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HR6130119th CongressWALLET

ASAP Act

Sponsored By: Representative Buchanan, Vern [R-FL-16]

In Committee

Summary

Creates Medicare coverage for early Alzheimer’s disease and related dementias (ADRD) screening tests. The bill adds a new Medicare screening category for tests that detect pre-symptomatic and early-stage ADRD and ties those tests into existing Medicare lab payment rules for tests furnished on or after January 1, 2028.

Show full summary
  • People on Medicare: Eligible beneficiaries could receive covered ADRD early detection screening tests starting January 1, 2028. Tests must have FDA clearance, classification, or approval and fit the bill's listed test types.
  • Labs and test makers: The law defines eligible tests to include genomic sequencing blood tests and other comparable blood or biospecimen tests. The Secretary of Health and Human Services can decide which non-genomic tests are “equivalent.”
  • Medicare payment and providers: These tests are placed into Medicare’s existing Part B laboratory and diagnostic payment framework. Specific reimbursement rates, coding, and any patient cost-sharing are left to current payment rules and future implementation.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

Medicare coverage for early Alzheimer's tests

If enacted, Medicare Part B would cover certain early Alzheimer's and related dementia screening tests furnished on or after January 1, 2028. Tests would qualify only if they are FDA-cleared, classified, or approved under sections 510(k), 513(f)(2), or 515 and are genomic blood sequencing tests or an equivalent test the HHS Secretary designates. CMS would pay for these tests under Part B payment rules, but the bill does not set payment rates, billing codes, or whether standard Part B cost-sharing applies. That means beneficiaries could still face typical Part B cost-sharing (for example, about 20% coinsurance and the Part B deductible) depending on how CMS implements payment. Laboratories, test makers, and providers would gain Medicare reimbursement access, and Medicare spending would likely rise.

Sponsors & CoSponsors

Sponsor

Buchanan, Vern [R-FL-16]

FL • R

Cosponsors

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

    Sponsored 11/19/2025

  • Rep. Kennedy, Timothy M. [D-NY-26]

    NY • D

    Sponsored 11/20/2025

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

    VA • R

    Sponsored 12/1/2025

  • Rep. Torres, Ritchie [D-NY-15]

    NY • D

    Sponsored 12/1/2025

  • Rep. Bilirakis, Gus M. [R-FL-12]

    FL • R

    Sponsored 12/5/2025

  • Rep. Fitzpatrick, Brian K. [R-PA-1]

    PA • R

    Sponsored 12/5/2025

  • Rep. Kelly, Mike [R-PA-16]

    PA • R

    Sponsored 12/5/2025

  • Rep. Ezell, Mike [R-MS-4]

    MS • R

    Sponsored 12/5/2025

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 12/9/2025

  • Rep. Kim, Young [R-CA-40]

    CA • R

    Sponsored 12/9/2025

  • Rep. Malliotakis, Nicole [R-NY-11]

    NY • R

    Sponsored 12/15/2025

  • Rep. Latimer, George [D-NY-16]

    NY • D

    Sponsored 12/15/2025

  • Rep. Soto, Darren [D-FL-9]

    FL • D

    Sponsored 12/16/2025

  • Rep. Neguse, Joe [D-CO-2]

    CO • D

    Sponsored 12/16/2025

  • Rep. Hayes, Jahana [D-CT-5]

    CT • D

    Sponsored 12/16/2025

  • Rep. Thompson, Mike [D-CA-4]

    CA • D

    Sponsored 12/17/2025

  • Rep. Gonzalez, Vicente [D-TX-34]

    TX • D

    Sponsored 12/18/2025

  • Rep. Subramanyam, Suhas [D-VA-10]

    VA • D

    Sponsored 12/19/2025

  • Rep. Carson, André [D-IN-7]

    IN • D

    Sponsored 1/7/2026

  • Rep. Wittman, Robert J. [R-VA-1]

    VA • R

    Sponsored 1/12/2026

  • Rep. Cole, Tom [R-OK-4]

    OK • R

    Sponsored 1/12/2026

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

    VT • D

    Sponsored 1/20/2026

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 1/20/2026

  • Rep. Lawler, Michael [R-NY-17]

    NY • R

    Sponsored 1/30/2026

  • Rep. Salazar, Maria Elvira [R-FL-27]

    FL • R

    Sponsored 1/30/2026

  • Rep. Sorensen, Eric [D-IL-17]

    IL • D

    Sponsored 1/30/2026

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

    DC • D

    Sponsored 1/30/2026

  • Rep. Morrison, Kelly [D-MN-3]

