Roger Marshall

A bill to amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require group health plans and health insurance issuers offering group or individual health insurance coverage that provide benefits for sex-rejecting procedures to provide benefits for items and services to address the harms caused by sex-rejecting procedures and to restore healthy human form and functioning, to the greatest extent possible.

This bill would require health insurance plans to cover medical treatments and procedures aimed at reversing or addressing complications from gender transition surgeries, if those plans currently cover gender transition procedures themselves. The requirement would apply to both employer-sponsored group health plans and individual insurance policies. Insurance companies and employers would need to provide these reversal or harm-reduction treatments to the same extent they cover transition-related care.

Protecting Innocent Taxpayers from Endless Assessments Act

The bill would change tax law to limit when the IRS can go back and audit someone for fraud, making it so the IRS can only use the extended fraud exception when a taxpayer deliberately tried to avoid paying taxes they owed rather than simply filing an incorrect return. This would protect taxpayers from extended audits in cases where mistakes were made without intent to cheat, while still allowing the IRS to pursue cases of intentional tax evasion. The change affects both individual taxpayers and businesses that file tax returns.

A resolution congratulating the Johnson County Community College Cavaliers on winning the 2026 National Junior College Athletic Association Division I Baseball National Championship.

Congress is officially recognizing and congratulating the Johnson County Community College baseball team for winning the 2026 NJCAA Division I national championship. This resolution honors the athletes, coaches, and staff who contributed to the team's success. The measure passed the Senate unanimously without any changes.

Healthy Start Reauthorization Act of 2026

Healthy Start Reauthorization Act of 2026 This bill reauthorizes through FY2031 the Healthy Start program, which is administered by the Maternal and Child Health Bureau within the Health Resources and Services Administration. This program provides grants and other support for communities experiencing high rates of infant mortality and adverse maternal health outcomes, including support for case management, medical care, and health education. (For additional information on the Healthy Start program see CRS Insight IN12550 .)

A bill to direct the Secretary of Agriculture to establish an initiative to address the availability, quality, and cost of childcare in rural areas, and for other purposes.

This bill requires the Department of Agriculture (USDA) to establish the Expanding Childcare in Rural America Initiative to prioritize certain loans and grants that address childcare in rural areas. Under the bill, childcare includes eligible programs that provide quality care and early education for children who have not yet entered first grade. Under the initiative, USDA must give priority to applicants that propose to use certain loans or grants to address the availability, quality, or costs of childcare in rural areas. In addition, USDA must ensure a balanced geographical distribution of the benefits. USDA must conduct a comprehensive quantitative and qualitative evaluation of the projects carried out under the initiative and submit a report to Congress.

Protecting America’s Small Oil and Gas Producers and Rural Jobs Act

The proposal would change how oil and gas companies calculate tax deductions related to the depletion of their wells over time. Currently, these companies can deduct a percentage of their revenue as the oil and gas reserves get used up, and this bill would modify those percentage rates or rules. The changes would affect how much in taxes oil and gas producers owe to the federal government.

Bereaved Parents Rights Act

Hospitals and birthing centers would be required to inform mothers who experience miscarriages about their legal rights regarding what happens to the fetal remains, such as options for burial, cremation, or donation. The bill aims to ensure that mothers receive clear information about these choices during an emotionally difficult time rather than having decisions made without their knowledge or input. This requirement would apply to facilities that receive Medicare funding.

ACCESS Act

The proposal would help low-income seniors and disabled people afford assisted living facilities by expanding Medicaid coverage for these services and creating tax credits to encourage developers to build more affordable housing with supportive services. This would make it easier for older adults and people with disabilities who cannot afford private assisted living to access care while remaining in their communities rather than moving to nursing homes. The changes would affect state Medicaid programs, housing developers, and millions of Americans struggling to pay for long-term care.

A resolution recognizing Maternal Mental Health Day to raise awareness about maternal mental health.

Congress would officially recognize a day dedicated to raising awareness about the mental health challenges that mothers face, such as postpartum depression and anxiety. The resolution aims to draw public attention to maternal mental health issues and encourage support for pregnant women and new mothers dealing with these conditions. This symbolic action has no direct legal effect but signals congressional support for prioritizing maternal mental health as a public health concern.

