Mark Amodei

Improving Seniors' Timely Access to Care Act of 2025

This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans.

Specifically, MA plans must (1) establish an electronic prior authorization program that meets specified standards; (2) annually submit to the CMS for publication specified prior authorization information, including the percentage of requests approved and the average response time; and (3) meet other standards, as set by the Centers for Medicare & Medicaid Services (CMS), relating to the quality and timeliness of prior authorization determinations.

The CMS and the Office of the National Coordinator for Health Information Technology must publish on the CMS' website a report that analyzes the information received from MA plans, the feasibility of implementing real-time decision making with respect to prior authorization requests, and the impact of decisions that are made using artificial intelligence on patient access.

Gun Owner Registration Information Protection Act

This bill prohibits federal funding of, or support for, state databases that list (1) firearms lawfully owned or possessed by individuals, or (2) individuals who lawfully own or possess firearms.

Dismantle Foreign Scam Syndicates Act

This bill requires the President to (1) impose applicable sanctions on foreign persons (individuals or entities) responsible for online financial scams against U.S. nationals, and (2) establish an interagency task force to shut down the criminal syndicates perpetuating such scams.

Under the bill, the President must determine whether 43 specified foreign persons, and any other foreign persons the President determines are responsible for or complicit in online financial scams against U.S. nationals, are subject to sanctions under specified laws and Executive Order 13581. Upon such determination, the President must impose applicable sanctions (for example, blocking the sanctioned person's property transactions within the United States).

The President must also establish an interagency task force to shut down transnational criminal syndicates that use large scam centers and forced labor of trafficked persons to perpetuate mass online scams against Americans. The task force must (1) submit a comprehensive strategy to Congress to combat these scam centers and dismantle the criminal elements involved with them, and (2) coordinate and oversee implementation of the strategy. Within 360 days of submitting the strategy to Congress and annually thereafter for five years the task force must submit to Congress a report addressing various topics related to such scam centers including a list of all foreign persons sanctioned by the United States for their scam center involvement.

The Department of State is authorized to provide trauma-informed care, shelter, reintegration, and support services for victims of trafficking in persons within online scam centers.

Access Technology Affordability Act of 2025

This bill allows a refundable federal tax credit, through 2030, equal to the amounts paid for qualified access technology for use by a blind individual who is the taxpayer, the taxpayer's spouse, or a dependent of the taxpayer. (Limits apply.)

The bill defines qualified access technology as hardware, software, or other information technology with the primary function of converting or adapting information that is visually represented into forms or formats usable by blind individuals.

The tax credit is limited to (1) amounts paid that are not compensated by insurance or otherwise, and (2) an aggregate amount of $2,000 (adjusted for inflation) per blind individual in any period of three consecutive taxable years.

Homes for Every Local Protector, Educator, and Responder Act of 2025 or the HELPER Act of 2025

This bill establishes a program administered by the Department of Housing and Urban Development to provide mortgage assistance to law enforcement officers, elementary and secondary school teachers, firefighters, or other first responders. Specifically, these individuals may be eligible for a first-time mortgage on a primary family residence with no down payment. Instead, the mortgage is subject to a one-time, up-front mortgage insurance premium.

$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.

Enhanced Iran Sanctions Act of 2025

This bill imposes sanctions on certain foreign persons (individuals and entities) that are involved in Iran's petroleum sector as well as certain associated persons. The bill also requires or authorizes actions to facilitate the enforcement of sanctions on Iran.

Specifically, the bill requires the President to impose visa- and property-blocking sanctions on any foreign person that, after the bill's enactment, knowingly engages in any transaction related to the processing, export, or sale of oil, condensates, gas, liquefied natural gas, or other petrochemical products in whole or in part from Iran. The President must also impose sanctions on certain foreign persons associated with a sanctioned individual or entity. For example, the President must sanction the subsidiaries and corporate officers of a sanctioned business.

The bill provides certain exceptions to these sanctions, including specifying that sanctions do not apply to the importation of goods or to conducting or facilitating transactions for humanitarian assistance.

The Department of State must establish an interagency working group that shall seek to establish a multilateral contact group to coordinate international efforts to enforce sanctions on Iran.

The bill expands the State Department rewards program to authorize a reward payment to any individual who furnishes information leading to the identification of a person (1) subject to sanctions under this bill, or (2) that has attempted or is attempting to evade sanctions under this bill.

761st Tank Battalion Congressional Gold Medal Act

This bill provides for the award of a Congressional Gold Medal to the 761st Tank Battalion in recognition of their role in the success of Allied forces in Europe during World War II and for the example they set as the first Black soldiers to go to war as part of an American armored unit.

Following the award of the gold medal, the gold medal shall be given to the National Museum of African American History and Culture where it shall be available for display and research.

Reauthorizing Support and Treatment for Officers in Crisis Act of 2025

This bill reauthorizes through FY2029 grants for state and local law enforcement agencies and other organizations to provide family support services and mental health services to law enforcement personnel.

Muhammad Ali American Boxing Revival Act of 2026

This bill authorizes the establishment of private-sector Unified Boxing Organizations (UBOs) and otherwise expands the regulatory framework for professional boxing. (See CRS Report IF12982 for an overview of the federal regulation of professional boxing in the United States.)

Under the bill, UBOs may organize matches involving boxers contracted with the UBO and must comply with other regulations with respect to such matches (e.g., conduct matches under the authority of a state boxing commission). UBOs also operate alongside existing professional boxing organizations (e.g., World Boxing Council (WBC)).

UBOs must meet certain additional requirements, for example

• the UBO must implement an anti-doping program that includes drug testing in advance of matches,

• boxers age 40 or older must receive supplemental physical examinations,

• each match must have at least two ambulances on site, and

• boxers must have access to equipment and facilities that are operated by the UBO for training and rehabilitation.

The bill also expands the required health insurance coverage and minimum pay for all professional boxers.

Further, the bill requires state boxing commissions to establish procedures to ensure that drug tests are administered for title matches and at random for all other matches.

Energy Choice Act

This bill prohibits a state or local government from banning or limiting the connection, reconnection, modification, installation, transportation, distribution, expansion, or access to an energy service based on the type or source of energy (e.g., natural gas) that is sold.