Territorial Student Access to Higher Education 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.

HR4275 — Coast Guard Authorization Act of 2025

Expand Coast Guard capacity and strengthen governance. This bill would authorize multi-year funding and set a formal plan to grow Coast Guard end strength and training capacity while rewriting acquisition oversight, personnel rules, and misconduct prevention. It focuses on building to a 60,000-person force, tighter program transparency, and stronger survivor and workplace protections. - Families and dependents: Modernizes "Family leave," extends leave rules to reserves, adds command sponsorship for dependents in Unalaska, creates a maternity uniform allowance, and expands survivor and family-dependency supports. - Members and workforce: Requires budget and training plans to reach a 60,000 end strength and reallocates student-year training slots across FY2025–FY2029. It authorizes direct-hire authority for key civilian roles, mandatory behavioral health hires including at least five specialists, and an embedded behavioral-health technician pilot. - Mariners, ports, and operations: Overhauls Merchant Mariner Credentialing and training standards, tightens acquisition reporting with quarterly and pre-procurement briefings, sets new port and anchorage rules, expands unmanned maritime system pilots, and requires Pacific and Arctic operational planning and reporting.

HR4393 — DIGNIDAD (Dignity) Act of 2025

This bill would create a comprehensive immigration and border-security overhaul that layers new physical barriers and surveillance with big changes to employer verification, asylum processing, and legal-status pathways. It bundles construction and funding, a rethought E‑Verify system, expedited asylum at humanitarian campuses, and new conditional and Dignity status routes for long‑term residents. - Would expand humanitarian processing and asylum rules for migrants. It would establish at least three southern border humanitarian campuses for screening, medical checks, legal orientation, and an expedited asylum track with a 72‑hour arrival rest and a 15‑day initial screening goal. - Would change worksite verification and employer rules. It would replace the current system with a new Employment Eligibility Verification System, phase mandatory employer use by size over 6–24 months, allow secondary checks and a limited good‑faith defense, and raise penalties and debarment authority for violations. - Would invest in ports, infrastructure, and backlog tools and create a new trust fund. It would authorize $2.0 billion annually for ports in FY2026–2030, create an Immigration Infrastructure and Debt Reduction Fund, and permit premium processing deposits including a $20,000 premium option to address visa backlogs. Would authorize substantial new appropriations and fee deposits, including $2.0 billion annually for FY2026–2030, increasing federal outlays.

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.

HR1329 — Smithsonian American Women’s History Museum Act

Authorize the Smithsonian American Women's History Museum within the Reserve of the National Mall. It would remove an earlier site-designation limit, set a transfer and notification process for federal land, require exhibits to reflect diverse and authentic women's experiences with defined guidance, and mandate regular reports to Congress. - Smithsonian and the Board of Regents — Would be able to place the museum inside the National Mall Reserve and the bill removes a prior limiting phrase that constrained site designation. - Other federal agencies — Must receive notice before a site under their administrative jurisdiction is designated. The agency head must promptly notify specified House and Senate committees and then transfer administrative jurisdiction as soon as practicable. - Museum visitors and Congress — The Council must ensure exhibits and programs accurately represent varied cultures, histories, events, and values of women and seek guidance from a broad array of knowledgeable and respected sources with definitions for those terms. The Secretary must report to Congress 120 days after enactment and every two years on actions taken and planning.