Rand Paul

Legalizing Premium Health Care Act of 2026

This bill would let Medicare patients and doctors agree to private payment arrangements for medical services without facing penalties, while still allowing patients to use their regular Medicare benefits for other care. Currently, doctors who treat Medicare patients are generally required to accept Medicare's set payment rates, but this change would create an option for both doctors and patients to opt out of that system for specific services if they both agree. The goal is to give patients and healthcare providers more flexibility in how they arrange and pay for medical care.

A bill to amend title 3, United States Code, to prescribe a process to authorize certain activities at the Executive Residence at the White House, and for other purposes.

The bill would establish a formal approval process for certain activities and events that take place at the White House residence, clarifying which officials have authority to authorize these activities. This would affect White House staff, event planners, and anyone involved in organizing functions at the presidential residence by requiring them to follow specific procedures before proceeding. The bill aims to create clearer rules around how the White House manages its facilities and operations.

A joint resolution proposing an amendment to the Constitution of the United States to protect United States citizenship.

This proposed constitutional amendment would change how U.S. citizenship is granted, likely by eliminating or restricting automatic citizenship for children born in the United States to non-citizen parents. The change would affect millions of Americans and future generations by potentially requiring at least one parent to be a U.S. citizen or legal resident for a child born here to automatically become a citizen. Currently, anyone born on U.S. soil is automatically granted citizenship regardless of their parents' status.

Hemp Safety Enforcement Act

This bill would protect state and tribal governments' ability to enforce their own hemp regulations without federal interference, allowing them to set stricter rules than federal law permits. It amends existing agricultural law to clarify that states and tribes can maintain their own hemp laws even if those laws differ from or go beyond federal standards. The change would affect hemp farmers, state regulators, and tribal governments by giving them more control over how hemp is grown and regulated in their jurisdictions.

A bill to remove restrictions from a parcel of land in Paducah, Kentucky.

This bill directs the Department of the Interior to remove all deed restrictions from approximately 3.62 acres located at 2956 Park Avenue, on the Paducah Memorial Army Reserve Center in Paducah, Kentucky. The restrictions include easements, exceptions, reservations, terms, conditions, and covenants described in the quitclaim deed that was executed on April 27, 2012. The deed conveyed land from Interior to the City of Paducah, Kentucky.

A joint resolution providing for congressional disapproval of the proposed foreign military sales to the Government of Ukraine of certain defense articles and services.

This resolution would block a planned sale of military equipment and services to Ukraine that the President proposed. If passed by Congress, it would prevent the U.S. from sending the weapons and defense support that were approved for transfer to the Ukrainian government.

End the Vaccine Carveout Act

This bill would remove a special exemption that currently allows vaccine manufacturers to avoid certain liability lawsuits, meaning they could be sued in court like other pharmaceutical companies if someone claims a vaccine injured them. The change would affect how vaccine makers operate and could increase their legal costs, though supporters argue it would make them more accountable while critics worry it could discourage vaccine development. The bill targets the legal protections established decades ago to encourage vaccine production during public health emergencies.

Federal Reserve Transparency Act of 2025

Federal Reserve Transparency Act of 2025 This bill directs the Government Accountability Office (GAO) to complete an audit of the Federal Reserve Board and Federal Reserve banks not later than 12 months after enactment. In addition, the bill allows the GAO to audit the Federal Reserve Board and Federal Reserve banks with respect to (1) international financial transactions; (2) deliberations, decisions, or actions on monetary policy matters; (3) transactions made under the direction of the Federal Open Market Committee; and (4) discussions or communications among Federal Reserve officers, board members, and employees regarding any of these matters.

Health Marketplace and Savings Accounts for All Act

The proposal would expand access to health savings accounts and allow more people to use them alongside different types of health insurance plans, potentially making it easier for individuals to set aside pre-tax money for medical expenses. It would also modify tax rules related to health insurance and savings to give workers and families more flexibility in how they pay for healthcare. The changes would primarily affect individuals buying their own health insurance, employees with employer-sponsored plans, and people managing healthcare costs.

Health Savings Accounts For All Act of 2025

This proposal would expand Health Savings Accounts (HSAs) to allow more Americans to open and use them for medical expenses, potentially making them available to people with different types of health insurance coverage than currently allowed. The change would let workers and individuals save money tax-free for doctor visits, prescriptions, and other healthcare costs, while also allowing them to invest those savings for potential growth. This would primarily benefit people looking for ways to reduce their out-of-pocket medical expenses and build up healthcare savings over time.

Duplication Scoring Act of 2025

This bill would require the federal government to identify and score overlapping or duplicate programs across agencies to reduce waste and inefficiency in how taxpayer money is spent. The measure would help Congress and agency leaders understand where multiple government programs do similar work, making it easier to consolidate services or eliminate redundancy. This affects all federal agencies and ultimately taxpayers by potentially lowering government spending through better coordination.

Excluding Illegal Aliens from Medicaid Act

This bill would prevent people who are in the country illegally from receiving Medicaid benefits, the government health insurance program for low-income Americans. The change would affect both newly arriving immigrants and those already living in the U.S. without legal status, potentially reducing their access to doctor visits, hospital care, and prescription medications.