    MN • D

    Sponsored 1/30/2026

  • Rep. Dingell, Debbie [D-MI-6]

    MI • D

    Sponsored 1/30/2026

  • Rep. Rutherford, John H. [R-FL-5]

    FL • R

    Sponsored 1/30/2026

  • Rep. Smith, Christopher H. [R-NJ-4]

    NJ • R

    Sponsored 2/2/2026

  • Rep. Craig, Angie [D-MN-2]

    MN • D

    Sponsored 2/2/2026

  • Rep. Cisneros, Gilbert Ray [D-CA-31]

    CA • D

    Sponsored 2/2/2026

  • Rep. Davids, Sharice [D-KS-3]

    KS • D

    Sponsored 2/10/2026

  • Rep. Huizenga, Bill [R-MI-4]

    MI • R

    Sponsored 2/10/2026

  • Rep. Lieu, Ted [D-CA-36]

    CA • D

    Sponsored 2/17/2026

  • Rep. Mackenzie, Ryan [R-PA-7]

    PA • R

    Sponsored 2/17/2026

  • Rep. Tlaib, Rashida [D-MI-12]

    MI • D

    Sponsored 2/23/2026

  • Rep. Pocan, Mark [D-WI-2]

    WI • D

    Sponsored 3/3/2026

  • Rep. Langworthy, Nicholas A. [R-NY-23]

    NY • R

    Sponsored 3/3/2026

  • Rep. LaLota, Nick [R-NY-1]

    NY • R

    Sponsored 3/3/2026

  • Rep. Ryan, Patrick [D-NY-18]

    NY • D

    Sponsored 3/3/2026

  • Rep. McDowell, Addison P. [R-NC-6]

    NC • R

    Sponsored 3/16/2026

  • Rep. Norcross, Donald [D-NJ-1]

    NJ • D

    Sponsored 3/16/2026

  • Rep. McBride, Sarah [D-DE-At Large]

    DE • D

    Sponsored 3/16/2026

  • Rep. Miller, Carol D. [R-WV-1]

    WV • R

    Sponsored 3/16/2026

  • Rep. Ciscomani, Juan [R-AZ-6]

    AZ • R

    Sponsored 3/24/2026

  • Rep. Crow, Jason [D-CO-6]

    CO • D

    Sponsored 3/24/2026

  • Rep. Mullin, Kevin [D-CA-15]

    CA • D

    Sponsored 3/24/2026

  • Rep. Pfluger, August [R-TX-11]

    TX • R

    Sponsored 3/24/2026

  • Rep. Larsen, Rick [D-WA-2]

    WA • D

    Sponsored 3/24/2026

  • Rep. Walkinshaw, James R. [D-VA-11]

    VA • D

    Sponsored 3/24/2026

  • Rep. Omar, Ilhan [D-MN-5]

    MN • D

    Sponsored 3/24/2026

  • Rep. Auchincloss, Jake [D-MA-4]

    MA • D

    Sponsored 4/9/2026

  • Rep. Jackson, Jonathan L. [D-IL-1]

    IL • D

    Sponsored 4/9/2026

  • Rep. Pingree, Chellie [D-ME-1]

    ME • D

    Sponsored 4/9/2026

  • Rep. Vasquez, Gabe [D-NM-2]

    NM • D

    Sponsored 4/9/2026

  • Rep. Johnson, Julie [D-TX-32]

    TX • D

    Sponsored 4/9/2026

  • Rep. McCollum, Betty [D-MN-4]

    MN • D

    Sponsored 4/9/2026

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

    IL • D

    Sponsored 3/26/2026

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

    MI • D

    Sponsored 4/9/2026

  • Rep. Budzinski, Nikki [D-IL-13]

    IL • D

    Sponsored 4/9/2026

  • Rep. Khanna, Ro [D-CA-17]

    CA • D

    Sponsored 4/14/2026

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

    MD • D

    Sponsored 4/14/2026

  • Rep. Meng, Grace [D-NY-6]

    NY • D

    Sponsored 4/20/2026

  • Rep. Frankel, Lois [D-FL-22]

    FL • D

    Sponsored 4/20/2026

  • Rep. Johnson, Henry C. "Hank" [D-GA-4]

    GA • D

    Sponsored 4/20/2026

  • Rep. Van Orden, Derrick [R-WI-3]

    WI • R

    Sponsored 4/20/2026

  • Rep. Huffman, Jared [D-CA-2]

    CA • D

    Sponsored 4/20/2026

  • Rep. Adams, Alma S. [D-NC-12]

