Rural Telehealth and Education Enhancement Act of 2025

HR4206 — CONNECT for Health Act of 2025

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. - 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.

HR1262 — Mikaela Naylon Give Kids a Chance Act

Speeds and strengthens pediatric cancer drug development. It expands which cancer products companies must study in children, reshapes organ transplant network governance and fees, and adds new FDA international and transparency steps. - Children with cancer and researchers: Requires pediatric studies that produce clinically meaningful data on dosing, safety, and early effectiveness and widens the kinds of drug combinations studied. It also sets aside $25 million for pediatric drug studies in each of fiscal years 2026, 2027, and 2028. - Transplant patients and transplant network members: Changes Organ Procurement and Transplantation Network governance and financing by allowing quarterly registration fees, requiring those fees fund OPTN operations, improving electronic health record integration, and calling for a GAO review within two years. - FDA partners and drug makers: Creates an Abraham Accords Office to boost regulatory coordination and technical assistance abroad, and forces more transparency during generic (ANDA) reviews about whether generics are qualitatively and quantitatively the same as listed drugs. It also raises the Medicare Improvement Fund amount from $1.4 billion to $2.6 billion. Increases federal outlays by roughly $1.3 billion, driven by a $1.2 billion boost to the Medicare Improvement Fund and $75 million for pediatric studies, adding to federal spending.

HR842 — Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

Would expand Medicare to cover multi-cancer early detection screening tests. It defines eligible tests as certain FDA-cleared or approved genomic blood tests or comparable biological-sample tests and directs the Secretary to use the national coverage determinations process to decide when they are covered.

HR1065 — Protect Our Letter Carriers Act of 2025

Heightened protections for U.S. Postal Service letter carriers. This bill would fund security upgrades, push federal prosecutors to prioritize assaults on postal employees, and align sentencing for those attacks with rules for assaults on law enforcement. - Postal workers would get new security gear and safer collection points via high-security collection boxes and electronic mailbox keys funded at $1.4 billion per year for FY2026–2030. - The Attorney General would be directed to vigorously prosecute assaults on postal employees and to appoint an Assistant U.S. Attorney in every federal judicial district to coordinate those cases not later than one year after enactment. - The U.S. Sentencing Commission would be required to amend guidelines so assaults or robberies against postal employees are treated like assaults on law enforcement, with guideline changes due by May 1 following the first year after enactment. This bill would authorize $1.4 billion per year for FY2026–2030, totaling $7.0 billion in authorized federal spending.

HR3946 — FIGHT Act of 2025

The FIGHT Act of 2025 would amend the Animal Welfare Act to ban gambling on animal fighting and broaden enforcement tools against those who sponsor, exhibit, transport, or profit from animal fights. It also sets a legal definition of "rooster" and blocks minors from attending these events. - Families and children: Stops anyone from causing a person under 16 to attend an animal fighting venture and makes attendance by minors unlawful. - Rooster owners and shippers: Defines a rooster as any male Gallus domesticus older than 6 months and bars transport of roosters through the mail or other interstate instruments. - Law enforcement and private enforcers: Prohibits sponsorship, exhibition, and gambling (including broadcasts) on animal fighting ventures and creates a civil citizen-suit path with fines up to $5,000 per violation and a required 60-day notice. Courts can order seizures of property used to facilitate violations and may award costs and fees when appropriate.

HR1993 — 25th Anniversary of 9/11 Commemorative Coin Act

Would create two commemorative coins marking the 25th anniversary of the September 11 attacks and raise funds for the National September 11 Memorial and Museum. The bill would direct the Secretary of the Treasury to mint up to 50,000 $5 gold coins and up to 400,000 $1 silver coins. Each coin would be at least 90 percent precious metal, meet specific weight and size specs, be legal tender, and be offered in uncirculated and proof qualities. Designs would honor victims, first responders, and survivors and include required inscriptions such as Liberty, In God We Trust, United States of America, E Pluribus Unum, and 25th Anniversary, with at least one coin bearing the inscription “Never Forget.” Sales would include a $35 surcharge on each gold coin and a $10 surcharge on each silver coin to support the museum. Issuance would be limited to the one-year period beginning January 1, 2027, and coins would be struck at the U.S. Mint in West Point to the greatest extent possible, with the Citizens Coinage Advisory Committee and the Commission of Fine Arts consulted on designs. It would be structured to result in no net cost to the federal government.