Zachary Nunn

Alzheimer's Screening and Prevention Act of 2025 or the ASAP Act

This bill provides for Medicare coverage of blood tests to screen for the early stages of Alzheimer’s disease or related dementias. Specifically, the bill provides for coverage of genomic sequencing blood or blood product tests, or other equivalent tests, that are approved by the Food and Drug Administration.

Blind Americans Return to Work Act of 2025

This bill requires the Social Security Administration to carry out a demonstration project during which blind Social Security Disability Insurance (SSDI) beneficiaries receive reduced benefits commensurate with income above certain thresholds.

Under current law, only individuals who earn under a specified monthly income, known as the substantial gainful activity (SGA) threshold, are considered disabled and thereby eligible for SSDI benefits. For blind workers, this limit is $2,700 per month in 2025. SSDI beneficiaries may earn beyond the SGA threshold for a limited period of time, known as the trial work period, before their benefits are suspended and ultimately terminate.

The bill establishes a 20-year demonstration project during which individuals who are entitled to SSDI benefits by reason of blindness and who earn above the SGA threshold continue to receive benefits at an amount gradually reduced commensurate with their earnings beyond a specified amount.

During this period, blind workers’ SSDI benefits must be reduced by $1 for every $2 that a worker earns above the sum of (1) the SGA threshold, and (2) the worker’s expenses reasonably attributable to their work. The SGA threshold may not be used to determine whether an individual is disabled during this period, and blind workers’ SSDI benefits may not be terminated due to work-related earnings. The trial work period also must not apply.

After 10 years, affected beneficiaries may opt out of the modified benefits structure.

PREEMIE Reauthorization Act of 2025

This bill reauthorizes through FY2029 and establishes actions by the Department of Health and Human Services (HHS) to address preterm birth (i.e., babies born before 37 weeks of pregnancy).

Specifically, the bill reauthorizes epidemiological studies, data tracking, and prevention efforts conducted by the Centers for Disease Control and Prevention related to preterm birth.

Also, the bill requires HHS to establish an interagency working group to improve federal coordination and provide recommendations on preventing preterm birth, infant mortality, and related adverse birth outcomes.

Additionally, HHS must arrange for the National Academies of Sciences, Engineering, and Medicine to study preterm birth in the United States and report to HHS and Congress on certain aspects, including the financial costs and strategies to reduce the rate of preterm birth.

Portable Ultrasound Reimbursement Equity Act of 2025

This bill provides for Medicare coverage of ultrasound tests performed at a beneficiary's home. The Centers for Medicare & Medicaid Services must provide for separate payments for portable ultrasound services in the same manner and to the same extent as for portable X-ray services.

Rural Community Hospital Demonstration Program Reauthorization

This bill extends the Rural Community Hospital Demonstration Program for an additional five years. The program tests the feasibility of cost-based reimbursement under Medicare for small rural hospitals that are too large to qualify for special payment as critical access hospitals.

The bill specifies that hospitals that participate in the program between December 30, 2024, and January 1, 2027, may continue to participate during the five-year extension period.

This resolution supports the designation of National Scam Survivor Day.