John Fetterman

Protecting Health Care and Lowering Costs Act

This bill makes permanent temporary provisions that generally expand eligibility for and increase the amount of the premium tax credit. This bill also repeals multiple Medicaid, Medicare, and health-related tax provisions enacted by the One Big Beautiful Bill Act (OBBBA).

Currently, eligible taxpayers may claim the premium tax credit, which applies toward the cost of obtaining health insurance through health insurance exchanges. To qualify, a taxpayer’s household income must meet or exceed 100% of the federal poverty level (FPL) and, after 2025, may not exceed 400% of the FPL (maximum income limit). For 2021-2025, the maximum income limit is eliminated, which generally expands eligibility for the premium tax credit.

Further, under current law, the amount of the premium tax credit is partially based on the taxpayer’s household income multiplied by the applicable percentage. The applicable percentage varies depending on which of six income ranges (adjusted for inflation after 2025) the taxpayer’s household income falls within. For 2021-2025, the applicable percentages are lowered and the adjustment of the applicable percentages for inflation is eliminated, which generally increases the amount of the premium tax credit.

The bill permanently eliminates the 400% maximum income limit, lowers the applicable percentages, and eliminates the inflation adjustment for the applicable percentages.

Finally, the bill repeals multiple Medicaid, Medicare, and health-related tax provisions enacted by the OBBBA, including

• certain Medicare and Medicare eligibility and verification requirements,

• the reduced window for retroactive Medicaid coverage, and

• premium tax credit verification requirements.

John R. Lewis Voting Rights Advancement Act of 2025

This bill establishes new criteria for determining which states and political subdivisions must obtain preclearance before changes to voting practices may take effect. Preclearance is the process of receiving preapproval from the Department of Justice (DOJ) or the U.S. District Court for the District of Columbia before making legal changes that would affect voting rights.

A state and all of its political subdivisions shall be subject to preclearance of voting practice changes for a 10-year period if, during the previous 25 years:

• 15 or more voting rights violations occurred in the state; or

• 10 or more violations occurred, at least 1 of which was committed by the state itself.

A political subdivision as a separate unit shall also be subject to preclearance for a 10-year period if three or more voting rights violations occurred there during the previous 25 years.

States and political subdivisions that meet certain thresholds regarding minority groups must preclear covered practices before implementation, such as redistricting.

States and political subdivisions must notify the public of changes to voting practices.

The bill authorizes DOJ to require states or political subdivisions to provide certain documents or answers to questions for enforcing voting rights.

The bill outlines factors courts must consider when hearing challenges to voting practices, such as the extent of any history of official voting discrimination in the state or political subdivision.

The bill also includes certain protections for election workers, polling places, and election infrastructure.

Enhance Access To SNAP Act of 2025 or the EATS Act of 2025

This bill expands eligibility for the Supplemental Nutrition Assistance Program (SNAP) for certain students.

Specifically, the bill removes the restriction on SNAP eligibility for students to allow otherwise eligible students who are attending institutions of higher education (IHEs) at least half time to participate in SNAP. Under current law, students 18-49 years old are restricted from participating in SNAP, with exceptions (e.g., caring for a child under the age of 6 or employed for at least 20 hours a week). The Consolidated Appropriations Act, 2021 temporarily exempted some students from certain SNAP eligibility requirements; these temporary student exemptions expired after the end of the COVID-19 public health emergency on May 11, 2023.

Further, the bill provides that students enrolled at least half time in a recognized school, training program, or IHE constitute individual households (not residents of institutions) and may be eligible for SNAP benefits. (Participation in SNAP is limited to households.)

Disability and Age in Jury Service Nondiscrimination Act

This bill prohibits the exclusion of individuals from jury service on the basis of their disability or age.

Further, the bill prohibits the disqualification of individuals from jury service who fail to meet certain qualifications (e.g., adequate proficiency in English) on the basis of their disability if reasonable accommodations can be made.

Rural Veterinary Workforce Act

This bill excludes from gross income, for federal tax purposes, payments received pursuant to the Veterinary Medicine Loan Repayment Program or any state loan repayment or loan forgiveness program that is intended to provide for increased access to veterinary services. (The Veterinary Medicine Loan Repayment Program is a Department of Agriculture program that repays a portion of the student loans of veterinarians who provide short-term services in designated veterinary shortage areas.)

Combating Illicit Xylazine Act

This bill regulates xylazine under the Controlled Substances Act (CSA).

Xylazine, also known as tranq, is a nonopioid sedative and pain reliever that is approved for use in animals. Recently, the Drug Enforcement Administration (DEA) has reported an increase in trafficking of fentanyl mixed with xylazine.

This bill adds xylazine, including its salts, isomers, and salts of isomers, to schedule III of the CSA. Schedule III controlled substances, including anabolic steroids, buprenorphine, and ketamine, have less potential for abuse than a schedule I or II substance, have a currently accepted medical use, and have low or moderate risk of dependence if abused.

Under the bill, manufacturing, distributing, or dispensing xylazine, or possessing with intent to manufacture, distribute, or dispense xylazine for illicit use is subject to criminal penalties under the CSA. The bill also requires xylazine transactions to be tracked in the drug reporting system maintained by the DEA.

The bill exempts from registration under the CSA persons and entities that possess xylazine (1) lawfully dispensed by a veterinarian or pharmacy and (2) for an animal or for use in certain animal-control or wildlife programs.

The bill also exempts xylazine manufacturers from the CSA's physical security requirements.

Finally, the bill requires the DEA, in coordination with the Department of Health and Human Services (HHS), to provide Congress with a report on how the agencies previously determined whether xylazine should be a controlled substance, including the full text of HHS's recommendations to the DEA for scheduling xylazine.