sponsored 10/31/2025

  • Ocasio-Cortez

    NY • D

    Sponsored 10/31/2025

  • Rep. Davids, Sharice [D-KS-3]

    KS • D

    Sponsored 10/31/2025

  • Simon

    CA • D

    Sponsored 10/31/2025

  • Rep. Thanedar, Shri [D-MI-13]

    MI • D

    Sponsored 10/31/2025

  • Craig

    MN • D

    Sponsored 10/31/2025

  • Rep. Nunn, Zachary [R-IA-3]

    IA • R

    Sponsored 11/4/2025

  • Rep. Valadao, David G. [R-CA-22]

    CA • R

    Sponsored 11/4/2025

  • Mullin

    CA • D

    Sponsored 11/4/2025

  • Obernolte

    CA • R

    Sponsored 11/4/2025

  • Rep. Ruiz, Raul [D-CA-25]

    CA • D

    Sponsored 11/4/2025

  • Rep. Pettersen, Brittany [D-CO-7]

    CO • D

    Sponsored 11/4/2025

  • Mrvan

    IN • D

    Sponsored 11/4/2025

  • Pingree

    ME • D

    Sponsored 11/7/2025

  • Peters

    CA • D

    Sponsored 11/7/2025

  • Turner (OH)

    OH • R

    Sponsored 11/7/2025

  • Johnson (SD)

    SD • R

    Sponsored 11/7/2025

  • Rep. Evans, Dwight [D-PA-3]

    PA • D

    Sponsored 11/7/2025

  • Rep. Cleaver, Emanuel [D-MO-5]

    MO • D

    Sponsored 11/7/2025

  • Rep. Suozzi, Thomas R. [D-NY-3]

    NY • D

    Sponsored 11/7/2025

  • Rep. Velázquez, Nydia M. [D-NY-7]

    NY • D

    Sponsored 11/7/2025

  • Smith (WA)

    WA • D

    Sponsored 11/7/2025

  • Schakowsky

    IL • D

    Sponsored 11/7/2025

  • Rep. Figures, Shomari [D-AL-2]

    AL • D

    Sponsored 11/7/2025

  • LaLota

    NY • R

    Sponsored 11/10/2025

  • Rep. Perez, Marie Gluesenkamp [D-WA-3]

    WA • D

    Sponsored 11/12/2025

  • Del. Moylan, James C. [R-GU-At Large]

    GU • R

    Sponsored 11/12/2025

  • Rep. Yakym, Rudy [R-IN-2]

    IN • R

    Sponsored 11/17/2025

  • Rep. Tenney, Claudia [R-NY-24]

    NY • R

    Sponsored 11/17/2025

  • Costa

    CA • D

    Sponsored 11/17/2025

  • Rep. Leger Fernandez, Teresa [D-NM-3]

    NM • D

    Sponsored 11/17/2025

  • Rep. Baumgartner, Michael [R-WA-5]

    WA • R

    Sponsored 11/17/2025

  • Del. Plaskett, Stacey E. [D-VI-At Large]

    VI • D

    Sponsored 11/17/2025

  • Rep. Miller, Carol D. [R-WV-1]

    WV • R

    Sponsored 11/17/2025

  • Rep. Lee, Susie [D-NV-3]

    NV • D

    Sponsored 11/18/2025

  • Rep. Quigley, Mike [D-IL-5]

    IL • D

    Sponsored 11/19/2025

  • Rep. Carter, Troy A. [D-LA-2]

    LA • D

    Sponsored 11/19/2025

  • Rep. Hoyle, Val T. [D-OR-4]

    OR • D

    Sponsored 11/19/2025

  • Rep. Steube, W. Gregory [R-FL-17]

    FL • R

    Sponsored 11/19/2025

  • Rep. Sánchez, Linda T. [D-CA-38]

    CA • D

    Sponsored 11/21/2025

  • Rep. Sorensen, Eric [D-IL-17]

    IL • D

    Sponsored 11/25/2025

  • Rep. Kelly, Robin L. [D-IL-2]

    IL • D

    Sponsored 11/25/2025

  • Rep. Magaziner, Seth [D-RI-2]

    RI • D

    Sponsored 11/25/2025

  • Rep. Hurd, Jeff [R-CO-3]

    CO • R

    Sponsored 12/1/2025

  • Friedman

    CA • D

    Sponsored 12/1/2025

  • LaMalfa

    CA • R

    Sponsored 12/2/2025

  • Rep. Moore, Blake D. [R-UT-1]

    UT • R

    Sponsored 12/3/2025

  • Rep. Kamlager-Dove, Sydney [D-CA-37]

