Adopting the Rules of the House of Representatives for the One Hundred Nineteenth Congress, and for other purposes.

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.

HR740 — Veterans’ ACCESS Act of 2025

Faster, clearer access to VA community care and mental health treatment. This bill would set measurable drive‑time and wait‑time standards for community care, tighten timelines and appeals for denials, and standardize rapid screening and admission for residential mental health programs. - Veterans and households: Veterans would get written notice of eligibility within two business days and VA would have to schedule primary, mental health, and most extended care within a 30‑minute average drive and 20 days of request. Specialty care would be scheduled within a 60‑minute drive and 28 days. - Mental health patients and families: The bill would require a standardized clinical screen within 48 hours of an admission request and admission of priority cases within 48 hours of determination. Placement must weigh veteran preferences and proximity to social supports and VA must offer accredited non‑VA options and transportation help if it cannot meet standards. - Providers and VA modernization: Provider claim deadlines would extend from 180 days to 1 year. The bill would reform the Center for Innovation with a required budget line item, create a three‑year pilot in at least five sites to allow outpatient mental health and substance use care without referrals, and require an interactive online self‑service appointment and appeals tool with a plan due in 180 days.

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."

HR3235 — MOMS Act

A national pregnancy and postpartum resource directory would centralize local and online supports for pregnant and postpartum women. The bill would also fund nonprofit and telehealth programs and allow mothers to seek child support for an unborn child. - Families: Pregnant and postpartum women would get a tailored pregnancy.gov directory that lists nearby and online resources by ZIP code and up to 100 miles. The site must operate in multiple languages, include a user assessment with consent for outreach, and protect personal identifying information. - States and nonprofits: Grants would fund state systems and eligible nonprofits to provide direct services like medical care, housing, childcare, parenting education, and substance use counseling. Resources and grantees could not be entities that perform, refer for, or promote abortions, and appropriations are authorized through 2030. - Fathers and child support: Mothers could request establishment and enforcement of child support for an unborn child, with paternity measures allowed only with the mother's consent and required to pose no risk to the unborn child. These child-support provisions would take effect two years after enactment.

HR2243 — LEOSA Reform Act

Expands concealed-carry rights for qualified current and retired law enforcement officers. This bill would let LEOSA-authorized individuals carry in school zones and some public federal facilities, broaden what they can carry, and change training and certification rules. - Current and retired law enforcement officers would be able to carry concealed firearms under LEOSA in school zones and in Facility Security Level I and II civilian public-access federal facilities, and the law would explicitly cover magazines as part of allowable equipment. - Firearms training and qualification rules would shift from a time-based test to a defined set of acceptable standards and would allow certification by the individual’s former agency, the State where they live, any law enforcement agency in that State, or any certified firearms instructor in that State. - The bill would clarify cross-references to other federal laws and National Park Service regulations and would limit LEOSA applicability on property used by common or contract carriers or on property open to the public.

HR197 — Lake Winnibigoshish Land Exchange Act of 2025

A land exchange in the Chippewa National Forest would trade about 17.5 acres of federal land for about 36.7 acres from Big Winnie Land and Timber, LLC. The Secretary of Agriculture, acting through the Chief of the Forest Service, would have one year after Big Winnie Land and Timber offers to accept the trade, convey the federal parcel while reserving a road-access easement, and add the non-federal parcel to the National Forest. The exchange is conditioned on title approval, appraisals by an independent qualified appraiser with cash equalization if values differ, completion of a Phase I environmental site assessment before acceptance, and Big Winnie Land and Timber paying closing and survey and survey costs.