Washington, D.C. Residents Voting Act

HR3843 — Baseload Reliability Protection Act

Stops certain baseload power plants from retiring or switching fuel in regions the grid monitor rates as at elevated or high risk of electricity shortfalls, while creating a fast exemption process and a DOE grant and loan backstop. This bill targets dispatchable units of at least 25 megawatts that feed the bulk‑power system and are not primarily intermittent renewables. - Families and consumers: Keeps at‑risk power capacity online so regions served by an RTO or ISO face fewer near‑term supply shortfalls and outages. - Plant owners and operators: Would bar retirement or fuel conversion for covered units but lets owners petition for exemptions within 90 days and seeks final agency action quickly, with a 180‑day special timeline for claims based on unprofitability. - Grid planners and federal agencies: Requires the Electric Reliability Organization to set standardized risk criteria and a probabilistic method for long‑term reliability assessments, and directs DOE to offer grants or loans from specified unobligated funds to support continued operation or replacements. Would authorize DOE to use unobligated IIJA and related funds for grants or loans to keep covered units operating, and any loan interest would be paid into the Treasury.

HR1227 — Alternatives to PAIN Act

Lowering cost and access barriers for qualifying non-opioid pain management drugs under Medicare Part D. This bill would make certain non-opioid pain drugs cheaper and easier to get for Medicare enrollees. - Medicare Part D enrollees would pay less out of pocket because qualifying non-opioid pain drugs would not be subject to the Part D deductible and must be placed on the lowest cost-sharing tier when calculating maximum co-insurance or other cost-sharing. These changes apply for plan years beginning on or after January 1, 2026. - Low-income Medicare enrollees who receive Part D subsidies would get the same deductible waiver and lowest-tier placement for qualifying drugs when calculating their maximum cost-sharing, for plan years beginning on or after January 1, 2026. - Prescription drug plans and Medicare Advantage prescription drug plans would be barred from imposing step therapy or prior authorization for qualifying non-opioid pain drugs, reducing administrative hurdles for patients and providers beginning in 2026. - A qualifying non-opioid pain drug must have an FDA-approved indication for acute or postoperative pain, not act on opioid receptors, lack a therapeutically equivalent U.S. product, and have a monthly wholesale acquisition cost below a specialty-tier cost threshold that the Secretary may set and update.

HR278 — BROADBAND Leadership Act

Limits state and local barriers to siting telecommunications facilities. This bill would bar states and localities from discriminating against or effectively blocking the placement, construction, or modification of facilities used to provide interstate or intrastate telecommunications service. - State and local governments would have tighter limits on how they regulate siting. They could still manage rights‑of‑way and set non‑discriminatory rules for public safety and universal service. They may charge reasonable, cost‑based fees that are technology‑neutral and publicly disclosed. - Providers would face firm timelines for approvals: 90 days for requests involving existing support infrastructure and 150 days for other actions. If an authority misses a deadline the request would be deemed approved after the requester sends a written notice. - The bill would require written denials supported by substantial evidence and public release. It would allow expedited court review and let the Federal Communications Commission seek to preempt violating state or local rules, with a 120‑day decision window.

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.

HR7008 — Stop Insider Trading Act

This bill would create new limits and public disclosure rules to prevent insider trading by Members of Congress. It would ban purchases of specified public securities and synthetic interests by Members, their spouses, and dependent children and set rules for sales and enforcement.

HR5621 — Physical Therapist Workforce and Patient Access Act of 2025

Expand access to physical therapy in medically underserved communities by bringing physical therapists into federal loan-repayment and community health center payment programs. The bill would boost the PT workforce and reimburse PT services at rural clinics and health centers to improve pain care, rehabilitation, and long-term COVID recovery. - Patients and families: Rural Health Clinics and Federally Qualified Health Centers would be able to offer and be reimbursed for physical therapy services defined under the statute, with coverage applying to services furnished on or after January 1, 2027. - Physical therapists and the workforce: Physical therapists would become explicitly eligible for the National Health Service Corps loan repayment program, with a new PT-focused targeting and placement stream and a clear rule that NHSC participation does not prevent joining other Secretary-sponsored loan-repayment programs. - Program funding and public health focus: The bill raises funding for the NHSC loan repayment program and requires at least $15 million of the increased amount be reserved for PT loan repayments, citing PT roles in pain prevention, substance-use-related care, and long COVID rehabilitation.