STOP Act

The bill would ban medical procedures related to gender transition for people under 18 years old and allow the federal government to fine doctors and medical providers who perform these procedures on minors. It would affect transgender youth seeking medical care, their families, and healthcare providers across the country. The proposal is currently under review by a Senate committee.

Lowering Input Costs for American Farmers Act

The bill would prevent the government from placing tariffs on imported phosphate fertilizers, which are commonly used in agriculture to help crops grow. This would keep fertilizer prices lower for American farmers and potentially reduce food production costs, though it could affect domestic fertilizer manufacturers who compete with foreign suppliers.

Medicare Advantage Improvement Act of 2026

The proposal would make changes to how Medicare Advantage plans operate, which are private insurance options that serve millions of seniors and disabled people who get their Medicare benefits through private companies instead of traditional government Medicare. The specific reforms would be determined as the bill moves through Congress, but they could affect how these plans are priced, what benefits they must cover, or how they operate. Seniors, disabled Medicare beneficiaries, and insurance companies offering these plans would be the main groups impacted by any changes.

No Bias in the Baseline Act

The legislation would require federal agencies to analyze how their spending and tax policies affect different demographic groups before implementing new programs or changes. This would help identify whether government decisions unintentionally favor or disadvantage certain populations based on race, gender, age, or other characteristics. The requirement would apply to Congress and executive agencies as they develop budgets and policies affecting workers, businesses, and the general public.

Health Savings Account Expansion Act

The proposal would make it easier for more people to open and use health savings accounts, which are special accounts where individuals can set aside pre-tax money to pay for medical expenses. Currently, these accounts are only available to people with high-deductible health insurance plans, but this change would expand who qualifies to use them. Workers and families would benefit by having more options to save money for healthcare costs in a tax-advantaged way.

Patients Deserve Price Tags Act

This bill would require hospitals and healthcare providers to publicly display the prices they charge for medical services before patients receive treatment, similar to price tags in stores. The goal is to help patients understand what they'll pay out-of-pocket and compare costs between different providers, giving them more control over their healthcare spending decisions. The bill affects hospitals, clinics, insurance companies, and patients seeking medical care.

HELP Copays Act

This bill would likely limit or reduce the amount patients have to pay out-of-pocket when they visit the doctor or fill prescriptions, making healthcare more affordable for people struggling with high copayment costs. The legislation appears designed to ease the financial burden on patients while potentially affecting how insurance companies and healthcare providers structure their payment systems.

American Franchise Act

The bill would change how franchise businesses classify their workers, likely making it easier for franchisees (the people who own individual franchise locations) to be treated as independent business owners rather than employees of the parent company. This could affect whether workers at franchise locations like fast-food restaurants qualify for employee benefits and labor protections. The change would primarily impact franchise companies, franchise owners, and their workers.

Pathways to Prosperity Act

This bill aims to create new educational and training programs to help workers develop job skills and advance their careers, particularly in growing industries. It likely focuses on connecting students and job seekers with apprenticeships, vocational training, and other pathways to well-paying jobs without requiring a four-year college degree. The legislation would affect workers seeking better employment opportunities, employers looking to fill skilled positions, and educational institutions offering training programs.

21st Century WIC Act of 2026

This bill would modernize the WIC program (which provides food assistance to low-income pregnant women, new mothers, and young children) by updating how it operates in the 21st century, likely including changes to what foods can be purchased, how benefits are distributed, or how the program uses technology. The changes would affect millions of low-income families who rely on WIC to buy nutritious groceries for their children.

A resolution honoring the victims of the 2025 Potomac River mid-air collision.

This resolution honors the memory of the victims of the Potomac River mid-air collision near Ronald Reagan Washington National Airport on January 29, 2025, and offers condolences to the families, loved ones, and friends of those who lost their lives in the incident. It also (1) acknowledges the bravery and professionalism of the first responders and emergency personnel, servicemembers, medical professionals, and investigators who assisted in the rescue and recovery efforts; and (2) expresses a commitment to translating the safety lessons learned from the collision into action.

