Dina Titus

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.

Dignity for Immigrants while Guarding our Nation to Ignite and Deliver the American Dream Act of 2025 or as the DIGNIDAD (Dignity) Act of 2025

This bill addresses various immigration-related issues, including by requiring higher pay for U.S. Border Patrol agents, deferring the removal of eligible individuals without lawful immigration status, and implementing a mandatory electronic employment eligibility verification system patterned off the E-Verify system.

The bill establishes several programs for individuals present in the United States without lawful status, including a path to lawful permanent resident status for qualified individuals, including those with deferred action for childhood arrival (DACA) status. In addition, the bill establishes the Dignity Program, which defers the removal of eligible individuals without lawful immigration status on a seven-year, renewable basis, provided individuals meet employment or education requirements, pay restitution, and satisfy other conditions.

The bill also makes various changes to penalties and processes applicable to individuals entering the United States, for example by

• increasing the maximum criminal penalty for individuals previously removed or denied admission to the United States who attempt to reenter,

• authorizing the use of DNA testing to verify family relationships of immigrants, and

• establishing campuses at the border to process asylees.

The Department of Homeland Security (DHS) must create, and U.S. employers must use, a nationwide electronic employment eligibility verification system.

Furthermore, DHS may grant relatives of U.S. citizens relief from removal.

The bill also increases the per country percentage ceiling for family-sponsored and employment-based visas.

Protect Older Job Applicants Act of 2025 or the POJA Act of 2025

This bill prohibits employers from limiting, segregating, or classifying job applicants based on an applicant's age. It also requires the Equal Employment Opportunity Commission to study and report on claims received from job applicants involving age discrimination.

ATF Improvement and Modernization Act of 2025 or the AIM Act

This bill removes limitations on the authority of the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) to conduct activities related to the administration of federal firearms laws.

Specifically, the bill removes provisions that

• limit the use of firearms tracing data;

• prohibit consolidating or centralizing records maintained by federal firearm licensees, or FFLs (e.g., gun dealers);

• prohibit imposing a requirement that gun dealers conduct a physical inventory;

• require background check records to be destroyed within 24 hours;

• limit the disclosure of data under the Freedom of Information Act;

• prohibit the ATF from altering the definition of or denying certain import applications for a curio or relic firearm;

• prohibit the denial of a federal firearms license due to lack of business activity;

• prohibit the electronic retrieval of information gathered from firearm transaction records of FFLs that go out of business;

• prohibit the ATF from denying an application to import certain shotguns; and

• limit the number of annual compliance inspections.

Additionally, the bill

• lowers the standard for denying or revoking a federal firearms license due to violations of federal firearms laws by requiring only a knowing violation rather than a willful violation, and

• removes the requirement that an appeal of a denial or revocation of a federal firearms license shall be subject to the de novo standard of judicial review (i.e., without deference to the agency determination).