Emily Randall

Improving Care and Access to Nurses Act or the I CAN Act

This bill allows other health care providers besides physicians (e.g., nurses) to provide certain services under Medicare and Medicaid.

Among other changes, the bill (1) allows a nurse practitioner or physician assistant to fulfill documentation requirements for Medicare coverage of special shoes for diabetic individuals; (2) expedites the ability of physician assistants, nurse practitioners, and clinical nurse specialists to supervise Medicare cardiac, intensive cardiac, and pulmonary rehabilitation programs; and (3) allows nurse practitioners to certify the need for inpatient hospital services under Medicare and Medicaid.

This resolution provides a special rule for consideration of H.R. 185 and amends that bill to direct the Department of Justice (DOJ) to make publicly available certain records related to Jeffrey Epstein or Ghislaine Maxwell.

Under H.R. 185, as amended by the resolution, DOJ must publicly disclose all unclassified records, documents, communications, and investigative materials in its possession that relate to Epstein or Maxwell. The records include unclassified records referring or relating to Epstein's detention and death; flight logs of aircraft owned or used by Epstein; individuals named in connection with Epstein’s criminal activities, civil settlements, or immunity or plea agreements; immunity deals, sealed settlements, or plea bargains of Epstein or his associates; entities with ties to Epstein’s trafficking or financial networks; and internal Department of Justice communications concerning decisions to investigate or charge Epstein or his associates.

However, under the amended bill, DOJ may withhold or redact portions of records with written justification that such portions contain (1) victims' personally identifiable information; (2) child sexual abuse materials; (3) images of death, physical abuse, or injury; (4) information which would jeopardize an active federal investigation or prosecution; or (5) classified information. DOJ may not withhold or redact records on the basis of embarrassment, reputational harm, or political sensitivity.

Further, within 15 days of completing the required disclosures, DOJ must provide Congress with a report listing all categories of records released and withheld, all redactions made and their legal basis, and all government officials and politically exposed persons named or referenced in the released materials.

This resolution expresses the House of Representatives' grave concern with (1) the humanitarian crisis and acute suffering of Palestinian civilians in Gaza, and (2) the suffering of the hostages and hostage families.

The resolution also calls on the White House, the Department of State, and other relevant federal agencies to use all available diplomatic tools to bring about the release of the hostages, the disbursement of food and humanitarian aid to Palestinian civilians, and a durable end to the Gaza conflict.

Mental Health for Latinos Act of 2025

This bill requires the Substance Abuse and Mental Health Services Administration to develop and implement an outreach and education strategy regarding behavioral health issues among the Hispanic and Latino populations. The strategy must be designed to promote behavioral and mental health and reduce stigma associated with mental health conditions and substance abuse among such populations.

Ensuring Community Access to Pharmacist Services Act

This bill provides for permanent coverage under Medicare of certain pharmacist services.

Specifically, the bill provides for permanent coverage of testing and treatment services provided by pharmacists relating to (1) COVID-19, influenza, respiratory syncytial virus (RSV), and streptococcal pharyngitis (strep throat); and (2) other public health needs in relation to a declared public health emergency. (Similar authorities were temporarily granted during the COVID-19 public health emergency.) Such services must be provided in accordance with the applicable state laws governing pharmacists' scope of practice.

Do No Harm Act

This bill prohibits the application of the Religious Freedom Restoration Act of 1993 (RFRA) to specified federal laws or the implementation of such laws. Currently, RFRA prohibits the government from substantially burdening a person's exercise of religion even if the burden results from a rule of general applicability, except in furtherance of a compelling governmental interest when using the least restrictive means.

Under the bill, RFRA is inapplicable to laws or the implementation of laws that

• protect against discrimination or require the promotion of equal opportunity (e.g., the Civil Rights Act of 1964);

• require employers to provide wages, other compensation, or benefits, including leave;

• protect collective activity in the workplace;

• protect against child labor, abuse, or exploitation; or

• provide for access to, information about, referrals for, provision of, or coverage for any health care item or service.

The bill prevents RFRA from being used to deny (1) goods or services the government has agreed to provide to a beneficiary of or participant in a program or activity funded by a government contract, grant, agreement, or other award; or (2) a person's full and equal enjoyment of a government-provided good, service, benefit, facility, privilege, advantage, or accommodation.

In order for a person to assert a RFRA claim or defense in a judicial proceeding, the government must be a party to the proceeding.

Bipartisan Background Checks Act of 2025

This bill establishes new background check requirements for firearm transfers between private parties (i.e., unlicensed individuals).

Specifically, it prohibits a firearm transfer between private parties unless a licensed gun dealer, manufacturer, or importer first takes possession of the firearm to conduct a background check.

The prohibition does not apply to certain firearm transfers or exchanges, such as a gift between spouses.