    CA • D

    Sponsored 12/3/2025

  • Rep. Castor, Kathy [D-FL-14]

    FL • D

    Sponsored 12/3/2025

  • Rep. Moore, Gwen [D-WI-4]

    WI • D

    Sponsored 12/3/2025

  • Fedorchak

    ND • R

    Sponsored 12/4/2025

  • Mannion

    NY • D

    Sponsored 12/5/2025

  • Schrier

    WA • D

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  • Rep. Bergman, Jack [R-MI-1]

    MI • R

    Sponsored 12/9/2025

  • Rep. Balint, Becca [D-VT-At Large]

    VT • D

    Sponsored 12/9/2025

  • Wittman

    VA • R

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  • Rep. Mann, Tracey [R-KS-1]

    KS • R

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  • Rep. Harrigan, Pat [R-NC-10]

    NC • R

    Sponsored 12/10/2025

  • Kiley (CA)

    CA • I

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  • Rogers (KY)

    KY • R

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  • Fletcher

    TX • D

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  • Rep. Wilson, Joe [R-SC-2]

    SC • R

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  • Rep. Pocan, Mark [D-WI-2]

    WI • D

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  • Hoyer

    MD • D

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  • Rep. Boyle, Brendan F. [D-PA-2]

    PA • D

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  • Rutherford

    FL • R

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  • Rep. De La Cruz, Monica [R-TX-15]

    TX • R

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  • Rep. Morrison, Kelly [D-MN-3]

    MN • D

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  • Rep. Whitesides, George [D-CA-27]

    CA • D

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  • Rep. Dean, Madeleine [D-PA-4]

    PA • D

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  • Stauber

    MN • R

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  • Rep. Lawler, Michael [R-NY-17]

    NY • R

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  • Rep. Westerman, Bruce [R-AR-4]

    AR • R

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  • Rep. Garcia, Sylvia R. [D-TX-29]

    TX • D

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    PA • R

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  • Rep. Rulli, Michael A. [R-OH-6]

    OH • R

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  • Grijalva

    AZ • D

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    NJ • D

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  • Clyburn

    SC • D

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  • Rep. Moskowitz, Jared [D-FL-23]

    FL • D

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  • Rep. Titus, Dina [D-NV-1]

    NV • D

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  • Rep. Stanton, Greg [D-AZ-4]

    AZ • D

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    NJ • D

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  • Escobar

    TX • D

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  • Rep. Miller, Max L. [R-OH-7]

    OH • R

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  • Rep. Stefanik, Elise M. [R-NY-21]

    NY • R

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    FL • R

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    IL • D

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  • Rep. Hill, J. French [R-AR-2]

    AR • R

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    FL • R

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    VA • D

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    NC • D

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  • Rep. McGarvey, Morgan [D-KY-3]

    KY • D

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  • McBath

    GA • D

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  • Rep. Rivas, Luz M. [D-CA-29]

    CA • D

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    PA • R

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    CA • D

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    VA • D

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    TX • D

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    CO • R

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  • Rep. Fischbach, Michelle [R-MN-7]

    MN • R

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    NH • D

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    VA • D

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  • Rep. Larson, John B. [D-CT-1]

    CT • D

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  • Langworthy

    NY • R

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  • Adams

    NC • D

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    PA • D

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    TX • D

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  • Crow

    CO • D

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  • Rep. García, Jesús G. "Chuy" [D-IL-4]

    IL • D

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  • Rep. Nadler, Jerrold [D-NY-12]

    NY • D

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  • Khanna

    CA • D

    Sponsored 3/3/2026

  • Kean

    NJ • R

    Sponsored 3/4/2026

  • Rep. Omar, Ilhan [D-MN-5]

    MN • D

    Sponsored 3/9/2026

  • Hageman

    WY • R

    Sponsored 3/24/2026

  • Rep. Vasquez, Gabe [D-NM-2]

    NM • D

    Sponsored 4/2/2026

  • Rep. Williams, Nikema [D-GA-5]

    GA • D

    Sponsored 4/9/2026

  • Rep. McDonald Rivet, Kristen [D-MI-8]

    MI • D

    Sponsored 4/9/2026

  • Crawford

    AR • R

    Sponsored 4/9/2026

  • Rep. Begich, Nicholas J. [R-AK-At Large]

    AK • R

    Sponsored 4/14/2026

  • Franklin, Scott

    FL • R

    Sponsored 4/28/2026

  • Kustoff

    TN • R

    Sponsored 5/11/2026

Roll Call Votes

No roll call votes available for this bill.

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