Healthcare, Medicare & Public Health
H.R. 10725 (GAP Act)
Purpose: To improve access and fairness for Medicare beneficiaries seeking supplemental coverage by introducing annual enrollment protections.
Key Provisions:
Requires supplemental insurance providers to offer a yearly general enrollment period starting January 1, 2028, aligning with Medicare's annual election period.
Prohibits insurers from denying coverage or charging higher premiums based on health status or medical history during this window.
Mandates that HHS update guidance materials like "Medicare & You" within 30 days of enactment.
H.R. 10726 (Early-Onset Alzheimer's Coverage Act of 2026)
Purpose: To expand Medicare access for individuals diagnosed with early-onset Alzheimer's disease who are under 65.
Key Provisions:
Allows individuals diagnosed with early-onset Alzheimer's to buy into Medicare with premiums calculated as if they were 65.
Grants access to standard Medicare benefits, Medicare Advantage plans, Medigap policies (within six months), and the Medicare Beneficiary Ombudsman.
Requires HHS to update informational materials within 30 days.
H.R. 10727 (Access to Community Care Act of 2026)
Purpose: To expand community healthcare access in underserved or crisis-affected areas.
Key Provisions:
Directs HHS to give special consideration to health service applications in areas impacted by recent health center closures, public health emergencies, or presidential disaster declarations.
H.R. 10728 (Maternity Care for Rural Communities Act of 2026)
Purpose: To improve maternity care access in rural and Tribal communities by reducing financial barriers.
Key Provisions:
Exempts Medicaid payments for labor, delivery, and maternity services at rural, Tribal, or high-birth-volume hospitals from state-directed payment caps (effective July 4, 2025).
H.R. 10729 (Long-Term Rural Health Investment Act of 2026)
Purpose: To modernize Medicaid payment structures, enhance fiscal transparency, and support rural healthcare access.
Key Provisions:
Caps State-directed Medicaid payments at 200% of Medicare rates or average commercial rates starting January 1, 2030, with a phased 10% annual reduction for grandfathered payments.
Mandates detailed data reporting from states starting January 1, 2027.
Repeals specific provider tax provisions and rescinds associated funding.
S. 1055 (Indian Health Service Emergency Claims Parity Act)
Purpose: To streamline claims processing and improve access to emergency care for Indian Health Service beneficiaries.
Key Provisions:
Extends the notification timeline for emergency medical care received from non-IHS providers to 15 days.
S. 5600 (Traumatic Brain Injury Program Reauthorization Act of 2026)
Purpose: To strengthen TBI surveillance, expand prevention data collection, and enhance services for high-risk groups.
Key Provisions:
Expands the National Program for TBI Surveillance and Registries to track high-risk populations like veterans and public safety officers through 2031.
Broadens state grant definitions and mandates long-term research studies and public reports on TBI effects.
Tribal Sovereignty & Land Management
S. 1514 (Quinault Indian Nation Land Transfer Act)
Purpose: To transfer specific federal acreage into trust for the benefit of the Quinault Indian Nation.
Key Provisions:
Places roughly 72 acres of land (Allotment 1157) in Washington State into federal trust.
Explicitly bans gaming on the transferred land while preserving existing 1855 Treaty of Olympia rights.
S. 1574 (Tribal Access to Electronic Evidence Act)
Purpose: To strengthen Tribal sovereignty by allowing Tribal courts to access electronic communications and records under the Stored Communications Act (SCA).
Key Provisions:
Recognizes Tribal courts as "courts of competent jurisdiction" and Indian Tribes as governmental entities.
Empowers Tribal courts to issue digital warrants under the Indian Civil Rights Act.
S. 3219 (Albuquerque Indian School Act of 2025)
Purpose: To support tribal self-determination and community development via a federal land transfer.
Key Provisions:
Transfers roughly 9.89 acres of federal land in Albuquerque into trust for 19 Native American Pueblos for educational, health, and economic use.
Prohibits Class I, II, and III gaming on the property.
S. 3383 (Tribal Land Leasing and Rights-of-Way Act of 2025)
Purpose: To modernize federal-tribal land management and empower tribes to pursue economic opportunities.
Key Provisions:
Simplifies trust land lease definitions and approval processes.
Permits tribes to grant rights-of-way over their lands without federal approval if they follow approved tribal regulations, bypassing external reviews like NEPA.
Environment, Water & Public Lands
S. 1564 (Floodplain Enhancement and Recovery Act)
Purpose: To streamline approvals for ecosystem restoration, reduce flood risks, and protect natural aquatic functions.
Key Provisions:
Exempts requesters from map change fees tied to ecosystem restoration projects.
Permits communities to approve certain projects in regulatory floodways under strict engineering standards and post-project analyses.
S. 2273 (Wyoming Education Trust Modernization Act)
Purpose: To modernize statutory language governing how earnings from public land are managed for educational use in Wyoming.
Key Provisions:
Updates terms from specific "interest" or "income" wording to broader "earnings" revenue sources.
S. 2437 (Snow Water Supply Forecasting Program Reauthorization Act of 2025)
Purpose: To improve the accuracy and timeliness of snowpack and water supply forecasts for multi-jurisdictional water management.
Key Provisions:
Emphasizes advanced technologies (machine learning, imaging spectroscopy) for water supply measurement.
Reauthorizes the program at $6.5 million annually for fiscal years 2027 through 2031.