    NC • D

    Sponsored 4/14/2026

  • Rep. Garamendi, John [D-CA-8]

    CA • D

    Sponsored 4/14/2026

  • Rep. Owens, Burgess [R-UT-4]

    UT • R

    Sponsored 4/20/2026

  • Rep. Trahan, Lori [D-MA-3]

    MA • D

    Sponsored 4/27/2026

  • Rep. Pettersen, Brittany [D-CO-7]

    CO • D

    Sponsored 4/27/2026

  • Rep. Figures, Shomari [D-AL-2]

    AL • D

    Sponsored 4/27/2026

  • Rep. Barragán, Nanette Diaz [D-CA-44]

    CA • D

    Sponsored 4/27/2026

  • Rep. Fitzgerald, Scott [R-WI-5]

    WI • R

    Sponsored 4/27/2026

  • Rep. LaHood, Darin [R-IL-16]

    IL • R

    Sponsored 4/27/2026

  • Rep. Moulton, Seth [D-MA-6]

    MA • D

    Sponsored 4/27/2026

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

    OH • D

    Sponsored 4/27/2026

  • Rep. Kiley, Kevin [I-CA-3]

    CA • I

    Sponsored 4/29/2026

  • Rep. Jayapal, Pramila [D-WA-7]

    WA • D

    Sponsored 4/29/2026

  • Rep. Mann, Tracey [R-KS-1]

    KS • R

    Sponsored 5/4/2026

  • Rep. Wilson, Joe [R-SC-2]

    SC • R

    Sponsored 5/4/2026

  • Rep. Morelle, Joseph D. [D-NY-25]

    NY • D

    Sponsored 5/4/2026

  • Rep. Smucker, Lloyd [R-PA-11]

    PA • R

    Sponsored 5/11/2026

  • Rep. Landsman, Greg [D-OH-1]

    OH • D

    Sponsored 5/11/2026

  • Rep. Lynch, Stephen F. [D-MA-8]

    MA • D

    Sponsored 5/11/2026

  • Rep. Tenney, Claudia [R-NY-24]

    NY • R

    Sponsored 5/11/2026

  • Rep. Case, Ed [D-HI-1]

    HI • D

    Sponsored 5/11/2026

  • Rep. Goodlander, Maggie [D-NH-2]

    NH • D

    Sponsored 5/13/2026

  • Rep. Grothman, Glenn [R-WI-6]

    WI • R

    Sponsored 5/13/2026

  • Rep. Bresnahan, Robert P. [R-PA-8]

    PA • R

    Sponsored 5/19/2026

  • Rep. Bell, Wesley [D-MO-1]

    MO • D

    Sponsored 5/19/2026

  • Rep. Carter, Earl L. "Buddy" [R-GA-1]

    GA • R

    Sponsored 5/19/2026

  • Rep. Suozzi, Thomas R. [D-NY-3]

    NY • D

    Sponsored 5/19/2026

  • Rep. Kean, Thomas H. [R-NJ-7]

    NJ • R

    Sponsored 5/19/2026

  • Rep. Bonamici, Suzanne [D-OR-1]

    OR • D

    Sponsored 5/19/2026

  • Rep. Jack, Brian [R-GA-3]

    GA • R

    Sponsored 5/21/2026

  • Rep. Escobar, Veronica [D-TX-16]

    TX • D

    Sponsored 5/21/2026

  • Rep. Mills, Cory [R-FL-7]

    FL • R

    Sponsored 5/21/2026

  • Rep. Alford, Mark [R-MO-4]

    MO • R

    Sponsored 5/29/2026

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

    AK • R

    Sponsored 6/2/2026

  • Rep. Carbajal, Salud O. [D-CA-24]

    CA • D

    Sponsored 6/2/2026

  • Rep. Cleaver, Emanuel [D-MO-5]

    MO • D

    Sponsored 6/2/2026

  • Rep. Fischbach, Michelle [R-MN-7]

    MN • R

    Sponsored 6/2/2026

  • Rep. Houlahan, Chrissy [D-PA-6]

    PA • D

    Sponsored 6/2/2026

  • Rep. McGovern, James P. [D-MA-2]

    MA • D

    Sponsored 6/2/2026

  • Kelly (MS)

    MS • R

    Sponsored 6/2/2026

  • Del. King-Hinds, Kimberlyn [R-MP-At Large]

    MP • R

    Sponsored 6/2/2026

  • Rep. Bishop, Sanford D. [D-GA-2]