WALZ Act

I don't have enough information to write an accurate summary. The title "WALZ Act" is too vague without knowing what it stands for or its specific provisions. To provide a meaningful explanation of what this bill would actually do and who it affects, I would need access to the bill's text or more detailed subject information beyond just "Health."

Whole Milk for Healthy Kids Act of 2025

Whole Milk for Healthy Kids Act of 2025 This act revises requirements for milk provided by the National School Lunch Program of the Department of Agriculture (USDA) to allow schools to offer students whole and reduced-fat milk. The act also requires that local school food service personnel receive annual training and certification on food allergies. The act permits schools to offer students whole, reduced-fat (2%), low-fat (1%), and fat-free flavored and unflavored milk. The milk that is offered may be organic or nonorganic. Currently, USDA regulations require milk to be fat-free or low-fat and allow milk to be flavored or unflavored. The act also removes the requirement that schools participating in the program must provide milk that is consistent with the most recent Dietary Guidelines for Americans. The act also expands the nondairy beverages that are included in the program by allowing schools to offer all students nondairy beverages that are nutritionally equivalent to fluid milk and that meet nutritional standards established by USDA. Further, schools currently must provide a substitute for fluid milk, on receipt of a written statement from a licensed physician, for students whose disability restricts their diet. Under the act, a parent or legal guardian may also provide the written statement. In addition, the act excludes fluid milk from the saturated fat content calculation for school meals. Currently, schools participating in the program must provide meals that meet certain nutrition requirements; USDA regulations require that the average saturated fat content of the meals offered must be less than 10% of the total calories. Under the act, milk fat included in any fluid milk provided by the program must not be considered saturated fat for the purposes of measuring compliance with USDA regulations. Finally, the program's mandatory training and certification for local school food service personnel must include a module on food allergies, including information on the best practices to prevent, recognize, and respond to food-related allergic reactions. Food service personnel must receive an annual certification to demonstrate competence in the food allergies training and other training modules that are provided.

ACE Agriculture Act of 2026

Advancing Cutting Edge Agriculture Act of 2026 or the ACE Agriculture Act of 2026 This bill reauthorizes the Agriculture Advanced Research and Development Authority (AGARDA) through FY2031 and expands the program's environmental sustainability goals. This Department of Agriculture (USDA) program supports innovative research and development of technology, research tools, and products to address long-term and high-risk challenges related to food and agriculture. The bill expands the program's goals to include water conservation; responding to greenhouse gas emissions; and resilience to drought, infectious diseases, and plant and animal pathogens and pests. The bill also expands the program's goals to include undertaking advanced research and development in areas in which industry by itself is not likely to do so because of economic cost. Further, the bill removes the current pilot program designation and requires USDA to establish and maintain an AGARDA staff. Finally, the bill allows USDA to use any unobligated USDA funds to implement the program.

Presidential Fitness Test Act of 2025

This bill would likely establish or reinstate a fitness testing program for school-age children, similar to historical presidential fitness initiatives, to measure and encourage physical fitness among students. The program would probably set fitness standards and track how well young people meet goals in areas like strength, endurance, and flexibility. Schools and students would be the main groups affected, as they would participate in the testing and potentially receive recognition for meeting fitness benchmarks.

A resolution expressing support for the designation of November 8, 2025, as "National First-Generation College Celebration Day".

This resolution expresses support for the designation of November 8, 2025, as National First-Generation College Celebration Day.

DIRECT Act of 2025

The DIRECT Act of 2025 aims to strengthen agriculture and food systems, though the specific provisions are not yet detailed in available sources. Based on its referral to the Agriculture Committee, the bill likely addresses issues affecting farmers, food producers, or the food supply chain. Once the full text becomes available, it will be clearer which groups—such as agricultural workers, consumers, or rural communities—would be most affected by its provisions.

