Madeleine Dean

Restore Protections for Dialysis Patients Act

This bill specifies certain requirements for private health insurers regarding coverage of individuals with end stage renal disease (ESRD) who are also covered under Medicare.

In particular, the bill specifies that insurers may not limit benefits, including limiting network composition, in a manner that will affect ESRD Medicare beneficiaries differently compared to others without ESRD. The bill additionally specifies that insurers are not required to include a particular renal dialysis provider or a particular number of such providers as part of their networks.

Help Extend Auditory Relief Act of 2025 or the HEAR Act of 2025

This bill provides for Medicare coverage of hearing aids and hearing rehabilitation services. Covered services include hearing aid assessments, fittings, and related instructional services.

Clean Cloud Act of 2025

This bill establishes an emissions standard and fee system regarding the electricity used by data centers or cryptomining facilities that exceed a specified size. Additionally, the bill appropriates collected fees for various purposes, including to fund zero-carbon electricity generation, long-duration energy storage, and grants to lower residential electricity consumer costs.

The bill requires the Environmental Protection Agency (EPA) and the Energy Information Administration to annually determine the greenhouse gas emission intensity of the total annual electricity consumed by (1) covered facilities from the electric grid, and (2) covered facilities from electricity generation assets located behind the power meter of the facilities.

The EPA must determine and publish the greenhouse gas emissions intensities of the electric grid of each region to establish a baseline for the assessment of fees. Each calendar year from 2027 through 2034, the baseline for each region is reduced by 11% of the original baseline. For 2035 and after, the baseline is set to zero emissions.

The EPA must assess a fee on (1) owners of any electric utility providing power to a covered facility that exceeds the baseline emissions in that region for that year, and (2) covered facilities with respect to the greenhouse gas emissions from electricity generation assets located behind the power meter of the facility above the baseline of the region for that year. The electric utilities may not recoup the cost of the fee by raising rates or assessing fees on customers that are not covered facilities.

Ending Forced Arbitration of Race Discrimination Act of 2025

This bill prohibits a predispute arbitration agreement or predispute joint-action waiver from being valid or enforceable with respect to a case relating to a race discrimination dispute at the election of the person alleging the discrimination.

Occupational Therapy Mental Health Parity Act

This bill requires the Centers for Medicare & Medicaid Services to conduct outreach on Medicare coverage of occupational therapy services to treat substance use or mental health disorders.

Accelerating Kids’ Access to Care Act of 2025

This bill requires states to establish a process through which qualifying out-of-state providers may temporarily treat children under Medicaid and the Children's Health Insurance Program (CHIP) without undergoing additional screening requirements.

Specifically, states must establish a process through which qualifying out-of-state providers may enroll for five years as participating providers to treat individuals under the age of 21 without undergoing additional screening requirements.

A qualifying out-of-state provider (1) must not have been excluded or terminated from participating in a federal health care program or state Medicaid program; and (2) must have been successfully enrolled in Medicare or a state Medicaid program based on a determination that the provider posed a limited risk of fraud, waste, or abuse.

The bill’s changes take effect three years after enactment.

Sgt. Walter F. Hartnett IV Green Star Veterans Service Act

This bill requires the Department of Veterans Affairs to design and designate the Green Star Service Flag to identify next of kin of veterans who died of suicide on or after September 11, 2001. An individual who is next of kin of such a veteran may display the flag.

Keep SNAP and WIC Funded Act of 2025

This bill provides FY2026 appropriations for the Department of Agriculture (USDA) to continue operating the Supplemental Nutrition Assistance Program (SNAP); the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); and a related block grant program if there is a lapse in FY2026 appropriations for USDA.

Specifically, the bill provides appropriations to USDA for any period in which legislation to provide FY2026 interim continuing appropriations or full-year appropriations for USDA has not been enacted. If such a lapse in appropriations occurs, the bill provides the appropriations that are necessary to continue

• providing uninterrupted SNAP benefits,

• providing consolidated block grants to Puerto Rico and American Samoa for nutrition assistance programs, and

• carrying out WIC without interruption.

In addition, the bill provides appropriations to pay any benefits under these programs that were missed on or after September 30, 2025, and before this bill is enacted.

The appropriations for these purposes are available until the earlier of (1) the enactment into law of legislation to provide FY2026 appropriations for USDA (including continuing appropriations), or (2) September 30, 2026.

The bill also requires USDA to use the funds provided by this bill to reimburse state agencies for costs that were incurred to carry out these programs during a lapse in appropriations, to the extent that the programs were carried out in accordance with federal law (including regulations) during the lapse.