Madeleine Dean

Preserving Patient Access to Home Infusion Act

This bill specifically includes pharmacy services and home infusion drugs that are administered without a pump as part of covered home infusion therapy under Medicare. The bill also allows nurses and physician assistants to establish and review the plan of care for home infusion therapy, and it specifies that payment may be made regardless of whether a practitioner is physically present in the home at the time the drug is administered.

9/11 Responder and Survivor Health Funding Correction Act of 2025

This bill modifies the World Trade Center Health Program (WTCHP), including by updating the formula for determining the program’s annual funding amounts and authorizing mental health providers to provide certain evaluations under the program.

The WTCHP is a federal health care program (terminating in FY2090) providing responders and survivors with monitoring and treatment of certified medical conditions related to the terrorist attacks that occurred on September 11, 2001. Under current law, the program’s annual federal funding is determined based on the amount specifically appropriated in the previous fiscal year, adjusted for inflation.

The bill establishes a new federal funding formula for FY2026-FY2090 that is generally based on annual changes in the number of enrollees. The bill also increases the amounts the program may spend annually on medical research and activities relating to data collection. The bill requires the National Institute for Occupational Safety and Health (NIOSH), which administers the program, to submit a report to Congress on the program’s projected budgetary needs and expenditures.

In addition, the bill authorizes licensed mental health providers to perform initial health evaluations with respect to mental health conditions for purposes of determining eligibility under the WTCHP. NIOSH must issue regulations specifying the categories of mental health providers that may perform these activities.

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.

Original National Domestic Violence Awareness Month Resolution of 2025

This resolution supports the goals and ideals of National Domestic Violence Awareness Month. Further, it expresses the sense that Congress should continue to raise awareness of and support programs to end domestic violence.

Fair Pay for Federal Contractors Act of 2025

This bill provides back pay to employees of federal contractors who lost pay due to a lapse in appropriations (i.e., government shutdown) in FY2026.

Specifically, the bill provides appropriations for federal agencies that are subject to a lapse in appropriations in FY2026 to adjust the price of contracts to compensate federal contractors for providing back pay to employees who were affected by the lapse in appropriations.

The agencies must adjust the price of any contract for which the contractor stopped, suspended, delayed, or interrupted all or part of the work under the contract due to the lapse in appropriations. The price adjustment must compensate the contractor for reasonable costs incurred to (1) compensate employees who were furloughed or laid off, were not working, or experienced a reduction of hours or compensation due to the lapse in appropriations; or (2) restore paid leave taken by employees during the lapse in appropriations if the contractor required or permitted employees to use paid leave as a result of the lapse in appropriations.

The maximum amount of weekly compensation of an employee for which an adjustment may be made under this bill may not exceed the lesser of (1) the employee's actual weekly compensation, or (2) $1,442 (or a lesser amount pro-rated for an employee who works less than 40 hours per week).

The bill also requires the Office of Federal Procurement Policy to submit a report to Congress on the adjustments made under this bill.

Roberto Clemente Commemorative Coin Act

This bill directs the Department of the Treasury to mint and issue coins in recognition of the life of Roberto Clemente, baseball player and human rights activist. All sales of coins issued under this bill must include a surcharge to be paid to the Roberto Clemente Foundation.

Chiropractic Medicare Coverage Modernization Act of 2025

This bill expands Medicare coverage of chiropractic services to include all services provided by chiropractors, rather than only subluxation corrections through manual manipulation of the spine.

$2.50 for America’s 250th Act

This bill requires the minting of $2.50 coins to commemorate the 250th anniversary, or the semiquincentennial, of the signing of the Declaration of Independence.

Specifically, the Department of the Treasury must mint and issue a $2.50 circulating coin upon determining that such minting is technically feasible, economically feasible, and not cost prohibitive. The design of such a coin during the first five years of its issuance must be as described by the bill, however, subsequent designs may be selected by Treasury to celebrate the founding of the United States.

Treasury may also mint and issue $2.50 numismatic coins (i.e., collectible coins) in silver, clad, and other alloys, including gold.

Protecting Health Care and Lowering Costs Act 2025

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.

Military Spouse Hiring Act

This bill allows employers to claim a tax credit for a percentage of qualified wages paid to an employee who is a military spouse by expanding the federal Work Opportunity Tax Credit (WOTC) to add qualified military spouses as a targeted group. (The WOTC applies to employers who hire members of specific targeted groups, such as veterans, ex-felons, and long-term unemployment recipients, and is generally equal to a percentage of the wages paid to such individuals in the first year of employment, up to a maximum amount. Under current law, the wages must be paid before 2026.)

The bill defines a qualified military spouse as any individual who is certified by a state workforce agency as being (as of the hiring date) a spouse of a member of the Armed Forces.

This bill prohibits the removal of federal employees from the civil service during a government shutdown due to a lapse in discretionary appropriations. If an employee is removed from the civil service in violation of this bill, the employee may elect to be reinstated with back pay on the date on which the lapse in appropriations ends.