Home Appliance Protection and Affordability Act

HR4317 — PBM Reform Act of 2025

Greater PBM transparency and tighter contract rules would require pharmacy benefit managers (PBMs) to disclose detailed per‑drug revenues and rebates, protect small "essential" retail pharmacies, and change Medicaid and group plan payment rules across the drug supply chain. The bill would layer reporting, audit rights, pass‑through pricing, and enforcement across Medicare Part D, ERISA/group plans, and Medicaid to spotlight hidden payments and affiliate flows. - Patients and community pharmacies: Would create an "essential retail pharmacy" label for pharmacies in underserved areas and require network access standards and biennial public data starting in 2028, helping small pharmacies show reimbursement and cost differences to plans. - PBMs, plans, and auditors: Would force PBMs to adopt flat bona fide service fees, disclose per‑drug claims, rebates, retained revenue, and affiliate dispensing shares, and give sponsors audit rights and remedies for improper remuneration. - States and Medicaid programs: Would require monthly national acquisition‑cost surveys, ban spread pricing in State Medicaid contracts, and mandate pass‑through pricing with itemized reporting and penalties for false data. Would increase federal spending for implementation by about $336 million in FY2025 and fund ongoing oversight including a $9 million annual IG appropriation.

HR833 — Educational Choice for Children Act of 2025

Federal tax credits for donations to scholarship organizations would create matching tax incentives for individuals and corporations to fund K–12 scholarships. The bill targets households up to 300% of area median income, sets a $10 billion annual volume cap, and would exclude those scholarship amounts from gross income.

HR2345 — Ocmulgee Mounds National Park and Preserve Establishment Act

Redesignates Ocmulgee Mounds as a National Park and establishes an adjacent National Preserve. The bill would combine the two areas into a single managed unit called the Ocmulgee Mounds National Park and Preserve and set rules for land use, tribal access, and resource protection. - Tribes: The Muscogee (Creek) Nation would get about 126 acres taken into trust as part of Indian country. The bill requires tribal consultation, preserves access to sacred and burial sites, and creates a tribal hiring preference for park jobs. - Visitors and conservation: A general management plan must be completed within 3 years and address cultural resource protection, interpretation, and important cultural landscapes. Hunting would be allowed in the Preserve and fishing in waters of the Park and Preserve subject to federal and state law, with zones or seasonal limits after state consultation. - Landowners and administration: Land for the Park and Preserve may be acquired only by purchase from willing sellers, donation, or exchange with no eminent domain. An advisory council with Tribal, federal, state, and regional members would advise management and meet at least twice a year.

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.

HR21 — Born-Alive Abortion Survivors Protection Act

Mandates care and penalties for infants born alive after an abortion. This bill would set standards of care, require reporting, create criminal penalties, and allow civil suits when an infant is born alive following an abortion. - Women and families: A woman on whom an abortion is performed may sue anyone who violates the law and recover objectively verifiable medical and psychological damages, punitive damages, and statutory damages equal to three times the cost of the abortion. Courts must award reasonable attorney's fees to prevailing plaintiffs and may award fees to defendants if a suit is frivolous. - Health care practitioners and facility employees: Any practitioner present at a birth resulting from an abortion must exercise the same professional skill, care, and diligence as for any other live-born infant of the same gestational age. Practitioners or employees who know of a failure to comply must immediately report the violation to appropriate State or Federal law enforcement. - Criminal and statutory consequences: Violators face fines, up to 5 years in prison, or both, and anyone who intentionally kills a born-alive infant is punished under the murder statute. The bill also updates chapter headings and adds statutory definitions for "abortion" and "attempt."

HR4154 — Employee Rights Act

Union voting and worker classification would be reshaped by the Employee Rights Act to require secret-ballot National Labor Relations Board elections and to redraw who counts as an employee. The bill would also tighten voter privacy, limit noncitizen participation in union ballots, set new independent‑contractor and joint‑employer tests, and raise penalties for violent interference in labor disputes. - Workers: Lawful employees would vote by secret ballot in Board-run elections and the bill bars employees lacking lawful status from voting or being counted in petitions. - Independent contractors and employers: The Fair Labor Standards Act would use a two-part test for contractor status based on control and entrepreneurial risk and would bar certain factors from being used to label someone an employee. Joint‑employer status would require direct, actual, and immediate control over essential terms of employment and franchisor policies generally could not by themselves create an employment relationship. - Unions, employers, and public safety: Employers must provide a searchable electronic voter list after Board elections and the Board must issue rules within 9 months. Unions would need written member authorization after at least a 35-day notice to spend dues on nonrepresentational activities and initial authorizations expire after 1 year. The bill also creates a federal offense for violent labor interference with penalties up to a $100,000 fine and 20 years in prison, and it restricts collective bargaining mandates on diversity, equity, and inclusion to what law already requires.