Tracey Mann

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.

More Homes on the Market Act

This bill increases the amount of gain from the sale of a principal residence that an individual may exclude from gross income (for federal tax purposes).

Under the bill, an individual may exclude from gross income gain from the sale of a principal residence of up to $500,000 (currently $250,000), and taxpayers who are married and file a joint federal income tax return may exclude up to $1 million (currently $500.000). The bill also requires these amounts to be adjusted annually for inflation.

Words Matter Act of 2025

This bill removes outdated terminology in specified statutes by replacing references to mentally retarded and mental retardation with intellectual disability.

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.

Interactive Federal Review Act

This bill revises the environmental review process for federal-aid highway projects to encourage the use of certain digital platforms and models.

Specifically, the Department of Transportation (DOT) must encourage recipients of federal highway funding who are carrying out environmental reviews under the National Environmental Policy Act of 1969 (NEPA) to utilize (1) interactive, digital, cloud-based platforms; and (2) high fidelity, three-dimensional digital models of infrastructure project elements, such as digital twins.

DOT must also select at least 10 federal-aid highway projects to demonstrate the use of these platforms and models in carrying out the environmental impact analysis and community engagement processes required under NEPA.

Further, DOT must publish technology-neutral best practice guidance to encourage sponsors of projects that receive federal funds from DOT to use these platforms and models in carrying out the environmental impact analysis and community engagement processes required under NEPA.

Deregulating Restrictions on Interstate Vehicles and Eighteen-wheelers Act or the DRIVE Act

This bill prohibits the Federal Motor Carrier Safety Administration (FMCSA) from issuing any rule or regulation to require vehicles that have a gross vehicle weight of more than 26,000 pounds and are operating in interstate commerce to be equipped with a speed limiting device set to a maximum speed. The FMCSA issued an advance notice of supplemental proposed rulemaking on this subject on May 4, 2022.

This bill directs the Federal Motor Carrier Safety Administration (FMCSA) to permanently allow states to exempt school bus drivers from the “under-the-hood” testing requirement for a commercial driver's license (CDL).

As background, on December 2, 2024, the FMCSA renewed an exemption through November 28, 2026, that allows states to exempt all school bus driver applicants for a CDL from the engine compartment portion of the pre-trip vehicle inspection skills testing requirement, commonly referred to as the under-the-hood testing requirement. States must meet certain terms and conditions for the exemption.

Under the bill, the FMCSA must make permanent the December 2, 2024, exemption, thus permanently allowing states to exempt school bus drivers from the under-the-hood testing requirement. States must meet the additional terms and conditions for an exemption, which include (1) restricting school bus drivers who are issued a CDL based on the exemption to the intrastate operation of school buses, and (2) requiring states to conduct the remaining pre-trip vehicle inspection components of the skills test.

Further, the FMCSA must require any state participating in the exemption to submit an annual report describing the number of drivers that obtain a CDL under the exemption.

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act

This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs.

Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any). The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.

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.