S. 2498 (National Park System Long-Term Lease Investment Act)
Purpose: To streamline lease extensions for existing commercial lessees while prioritizing park management needs.
Key Provisions:
Authorizes the Secretary of the Interior to extend qualifying long-term park system leases without a competitive bidding process.
S. 2754 (Crystal Reservoir Conveyance Act)
Purpose: To transfer federal land and water assets to the City of Ouray, Colorado, for public recreation.
Key Provisions:
Directs the Secretary of Agriculture to convey the Crystal Reservoir, Full Moon Dam, infrastructure, and a 45-acre parcel via quitclaim deed at no cost.
Imposes strict maintenance mandates, public open-space protections, and environmental conditions.
S. 528 (Great Lakes Restoration Initiative Act of 2025)
Purpose: To bolster environmental protection and recovery efforts across the Great Lakes region through sustained financing.
Key Provisions:
Allocates $500 million annually ($2.5 billion total) for the GLRI from fiscal years 2027 to 2031.
S. 5045 (Wildfire Emissions Prevention Act of 2026)
Purpose: To balance wildland fuel management with air quality protections by streamlining regulations for prescribed fires.
Key Provisions:
Classifies prescribed fires as "exceptional events" under the Clean Air Act, simplifying state and tribal petition processes.
Establishes a "Smoke Ready Communities Program" to fund competitive mitigation grants for buildings like schools.
Crime, Security & Law Enforcement
H.R. 10723 (Nicholas Douglas Quets United States-Mexico Rapid Response for Victims of Crime Act)
Purpose: To establish a bilateral rapid response protocol between the U.S. and Mexico to better coordinate and investigate serious crimes involving U.S. citizens abroad.
Key Provisions:
Directs the Secretary of State to negotiate a protocol covering prompt notifications, secure communications, evidence sharing, and victim support.
Requires progress and implementation reports to Congress.
H.R. 10724 (Bankruptcy Fraud Clarification Bill)
Purpose: To eliminate legal ambiguities by making debts resulting from a debtor's own fraudulent actions strictly non-dischargeable.
Key Provisions:
Amends Title 11 (Bankruptcy Code) sections 523(a)(2) and 523(a)(4) to clarify that false pretenses, fraud, embezzlement, or larceny must be committed directly by the debtor to prevent debt discharge.
H.R. 10743 (Nonprofit Security Grant Program Funding Improvement Act)
Purpose: To ensure Department of Homeland Security nonprofit security grants are distributed proactively rather than retroactively.
Key Provisions:
Amends the Homeland Security Act of 2002 to explicitly ban cost-reimbursable grant structures for the Nonprofit Security Grant Program, mandating advance funding.
S. 3798 (Safe Access to Cash Act of 2026)
Purpose: To establish severe criminal penalties for ATM-related robberies, tampering, and associated offenses.
Key Provisions:
Creates new federal offenses in Title 18 carrying penalties up to 20 years for ATM robbery, up to 10 years for tampering/theft over $1,000, and life imprisonment if a killing occurs.
Expands bank robbery statutes to include conspiracy to commit theft from individuals.
S. 4009 (Falun Gong and Victims of Forced Organ Harvesting Protection Act)
Purpose: To hold perpetrators accountable and impose sanctions on individuals and entities involved in forced organ harvesting in China.
Key Provisions:
Mandates asset-blocking sanctions, visa bans, and deportation for individuals linked to forced organ harvesting.
Requires annual perpetrator reporting and official evaluations of China's transplant practices.
Defense, Veterans & Foreign Policy
H.R. 10742 (LESSONS from Ukraine Act)
Purpose: To direct the U.S. military to study and adopt strategic innovations from the Russia-Ukraine War.
Key Provisions:
Mandates a comprehensive report from the Secretary of Defense within 120 days analyzing unmanned systems, electronic/cyber warfare, armored adaptations, and decentralized industrial manufacturing.
H.R. 2283 (RECOVER Act)
Purpose: To improve veteran access to culturally competent mental health services through non-profit community partnerships.
Key Provisions:
Establishes a 3-year VA pilot grant program ($20 million annually from 2025–2027) for qualified outpatient mental health facilities.
Caps standard grants at $1.5 million annually while ensuring free, barrier-free access for veterans.
Commerce, Finance & Insurance
S. 4395 (Terrorism Risk Insurance Program Reauthorization Act of 2026)
Purpose: To maintain federal backstop support for commercial insurers facing terrorism-related losses.
Key Provisions:
Extends the Terrorism Risk Insurance Act (TRIA) program termination date by 7 years, moving it from 2027 to 2034.
Delays mandatory federal recoupment repayment deadlines for insurers.
S. 4974 (Making America's Food Safer Act)
Purpose: To strengthen food safety regulations via improved import oversight and state-local collaboration.
Key Provisions:
Expands third-party certification options for food supply chain import verification.
Authorizes the FDA to share unredacted safety and lab data with state, local, and tribal health authorities.
Permits the FDA to order the destruction of contaminated imported goods that pose public health risks.
S. 5249 (Modernizing Outdated Regulations to Expand American Fuel Act of 2026)
Purpose: To streamline licensing, reduce delays, and promote U.S. nuclear energy development.
Key Provisions:
Aligns licensing for uranium enrichment facilities with other fuel cycle facilities by permitting pre-license construction under NRC oversight and risk conditions.
Mandates 15-day local/Tribal construction notices and 180-day NRC regulatory updates.