    GA • D

    Sponsored 6/2/2026

  • Rep. Harder, Josh [D-CA-9]

    CA • D

    Sponsored 6/2/2026

  • Rep. Keating, William R. [D-MA-9]

    MA • D

    Sponsored 6/2/2026

  • Rep. Wilson, Frederica S. [D-FL-24]

    FL • D

    Sponsored 6/2/2026

  • Rep. Joyce, John [R-PA-13]

    PA • R

    Sponsored 6/2/2026

  • Rep. Salinas, Andrea [D-OR-6]

    OR • D

    Sponsored 6/2/2026

  • Rep. Courtney, Joe [D-CT-2]

    CT • D

    Sponsored 6/2/2026

  • Rep. Shreve, Jefferson [R-IN-6]

    IN • R

    Sponsored 6/8/2026

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

    WA • D

    Sponsored 6/8/2026

  • Rep. Pappas, Chris [D-NH-1]

    NH • D

    Sponsored 6/8/2026

  • Rep. Hamadeh, Abraham J. [R-AZ-8]

    AZ • R

    Sponsored 6/8/2026

  • Rep. Mejia, Analilia [D-NJ-11]

    NJ • D

    Sponsored 6/8/2026

  • Rep. Cohen, Steve [D-TN-9]

    TN • D

    Sponsored 6/8/2026

  • Rep. Simon, Lateefah [D-CA-12]

    CA • D

    Sponsored 6/8/2026

  • Rep. Stansbury, Melanie A. [D-NM-1]

    NM • D

    Sponsored 6/8/2026

  • Rep. Calvert, Ken [R-CA-41]

    CA • R

    Sponsored 6/8/2026

  • Rep. Hern, Kevin [R-OK-1]

    OK • R

    Sponsored 6/8/2026

  • Rep. Ross, Deborah K. [D-NC-2]

    NC • D

    Sponsored 6/8/2026

  • Rep. Bergman, Jack [R-MI-1]

    MI • R

    Sponsored 6/8/2026

  • Rep. Webster, Daniel [R-FL-11]

    FL • R

    Sponsored 6/8/2026

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

    FL • D

    Sponsored 6/8/2026

  • Rep. Bost, Mike [R-IL-12]

    IL • R

    Sponsored 6/8/2026

  • Del. Radewagen, Aumua Amata Coleman [R-AS-At Large]

    AS • R

    Sponsored 6/8/2026

  • Rep. Lee, Laurel M. [R-FL-15]

    FL • R

    Sponsored 6/8/2026

  • Rep. Underwood, Lauren [D-IL-14]

    IL • D

    Sponsored 6/10/2026

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

    IL • D

    Sponsored 6/10/2026

  • Rep. Stauber, Pete [R-MN-8]

    MN • R

    Sponsored 6/10/2026

  • Rep. Barrett, Tom [R-MI-7]

    MI • R

    Sponsored 6/10/2026

  • Rep. Bynum, Janelle S. [D-OR-5]

    OR • D

    Sponsored 6/10/2026

  • Rep. Kustoff, David [R-TN-8]

    TN • R

    Sponsored 6/10/2026

  • Rep. Riley, Josh [D-NY-19]

    NY • D

    Sponsored 6/10/2026

  • Rep. Panetta, Jimmy [D-CA-19]

    CA • D

    Sponsored 6/15/2026

  • Rep. Bentz, Cliff [R-OR-2]

    OR • R

    Sponsored 6/15/2026

  • Rep. Aderholt, Robert B. [R-AL-4]

    AL • R

    Sponsored 6/15/2026

  • Rep. Guest, Michael [R-MS-3]

    MS • R

    Sponsored 6/15/2026

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

    PA • D

    Sponsored 6/15/2026

  • Rep. Schakowsky, Janice D. [D-IL-9]

    IL • D

    Sponsored 6/23/2026

  • Rep. Finstad, Brad [R-MN-1]

    MN • R

    Sponsored 6/23/2026

  • Rep. Cuellar, Henry [D-TX-28]

    TX • D

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  • Rep. DelBene, Suzan K. [D-WA-1]

    WA • D

    Sponsored 6/23/2026

  • Rep. Goldman, Daniel S. [D-NY-10]

    NY • D

    Sponsored 6/23/2026

  • Rep. Bera, Ami [D-CA-6]

    CA • D

    Sponsored 6/29/2026

  • Rep. Fletcher, Lizzie [D-TX-7]

    TX • D

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  • Rep. Waters, Maxine [D-CA-43]

    CA • D

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  • Rep. Fedorchak, Julie [R-ND-At Large]

