Lisa Blunt Rochester

Equitable 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.

Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

This bill allows, beginning in 2028, for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. Coverage is limited to those under a certain age (age 68 in 2028, increased by one year every year thereafter) and to one test every 11 months.

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.

Time Off to Vote Act

This bill requires an employer, upon the request of an employee, to provide the employee with a minimum of two consecutive hours of paid leave while polls or sites that facilitate voting-related activity are open on the day of a federal election. This allotted time may be used to vote, return a mail-in ballot, or perform other voting-related activities.

The employer may determine the two-hour period, excluding any lunch break or other break.

Taking such leave shall not result in the employee losing accrued employment benefits.

The bill makes it unlawful for an employer to interfere with the right to take such leave or for an employer to discriminate against an employee for taking such leave. Further, the bill makes it unlawful for any employer to retaliate against an employee for (1) opposing any practice made unlawful by this bill; (2) filing a charge, or instituting or causing to be instituted any proceeding, under or related to this bill; or (3) testifying or preparing to testify in an inquiry or proceeding relating to such leave.

The bill specifies penalties for employers who violate these provisions.

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.

Safe Operations of Shared Airspace Act of 2025

This bill addresses aviation safety, such as through increasing requirements for aircraft tracking, communication, and coordination with the military. The bill also addresses Federal Aviation Administration (FAA) workforce issues.

For example, the bill revises and increases requirements for using Automatic Dependent Surveillance-Broadcast (ADS-B) equipment, which transmits information (e.g., location and weather information) between aircraft and air traffic control.

Under the bill, aircraft must generally operate with ADS-B In (receiving) equipment. The FAA must issue performance requirements for the equipment to provide safety-enhancing capabilities (e.g., facilitating aircraft collision avoidance) for flight crews.

Further, current FAA regulations allow aircraft performing a sensitive government mission to be excepted from requirements for using ADS-B Out (broadcasting) equipment. This bill limits which flights may be considered sensitive government missions (e.g., not training flights).

The FAA must also (1) establish an office to coordinate airspace usage of military aircraft, (2) review the safety of certain flight operations and routes around airports, and (3) enter into memoranda of understanding with military agencies for safety information sharing.

The FAA must conduct a Transport Airplane Risk Assessment Methodology analysis for any transport airplane accidents in the United States that result in a fatality.

The bill also addresses FAA workforce issues, such as by

• excluding the FAA workforce from a federal hiring freeze, deferred resignation program, voluntary furlough, or reduction in force;

• supporting the recruitment and training of air traffic controllers; and

• requiring strict adherence to federal conflict of interest requirements.