Ralph Norman

Preventive Health Savings Act

This bill requires the Congressional Budget Office (CBO), upon receiving a request from Congress, to determine if proposed legislation would reduce spending outside of the 10-year budget window through the use of preventive health care.

Under the bill, the term preventive health care generally refers to an action that focuses on the health of the public, individuals, and defined populations in order to protect, promote, and maintain health and wellness and prevent disease, disability, and premature death.

If CBO determines that the proposed legislation would result in net reductions in budget outlays from the use of preventive health care, any CBO projection regarding the legislation must include (1) a description and estimate of the reductions in outlays, and (2) a description of the basis for these conclusions.

Any estimate provided by CBO pursuant to this bill must be used as a supplementary estimate and may not be used to determine compliance with the Congressional Budget Act of 1974 or any other budgetary enforcement controls.

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.

Fair Access In Residency Act of 2025 or the FAIR Act of 2025

This bill requires hospitals that receive graduate medical education (GME) payments under Medicare to report certain information about the composition of their medical residency training programs.

Specifically, hospitals must provide to the Centers for Medicare & Medicaid Services (CMS) (1) the number of applicants for residencies who are from osteopathic medical schools and from allopathic medical schools, (2) the number of applicants who are accepted from each of these types of medical schools, and (3) an affirmation that the hospital considers applicants from each of these types of medical schools and accepts specified related examination results, as appropriate. Hospitals that do not provide this information are subject to a 2% reduction in their GME payments.

The CMS must post the information it receives on a public website.

Essential Caregivers Act of 2026

This bill requires certain nursing and long-term care facilities to ensure residents have access to their designated essential caregivers during periods of restricted visitation.

Specifically, the bill requires Medicare skilled nursing facilities, long-term care hospitals, and inpatient rehabilitation facilities, as well as Medicaid nursing facilities and intermediate care facilities for individuals with intellectual disabilities, to allow residents to designate two essential caregivers and to allow these caregivers in-person access to residents even when visitation is otherwise restricted.

Facilities may limit access of essential caregivers only in accordance with guidance from the Centers for Medicare & Medicaid Services, as specified. Essential caregivers must agree to follow all safety protocols established by the facility, which may be no more restrictive than the protocols for staff.

Cost Estimates Improvement Act

This bill requires cost estimates prepared by the Congressional Budget Office or the Joint Committee on Taxation to include the costs of servicing the public debt.

North Platte Canteen Congressional Gold Medal Act

This bill provides for the award of a Congressional Gold Medal to recognize the individuals and communities that provided financial and other support for the North Platte Canteen in North Platte, Nebraska, during World War II.

Metastatic Breast Cancer Access to Care Act

This bill expedites payment of Social Security Disability Insurance (SSDI) benefits and eligibility for Medicare coverage for those with metastatic breast cancer (i.e., breast cancer that has spread to other sites in the body).

Specifically, the bill eliminates the 5-month waiting period for SSDI benefits and the subsequent 24-month waiting period for Medicare coverage for individuals with metastatic breast cancer. Under current law, individuals generally must wait 5 months after the onset of disability to begin receiving SSDI benefits and an additional 24 months to become eligible for Medicare.

Federal Firearms Licensee Protection Act of 2025

This bill modifies criminal penalties for an offense involving the theft of a firearm from a licensed importer, manufacturer, or dealer, or from their business premises.

Specifically, the bill does the following:

• increases from 10 to 20 years the maximum prison term, and

• creates a 3- or 5-year mandatory minimum prison term for an offense that occurs during the commission of a burglary or robbery.

An attempt to commit an offense is subject to the same penalties as a substantive offense.

Fair Access to Banking Act

This bill places restrictions on certain banks, credit unions, and payment card networks if they refuse to do business with a person who complies with the law. Restrictions include prohibiting the use of electronic funds transfer systems and lending programs, termination of an institution's depository insurance, and specified civil penalties.

Banks and other specified financial institutions are allowed to deny financial services to a person only if the denial is justified by a documented failure of that person to meet quantitative, impartial, risk-based standards established in advance by the institution. This justification may not be based upon reputational risks to the institution.

The bill establishes the right for a person to bring a civil action for a violation of this bill.

Freedom from Unfair Gun Taxes Act of 2025

This bill prohibits a state or any political subdivision of a state from imposing or collecting an excise tax on the sale of a firearm, ammunition, or any part or component of a firearm or ammunition by a manufacture or dealer.

This resolution supports the designation of Charleston, South Carolina, as the host city for the 2027 annual session of the Organization for Security and Co-operation in Europe Parliamentary Assembly.