    ND • R

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  • Rep. Mannion, John W. [D-NY-22]

    NY • D

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  • Rep. Hudson, Richard [R-NC-9]

    NC • R

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  • Rep. Gray, Adam [D-CA-13]

    CA • D

    Sponsored 7/9/2026

  • Rep. Mrvan, Frank J. [D-IN-1]

    IN • D

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  • Rep. Raskin, Jamie [D-MD-8]

    MD • D

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  • Rep. Larson, John B. [D-CT-1]

    CT • D

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  • Rep. Ramirez, Delia C. [D-IL-3]

    IL • D

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

    IL • D

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  • Rep. Costa, Jim [D-CA-21]

    CA • D

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

    NY • R

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  • Rep. Rouzer, David [R-NC-7]

    NC • R

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  • Rep. McClellan, Jennifer L. [D-VA-4]

    VA • D

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    CA • D

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  • Rep. Valadao, David G. [R-CA-22]

    CA • R

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  • Rep. Amo, Gabe [D-RI-1]

    RI • D

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    FL • R

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  • Rep. Davis, Donald G. [D-NC-1]

    NC • D

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    OK • R

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    AL • D

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    FL • D

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

    MI • D

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  • Rep. Luna, Anna Paulina [R-FL-13]

    FL • R

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    IL • D

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    IA • R

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    NC • R

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  • Rep. Bean, Aaron [R-FL-4]

    FL • R

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    CA • D

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    AZ • D

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    NV • D

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    FL • R

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    FL • D

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    TX • R

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    OH • D

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    MI • D

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    MI • D

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    MD • D

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    PA • R

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    SC • R

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    AL • R

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    CA • D

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    MS • D

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    NJ • D

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    CA • D

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    RI • D

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    OH • R

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    NJ • D

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    IN • R

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  • Rep. Fong, Vince [R-CA-20]

    CA • R

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    SC • R

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    CA • D

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  • Rep. Gillen, Laura [D-NY-4]

    NY • D

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  • Rep. Franklin, Scott [R-FL-18]

    FL • R

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  • Rep. Miller-Meeks, Mariannette [R-IA-1]

    IA • R

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  • Rep. Dean, Madeleine [D-PA-4]

    PA • D

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  • Rep. Moran, Nathaniel [R-TX-1]

    TX • R

    Sponsored 9/10/2026

  • Rep. Rogers, Mike D. [R-AL-3]

    AL • R

    Sponsored 9/14/2026

  • Rep. Green, Al [D-TX-9]

    TX • D

    Sponsored 9/14/2026

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

    GU • R

    Sponsored 9/14/2026

  • Rep. Meuser, Daniel [R-PA-9]

    PA • R

    Sponsored 9/14/2026

  • Rep. Carey, Mike [R-OH-15]

    OH • R

    Sponsored 9/15/2026

  • Rep. Goldman, Craig A. [R-TX-12]

    TX • R

    Sponsored 9/15/2026

  • Rep. Murphy, Gregory F. [R-NC-3]

    NC • R

    Sponsored 9/16/2026

  • Rep. Miller, Max L. [R-OH-7]

    OH • R

    Sponsored 9/21/2026

  • Rep. Casten, Sean [D-IL-6]

    IL • D

    Sponsored 9/21/2026

  • Rep. Titus, Dina [D-NV-1]

    NV • D

    Sponsored 9/28/2026

  • Rep. Strong, Dale W. [R-AL-5]

    AL • R

    Sponsored 9/28/2026

  • Rep. Kelly, Robin L. [D-IL-2]

    IL • D

    Sponsored 9/28/2026

  • Rep. Moskowitz, Jared [D-FL-23]

    FL • D

    Sponsored 10/1/2026

  • Rep. Fry, Russell [R-SC-7]

    SC • R

    Sponsored 10/1/2026

  • Rep. Palmer, Gary J. [R-AL-6]

    AL • R

    Sponsored 10/9/2026

  • Rep. DeSaulnier, Mark [D-CA-10]

    CA • D

    Sponsored 10/9/2026

  • Rep. Whitesides, George [D-CA-27]

    CA • D

    Sponsored 10/9/2026

  • Rep. Baird, James R. [R-IN-4]

    IN • R

    Sponsored 10/9/2026

  • Rep. Houchin, Erin [R-IN-9]

    IN • R

    Sponsored 10/9/2026

  • Rep. Van Epps, Matt [R-TN-7]

    TN • R

    Sponsored 10/9/2026

Roll Call Votes

No roll call votes available for this bill.

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