Ted Cruz

Reciprocity Ensures Streamlined Use of Lifesaving Treatments Act of 2025

This bill establishes a reciprocal marketing approval process that allows for the sale of a drug, biological product, or medical device that has not been approved by the Food and Drug Administration (FDA) if the product is approved for sale in another country and there is an unmet need for the product.

Specifically, in order to receive reciprocal approval, the bill requires the product's sponsor to demonstrate, among other things, that (1) the product has been approved in one of the countries specified in the bill, (2) neither the FDA nor any of the specified countries have withdrawn approval for the product because of safety or effectiveness concerns, and (3) there is a public health or unmet medical need for the product.

The FDA may decline approval if it determines that the product is not safe or effective. The FDA may condition reciprocal approval on the conduct of postmarket studies.

The FDA must issue a decision on whether to grant a request for reciprocal marketing approval within 30 days of receiving the request.

Congress may pass a joint resolution to grant reciprocal marketing approval of a product that the FDA declines to approve through the reciprocal process.

Retirement Freedom Act

This bill allows an individual to opt out of Medicare hospital services benefits without also having to opt out of Social Security benefits and without having to repay Medicare hospital services benefits already received. The bill also allows an individual to opt back in with no penalty.

Common-Sense Law Enforcement and Accountability Now in DC Act or the CLEAN DC Act

This bill repeals the Comprehensive Policing and Justice Reform Amendment Act of 2022, enacted by the Council of the District of Columbia.

Any provision of law amended or repealed by that act is restored or revived as if it had not been enacted.

(The act sets forth a variety of measures that focus on policing, including measures prohibiting the use of certain neck restraints by law enforcement officers, requiring additional procedures related to body-worn cameras, and expanding access to police disciplinary records.)

Transparency in Reporting of Adversarial Contributions to Education Act

This bill requires each local educational agency (LEA), as a condition of receiving federal elementary and secondary education funds, to ensure that each elementary and secondary school served by the LEA notifies parents of their rights to request and receive information regarding foreign influence (e.g., influence by China) in schools.

These rights include the right to

• review (and make copies of at no cost) any curricular or professional development material used at the school that was obtained using funds received from a foreign government or a foreign entity of concern;

• know, by written response, how many school personnel are compensated using funds received from a foreign government or a foreign entity of concern; and

• know, by written response, information about funding from or agreements (e.g., contracts) with a foreign country or a foreign entity of concern.

Parents must submit a written request for this information.

Each school must post on a publicly accessible website (or otherwise widely disseminate to the public) a summary notice of parental rights under the bill.

The bill requires the Department of Education to notify state educational agencies (SEAs) about the bill's requirements. Each SEA must, as a condition of receiving federal elementary and secondary education funds, notify LEAs about the bill's requirements.