Adelita Grijalva

Physical Therapist Workforce and Patient Access Act of 2025

This bill expands certain health professional programs and Medicare covered services to include physical therapists.

Specifically, the bill expands the National Health Service Corps to include physical therapists and provides for the designation of specific health professional target areas for physical therapists under the program. The bill also expands covered services of rural health clinics and federally qualified health centers under Medicare to include physical therapy services.

The bill increases funds for FY2025 for the corps and requires a certain amount of funds to be used for student loan repayments for participating physical therapists in the National Health Service Corps Loan Repayment Program.

Faster Labor Contracts Act

This bill establishes mandatory deadlines for parties negotiating an initial collective bargaining agreement (CBA) and provides for mediation and arbitration to finalize CBAs.

Under the bill, CBA negotiations must begin within 10 days after an employer receives a written request from a newly recognized or certified bargaining representative. The bill provides that parties must make every reasonable effort to conclude and sign a CBA. Further, the bill provides that, if the parties have not reached an agreement after 90 days, either party may request mediation by the Federal Mediation and Conciliation Service (FMCS). The bill directs FMCS to use its best efforts to secure an agreement.

If mediation does not result in an agreement within 30 days (or an additional period agreed to by both parties), FMSC must refer the parties to an arbitration panel to render a decision settling the dispute. The panel must consider specified factors, including the employer's financial prospects and employees' cost of living. The resulting CBA is binding on the parties for two years. (Parties may agree to amend the terms during the two-year period.)

The bill specifies that (1) an employer must maintain current wages, hours, terms, and conditions of employment during negotiations; and (2) an employer's duty to collectively bargain continues even if a representative has been decertified.

The Government Accountability Office must report to Congress regarding the average number of days between the certification or recognition of a bargaining representative and the date the initial CBA was executed.

No Tax Breaks for Union Busting (NTBUB) Act

This bill excludes from the tax deduction for ordinary and necessary business expenses amounts paid or incurred to influence employees with respect to labor organizations or labor organization activities. The bill also imposes information reporting requirements related to such expenses and imposes penalties for failure to comply.

Under the bill, amounts paid to influence employees with respect to labor organizations include amounts paid (including wages and other costs)

• in connection with an action that results in a complaint or settlement related to an unfair labor practice or a finding of interference, influence, or coercion related to railway employees’ rights to organize and bargain collectively;

• for any meeting or training attended by employees and at which labor organizations are discussed; and

• that require certain employer disclosures and financial reporting.

(Some exceptions apply.)

The bill requires employers to file a return reporting certain information related to expenses paid to influence employees with respect to labor organizations and imposes a penalty for noncompliance. The amount of the penalty is the greater of (1) $10,000, or (2) $1,000 multiplied by the number full-time equivalent employees. Additional penalties apply for violations that continue for more than 90 days.

The bill also imposes information reporting requirements on persons conducting activities on behalf of another person to influence employees with respect to labor organizations.

The bill allows certain penalties for noncompliance with the reporting requirements to be waived if noncompliance is due to reasonable cause and not willful neglect.

Improving Access to Medicare Coverage Act of 2025

This bill deems an individual receiving outpatient observation services in a hospital as an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility (SNF) services. (Generally, individuals must have been an inpatient at a hospital for at least three days in order to qualify for SNF services. An individual's time spent under observation at a hospital for purposes of determining whether the individual should be admitted does not count towards this requirement.)