WORK to Save Lives Act

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.

HR51 — Washington, D.C. Admission Act

Full statehood for Washington, Douglass Commonwealth would admit the District of Columbia as a new state on equal footing, while defining a smaller federal "Capital" and setting staged transitions for courts, property, and federal programs. - Capital residents would gain full congressional representation: two U.S. Senators and one U.S. Representative. The bill also requires states to allow "absent Capital" residents to vote by absentee ballot in federal elections. - The U.S. House would be permanently increased to 436 members and apportionment would be adjusted beginning with the first decennial census after admission. - The bill defines the federal Capital with a required 180-day survey, preserves federal court, prosecutorial, prison, parole, National Guard, and employee benefit arrangements on a temporary basis, and phases those responsibilities to the State as it certifies the necessary laws and personnel are in place.

HR20 — Richard L. Trumka Protecting the Right to Organize Act of 2025

Strengthens worker organizing rights and enforcement. The bill broadens who counts as an employee or joint employer and builds tougher remedies, penalties, and election rules to make organizing and bargaining easier to enforce and monitor. - Workers: Expands who is treated as an employee by tightening the three-part test for independent contractors and broadening the joint-employer test to include direct, indirect, and reserved control. It adds clear protections for strike participation and allows back pay without reduction and liquidated damages equal to twice awarded damages. - Employers: Requires prompt disclosure and new notice duties including a detailed voter list within two business days and multilingual employee notices. Noncompliance can trigger civil penalties including up to $50,000 per unfair labor practice, up to $10,000 per refusal to obey Board orders, and fines for posting or voter-list violations. - Elections, agencies, and unions: NLRB must adopt remote electronic voting within one year and aim to hold elections within twenty business days. The bill also boosts NLRB reporting and transparency, expands private suits, and creates new whistleblower protections and expedited enforcement.

HR1589 — American Dream and Promise Act of 2025

New pathways to permanent residence. This bill would create a ten‑year conditional permanent resident status for certain people who entered as children and would add an adjustment pathway for specified Temporary Protected Status and Deferred Enforced Departure holders. - Young long‑term residents and DACA‑eligible people could get a ten‑year conditional status if they meet rules like continuous presence since Jan 1, 2021 and education or credential benchmarks. They could convert to full permanent residence after meeting removal‑of‑condition rules and have limits on removal while applying. - Nationals with qualifying TPS or DED status who meet continuous‑presence rules could apply within a three‑year window and face a capped application fee of $1,140. - The bill creates a competitive grant program to help applicants, allows fee exemptions for youth, low‑income people, foster care alumni, and those with serious disabilities, and adds a $25 supplemental surcharge to fund appointed counsel.

HR5390 — FAMILY Act

This bill would create a federally administered paid family and medical leave insurance program that pays eligible workers for caregiving and serious medical needs while adding job and health coverage protections. It sets benefit formulas, eligibility rules, and a new Office of Paid Family and Medical Leave inside the Social Security Administration to run the program. - Families and caregivers: Would get paid leave based on earnings with benefits calculated using a three-tier formula and monthly minimum and maximum amounts. Caregiving is tracked in 1-hour units and capped per benefit period at 12 times an individual’s regular weekly hours, and the eligibility wage floor is $2,000 for benefit periods beginning in 2026. - Workers and job protections: Would include restoration to the same or equivalent job, continuation of health coverage during leave, anti-retaliation rules with a 12-month rebuttable presumption for recent leave takers, and limited exclusions for new hires. - Administration and employers: Creates a Deputy Commissioner‑led office at the SSA to set rules, run payments, publish annual demographic usage reports, share data with federal agencies, manage legacy State programs to avoid double counting, and require a GAO study after 2026 and every five years thereafter.

HR15 — Equality Act

Adds sexual orientation and gender identity to the federal definition of sex and creates a uniform, nationwide nondiscrimination framework across employment, housing, credit, education, public accommodations, jury service, and programs that receive federal funds. The bill would harmonize definitions, remedies, and rules of construction across multiple civil rights statutes to make enforcement and claims more consistent. - Workers: Private and federal employees would gain explicit protection from discrimination for sexual orientation and gender identity. The bill would update Title VII rules, expand remedies, and adjust bona fide occupational qualification rules to account for gender identity. - People using public places, students, and tenants: Public accommodations and education laws would explicitly bar discrimination based on sexual orientation and gender identity. The Fair Housing Act would adopt the same definitions and protections to cover renters and buyers. - Borrowers, juries, and enforcement: The Equal Credit Opportunity Act would bar credit discrimination on these bases. Jury selection rules would be updated to prevent discrimination. The bill would also prevent the Religious Freedom Restoration Act from being used to challenge enforcement under the covered civil rights laws.