Health Marketplace for All Act of 2025

The proposal would create a new health insurance marketplace where individuals and small businesses can compare and purchase coverage plans, similar to existing state and federal exchanges but with potentially expanded options and different rules. It aims to make health insurance more accessible and affordable by increasing competition among insurers and giving consumers more choices about their coverage. The changes would primarily affect uninsured Americans, self-employed workers, and small business owners looking for health insurance options.

Association Health Plans Act

This bill would allow small businesses and self-employed workers to band together to purchase health insurance as a group, potentially lowering costs by giving them more bargaining power similar to what large employers have. The proposal aims to make health coverage more affordable and accessible for small business owners and independent workers who currently struggle to find affordable plans on their own.

No Taxation Without Representation Act of 2025

No Taxation Without Representation Act of 2025 This bill requires the President to receive congressional approval in order to impose a duty (i.e., tariff) on articles imported into the United States. Specifically, the President may impose a duty on an article imported into the United States only if (1) the President submits to Congress a proposal to impose the duty that includes a rationale for imposing the duty, and (2) a joint resolution of approval is enacted into law. The bill applies to specified statutory authorities, such as the Tariff Act of 1930 and the International Emergency Economic Powers Act (IEEPA), and other provisions of law (e.g., trade agreements). Therefore, for example, the bill requires the President to receive congressional approval before imposing tariffs under IEEPA. (IEEPA provides the President with broad authority to regulate various economic transactions following a declaration of a national emergency. In 2025, President Donald J. Trump invoked IEEPA to impose tariffs on imports from almost all U.S. trading partners. Several lawsuits challenging the President's legal authority to impose tariffs under IEEPA are ongoing.)

A bill to terminate the Department of Education.

This bill terminates the Department of Education on December 31, 2026.

Regulations from the Executive in Need of Scrutiny Act of 2025

Regulations from the Executive in Need of Scrutiny Act of 2025 This bill expands congressional review of federal agency rules and establishes additional procedures for major rules and agency guidance. Specifically, the bill requires the enactment of a joint resolution for a major rule to take effect. A major rule is a rule that has resulted in or is likely to result in (1) an annual economic effect of at least $100 million; (2) a major increase in costs or prices for consumers, individual industries, government agencies, or geographic regions; or (3) significant adverse effects on competition, employment, investment, productivity, or innovation. Additionally, major rules approved by a joint resolution under the bill expire, and are no longer effective, 10 years after the enactment of such joint resolution. Further, each agency must annually designate at least 10% of the agency’s major rules that are currently in effect for review and approval by a joint resolution of Congress. Such rules that are not approved shall no longer be in effect. Under the bill, agency guidance documents are considered rules and certain significant guidance documents are considered major rules. Significant guidance documents include guidance anticipated to lead to an annual effect of at least $100 million, or adversely affect in a material way the economy, the environment, public health, or state or local government. The Office of Management and Budget must establish an federal regulatory budget specifying the net amount of incremental regulatory costs allowed by the federal government for the next fiscal year.

FAIR Act of 2025

Fifth Amendment Integrity Restoration Act of 2025 or the FAIR Act of 2025 This bill establishes more stringent requirements for the federal government with respect to civil asset forfeiture. Civil asset forfeiture generally refers to the seizure and forfeiture of property in connection with federal crimes. Specifically, the bill makes various changes to the general rules governing civil forfeiture proceedings. Among the changes, the bill generally requires the government to notify interested parties within 7 days (currently, 60 days) of a seizure, requires an indigent property owner to be represented by counsel regardless of whether the owner requests counsel, requires the government to meet a higher evidentiary standard in order to prove that seized property is connected to a crime, and expands the factors courts must consider in determining whether a forfeiture of property is constitutionally excessive. Additionally, the bill eliminates statutory authority for equitable sharing (i.e., sharing of federally forfeited assets with state, local, or tribal law enforcement agencies that participate in law enforcement efforts resulting in a forfeiture). It directs forfeiture proceeds to be deposited into the general fund of the Treasury instead of the Department of Justice (DOJ) Assets Forfeiture Fund. The bill requires a prompt probable cause hearing following the seizure of money involved in a structuring offense (i.e., structuring currency transactions to evade currency reporting requirements). Finally, the bill requires the annual report on deposits to the DOJ Assets Forfeiture Fund to specify total deposits from each type of forfeiture.

Repeal the TikTok Ban Act

Repeal the TikTok Ban Act This bill repeals the prohibition on distributing, maintaining, updating, or providing internet hosting services for a foreign adversary controlled application (e.g., TikTok) and nullifies any existing designation of a website or application as a foreign adversary controlled application. Under current law, a foreign adversary controlled application is a website or application directly or indirectly operated by (1) ByteDance, Ltd., TikTok, their subsidiaries, successors, or related entities they control; or (2) a social media company that is controlled by a foreign adversary country and determined by the President to present a significant threat to national security. (Here, the term social media company excludes any website or application primarily used to post product reviews, business reviews, or travel information and reviews. The term foreign adversary country means North Korea, China, Russia, and Iran.) Current law generally prohibits the distribution, maintenance, implementation of updates, or provision of hosting services for a foreign adversary controlled application, unless an approved divestiture transaction results in the application no longer being controlled by a foreign adversary country, among other requirements.