Retire through Ownership Act

The legislation would allow workers to set aside money in special retirement accounts tied to ownership stakes in their employers' businesses, giving employees a way to build retirement savings while gaining a financial interest in their company's success. This would primarily benefit workers at small and medium-sized businesses who want to save for retirement while potentially sharing in company profits. The bill has passed the Senate and is currently awaiting action in the House.

Mobile Cancer Screening Act

This bill would establish or expand mobile cancer screening programs that bring diagnostic services to underserved communities, making it easier for people who lack access to traditional medical facilities to get screened for various types of cancer. The legislation likely aims to reduce barriers like transportation and distance that prevent early cancer detection, particularly for low-income and rural populations who might otherwise go unscreened.

Cooper Davis and Devin Norring Act

Based on the bill's title and crime-related subjects, this legislation likely addresses a specific law enforcement issue or creates new protections related to the individuals named in the title, though the exact provisions would depend on the bill's full text. The bill has been sent to the Judiciary Committee for review and discussion before any potential vote.

Budget Reform Act of 2025

The proposal would change how the federal government creates and manages its annual budget, likely including new rules for how Congress plans spending and handles deficits. The changes would affect taxpayers, federal employees, and anyone who relies on government programs by potentially altering how quickly or efficiently funding decisions get made. Specific details about what reforms it includes are not yet available since the bill is still in early stages of review.

USDA CROP Act of 2025

The USDA CROP Act would likely establish or modify environmental protections related to agricultural practices, crop production, or land management under the Department of Agriculture's oversight. The bill would affect farmers, agricultural companies, and potentially consumers by setting new standards or requirements for how crops are grown and how farmland is managed to protect the environment. Since it's currently in committee, the specific details of what environmental rules it would create are still being developed.

Innovative FEED Act of 2025

Innovative Feed Enhancement and Economic Development Act of 2025 or the Innovative FEED Act of 2025 This bill provides for the regulation of zootechnical animal food substances as food additives. The bill defines zootechnical animal food substance as a substance that is added to the food or drinking water of animals and that affects only the animal's gastrointestinal tract, with the intended purpose of affecting the byproducts of the animal's digestion, reducing foodborne pathogens, or altering the animal's gastrointestinal biome. The definition does not include substances that are used to treat or prevent diseases in animals, hormones, or active ingredients of animal drugs. Labels for zootechnical animal food substances must include a disclaimer that the substance may not be used to treat or prevent diseases in animals.

Improving Seniors’ Timely Access to Care Act of 2025

This bill aims to help older Americans get faster access to medical care by addressing delays in the healthcare system. It likely focuses on reducing wait times for appointments, treatments, and services that seniors rely on, potentially by adjusting how Medicare works or how healthcare providers are paid. The changes would affect seniors enrolled in Medicare, doctors and hospitals that treat them, and possibly insurance companies involved in senior healthcare.

Connecting Small Businesses with Career and Technical Education Graduates Act

Connecting Small Businesses with Career and Technical Education Graduates Act This bill includes within the responsibilities of Small Business Development Centers and Women's Business Centers the provision of assistance to small businesses in hiring graduates from career and technical education programs and to graduates of such programs in starting small businesses.

End Taxpayer Funding of Gender Experimentation Act of 2025

The legislation would prohibit federal funding—including through Medicare, Medicaid, and Veterans Affairs—for gender-affirming medical treatments and procedures. This would affect transgender and non-binary individuals who rely on government health programs to access care such as hormone therapy and surgeries, as well as the hospitals and clinics that provide these services.

A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Phasedown of Hydrofluorocarbons: Management of Certain Hydrofluorocarbons and Substitutes Under the American Innovation and Manufacturing Act of 2020".

This joint resolution nullifies the Environmental Protection Agency rule titled Phasedown of Hydrofluorocarbons: Management of Certain Hydrofluorocarbons and Substitutes Under the American Innovation and Manufacturing Act of 2020 and published on October 11, 2024. The rule establishes an emission reduction and reclamation program for the management of hydrofluorocarbons, which are greenhouse gases. The rule also establishes alternative Resource Conservation and Recovery Act standards for certain ignitable spent refrigerants being recycled for reuse.