Supplemental Security Income Equality Act

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.

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.

HR6494 — Territories Health Equity Act of 2025

Aligns U.S. territories with U.S. tax and federal health program rules while creating territory-specific Medicare and Medicaid financing and subsidy changes. The bill would change how hospitals are paid, expand low-income Medicare help, and set a mirror tax system for possessions. - Would create new Disproportionate Share Hospital (DSH) funding mechanisms for the five U.S. territories: Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa. It revises DSH target and benchmark calculations to adjust payments to territorial hospitals. - Would provide relief from Medicare Part B late enrollment penalties for Puerto Rico and would establish automatic Part B premium and cost-sharing subsidies for eligible low-income residents in the territories. It also requires more reporting, transparency, and applies Affordable Care Act exchange rules to territories that lack functioning exchanges. - Would establish a formal mirror code tax system so residents of U.S. possessions have their income taxes determined as if the possession were the United States. Payments under that system would be treated like premium tax credit refunds and the effective date depends on when the Secretary sets up the required mechanism.

HR5409 — Territory Health Revitalization Act

Reserves a 5 percent annual set-aside of Health Profession Opportunity Grant funding for U.S. territories. The bill would also change who can apply in the Commonwealth of the Northern Mariana Islands and require some grants to go to territory-based entities. - Families and local training programs in territories would get a dedicated funding pool each year, improving the chances that HPOG training grants reach territory communities. - Commonwealth of the Northern Mariana Islands (CNMI) would be removed from eligibility under a specific HPOG subsection, which changes CNMI's access under that rule. - Territory-based applicants and organizations would gain a clearer path to funding because the Secretary must award at least 2 grants to eligible entities located in territories when enough qualified applications exist. - These changes would take effect on October 1, 2025.

HR380 — Affordable Shipping for All Act

Geographic price parity for shipping. This bill would bar carriers from charging higher rates or refusing service to Alaska, Hawaii, and U.S. territories for most consumer and producer goods. - Residents of Alaska, Hawaii, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, and the Northern Mariana Islands would pay the same shipping rates as the contiguous 48 states and D.C. for most items valued at $10,000 or less. - Small businesses and producers sending goods to noncontiguous areas would no longer face higher shipping charges for covered goods under $10,000. - Private shipping companies and the U.S. Postal Service would be prohibited from excluding service or imposing higher prices on shipments to noncontiguous areas for the defined consumer and producer goods.

HR5241 — RTCP Revitalization Act

This bill guarantees mandatory, escalating funding from the Commodity Credit Corporation for reimbursements to geographically disadvantaged farmers and ranchers. It removes the prior contingency language and relaxes payment limits when annual funding meets application demand. - Farmers and ranchers in geographically disadvantaged areas get a steadier reimbursement stream. Annual funding rises from $10 million in FY2026 to $15 million in FY2031 and remains at or above $15 million thereafter. - The Department of Agriculture gains a dedicated funding mechanism under Section 1621 that removes the phrase making actions "subject to the availability of funds," clarifying the authority to carry out payments. - Payment caps are replaced with a rule that there is no payment limitation for a fiscal year if available funds equal or exceed applications, which can allow larger reimbursements when demand is fully funded.