Claudia Tenney

Patient Matching And Transparency in Certified Health IT Act of 2025 or the MATCH IT Act of 2025

This bill requires the Department of Health and Human Services (HHS) to establish a definition and standards for patient matching (i.e., the process of accurately matching patients with their medical records, including when records are exchanged between health care providers). It also requires the development of (1) a minimum data set for technology standards to increase patient matching, and (2) incentives for patient matching under Medicare.

Specifically, the bill requires HHS to develop a uniform definition and standards for patient matching to track patient match rates and document improvement over time. The definition and standards must account for certain situations, including duplicate records and multiple matches.

The bill also requires the Office of the National Coordinator for Health Information Technology (ONC) to adopt a minimum data set to help health care providers or health information systems achieve a patient match rate of 99.9%. The minimum data set and related standards must be incorporated into the U.S. Core Data for Interoperability and the Medicare Promoting Interoperability Program for health information technology.

Additionally, the Centers for Medicare & Medicaid Services (CMS) must establish a voluntary bonus measure within the Medicare Promoting Interoperability Program to allow health care providers who have a patient match rate over a certain percentage to receive a payment adjustment. The ONC and CMS must develop a voluntary reporting program for providers to anonymously submit patient matching data to HHS.

Incentivizing Readiness and Environmental Protection Integration Sales Act of 2025

This bill excludes the gain from the sale of a qualified real property interest under the Readiness and Environmental Protection Integration (REPI) Program from gross income for federal tax purposes. (Some limitations apply.)

As background, the REPI Program supports cost-sharing agreements between the Armed Forces, other federal agencies, state and local governments, and certain private organizations to address land use near military installations, address environmental restrictions that limit military activities, and increase military installation resilience.

Under the bill, the exclusion from gross income applies to gain from the sale of a real property interest (pursuant to an agreement under the REPI Program) to

• a state or U.S. possession (or a political subdivision of a state or U.S. possession) or the District of Columbia;

• the United States;

• certain corporations, trusts, community chest, funds, or foundations; or

• certain charitable organizations.

Further, under the bill, the real property interest that is sold may be (1) the entire interest in the real property, (2) a remainder interest in the real property, or (3) a restriction on the use of the real property (e.g., easement) that is granted in perpetuity and created under state law.

However, the bill limits such exclusion from gross income for a partnership or other pass-through entity (other than a family partnership or family pass-through entity) to gain from the sale of a real property interest that is held for at least three years.

This bill designates the facility of the United States Postal Service located at 114 John Street in New York, New York, as the "Jack Greenberg Post Office".

Support And Value Expectant Moms and Babies Act of 2025 or the SAVE Moms and Babies Act of 2025

This bill prohibits the Food and Drug Administration (FDA) from approving any new drug (either as a brand-name drug or a generic) intended to terminate a pregnancy and imposes additional restrictions on such drugs that are already approved.

Under the bill, an already-approved drug intended to terminate a pregnancy may be dispensed to a patient only with a prescription. Furthermore, the FDA may not approve any labeling change that would authorize (1) using the drug after 70 days of gestation, or (2) dispensing the drug by any means other than in-person administration by the prescribing health care practitioner.

The FDA must also impose additional restrictions on such already-approved drugs, including by (1) requiring the prescribing health care practitioner to receive a special certification, (2) prohibiting the practitioner from also acting as the dispensing pharmacist, and (3) requiring the practitioner to have the ability to provide surgical intervention to the patient.

The bill also rescinds any investigational use exemption already granted to such a drug if the bill would have prohibited the FDA from granting the exemption. (Currently, the FDA may grant an exemption to certain market approval requirements if a drug is intended solely for use in safety and effectiveness investigations.)

Firearm Access During Shutdowns Act

This bill requires various federal agencies to continue certain operations, functions, and services related to firearms during a government shutdown.

The bill applies to

• the Federal Bureau of Investigation's National Instant Criminal Background Check System, including the processing of background checks in support of the operations of the Directorate of Enforcement Programs and Services of the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF);

• the ATF's Directorate of Enforcement Programs and Services;

• the activities of the Department of Commerce's Bureau of Industry and Security relating to firearms and firearm-related products, including activities related to processing of applications for export licenses; and

• the activities of the Department of State's Directorate of Defense Trade Controls relating to firearms and firearm-related products, including activities related to processing of applications for export licenses.

Under the bill, (1) these operations, functions, and services are deemed to relate to an emergency involving the safety of human life or the protection of property; and (2) employees carrying out the operations, functions, and services are deemed to be excepted employees. (Under an exception in the Antideficiency Act, an employee whose duties involve the safety of human life or the protection of property may be required to work during a government shutdown. Employees who are required to work during a government shutdown because they fall under this or other exceptions are known as excepted employees.)

Fair Treatment of Religious Organizations Act of 2026

This bill provides that an organization’s religious beliefs or practices concerning marriage, sexuality, or gender identity may not be treated as inconsistent with public law or policy for purposes of determining whether the organization has a charitable purpose and, thus, is exempt from federal income tax.

As background, charitable organizations generally must be organized and operated for one or more tax-exempt purposes (e.g., religious, charitable, scientific, or educational) to be exempt from federal income tax and receive tax-deductible contributions. The Internal Revenue Service’s position, which was upheld by the Supreme Court in Bob Jones University v. United States, is that an organization is not organized or operated for a tax-exempt purpose if the organization is against public policy or illegal.

The bill provides that a religious belief or practice concerning marriage, sexuality or gender identity may not be treated as being inconsistent with public law or policy for purposes of determining if an organization is organized and operated for a tax-exempt purpose. Further, under the bill, a belief need not be compelled by or central to a system of religion to be a religious belief.

This bill requires U.S. Customs and Border Protection (CBP) to link the applications of family members (parents, legal guardians, children, grandparents, grandchildren, and siblings residing within a single household) throughout the NEXUS application process (an expedited border inspections program between the United-States and Canada).

CBP must permit a family member to schedule NEXUS interviews for all linked family members and may provide linked family members the option to participate in joint interviews.

CBP may exempt from the interview process a child under 14 years of age who is linked to an eligible family member.