Christopher Coons

Improving Seniors' Timely Access to Care Act of 2025

This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans.

Specifically, MA plans must (1) establish an electronic prior authorization program that meets specified standards; (2) annually submit to the CMS for publication specified prior authorization information, including the percentage of requests approved and the average response time; and (3) meet other standards, as set by the Centers for Medicare & Medicaid Services (CMS), relating to the quality and timeliness of prior authorization determinations.

The CMS and the Office of the National Coordinator for Health Information Technology must publish on the CMS' website a report that analyzes the information received from MA plans, the feasibility of implementing real-time decision making with respect to prior authorization requests, and the impact of decisions that are made using artificial intelligence on patient access.

Supreme Court Ethics, Recusal, and Transparency Act of 2025

This bill makes various changes related to the ethical standards, financial disclosure requirements, and recusal requirements that apply to Supreme Court Justices.

Among the changes, the bill requires the Supreme Court to

• adopt a code of conduct for Justices and establish procedures to receive and investigate complaints of judicial misconduct;

• adopt rules governing the disclosure of gifts, income, or reimbursements received by the Justices and law clerks that are at least as rigorous as the House and Senate disclosure rules; and

• establish procedural rules requiring each party or amicus to disclose any gift, income, or reimbursement provided to Justices.

Additionally, the bill

• expands the circumstances under which a Justice or judge must be disqualified; and

• requires the Supreme Court and the Judicial Conference to establish procedural rules for prohibiting the filing of or striking an amicus brief that would result in the disqualification of a Justice, judge, or magistrate judge.

PROTECT Our Children Reauthorization Act of 2025

This bill reauthorizes through FY2028 and updates (1) the National Strategy for Child Exploitation Prevention and Interdiction (National Strategy), and (2) the National Internet Crimes Against Children (ICAC) Task Force Program.

With respect to the National Strategy, current law requires the Department of Justice (DOJ) to update the strategy every two years and include 19 specific elements in the strategy (e.g., long-range goals, annual measurable objectives, and future trends). This bill requires DOJ to update the National Strategy every four years. The bill also revises and consolidates the 19 required elements into 9 required elements, including an analysis of current trends and challenges as well as the overall magnitude of the threat of child exploitation.

The ICAC Task Force Program is a national network of task forces that support state and local efforts to investigate and prosecute the online sexual exploitation of children. This bill requires ICAC task forces to increase the investigative capacity of law enforcement to identify child victims and report the number of child victims identified in their annual reports. The bill also limits the liability of ICAC task forces for civil claims or criminal charges in federal or state court arising from decisions with respect to leads related to internet crimes against children.

Finally, the bill requires the National Center for Missing & Exploited Children to provide additional information to law enforcement agencies when it refers a report of online sexual exploitation of children for investigation.

Protecting First Responders from Secondary Exposure Act of 2025

This bill expands the allowable uses of grant funds under the Comprehensive Opioid, Stimulant, and Substance Use Program administered by the Department of Justice.

Specifically, the bill allows grants to be used for purchasing containment devices for first responders and training first responders on the use of containment devices to prevent secondary exposure to fentanyl and other potentially lethal substances.

This resolution condemns Hamas in the harshest terms for its attacks on Israel and demands that Hamas immediately release all remaining hostages. The resolution also (1) expresses sympathy to the hostages, those wounded, and their families; and (2) mourns those killed by Hamas on October 7, 2023, and during captivity.

Providing Real-World Education and Clinical Experience by Precepting Tomorrow's Nurses Act or the PRECEPT Nurses Act

This bill establishes a new, nonrefundable tax credit for eligible nurse preceptors, subject to limitations. The bill also requires the Internal Revenue Service (IRS) to report to Congress certain information about the tax credit for nurse preceptors.

Under the bill, a nonrefundable tax credit of $2,000 is allowed for an eligible nurse preceptor through 2032. An eligible nurse preceptor is defined as an individual who provides at least 200 certified hours of supervision and personalized experiential learning, training, instruction, and mentoring in the clinical practice of nursing to a nursing student, advanced practice registered nursing student, or newly hired licensed nurse in a community designated as a health professional shortage area.

The bill also requires the IRS to report to Congress

• the number of taxpayers that claim the tax credit for nurse preceptors each year and the geographic distribution of such taxpayers,

• aggregated and averaged data on the preceptorships served by taxpayers as an eligible nurse preceptor, and

• the effectiveness of the tax credit in increasing the number of nurse preceptors in the United States.

This resolution recognizes the significance of Asian American, Native Hawaiian, and Pacific Islander Heritage Month as an important time to celebrate the significant contributions of Asian Americans, Native Hawaiians, and Pacific Islanders to the history of the United States.

Securing and Enabling Commerce Using Remote and Electronic Notarization Act of 2025 or the SECURE Notarization Act of 2025

This bill allows a notary public commissioned under state law to remotely notarize electronic records and perform notarizations for remotely located individuals. The bill provides technical requirements for the notarizations, including the creation and retention of video and audio recordings and the use of communication technologies (i.e., video chat).

Additionally, the bill requires U.S. courts and states to recognize notarizations—including remote notarizations of electronic records and notarizations of remotely-located individuals—that occur in or affect interstate commerce and are performed by a notary public commissioned under the laws of other states.

The bill also allows a notary public to remotely notarize electronic records involving an individual located outside of the United States, subject to certain requirements.