Mike Rounds

Indian Health Service Emergency Claims Parity Act

Indian Health Service Emergency Claims Parity Act This bill extends from 72 hours to 15 days the time period to notify the Purchased/Referred Care (PRC) program of emergency medical care received from a non-Indian Health Service (IHS) medical provider or at a non-IHS medical facility. This bill does not apply to individuals who are elderly or disabled, who continue to have a 30-day notification requirement for emergency services. The IHS provides medical and dental services directly to American Indian and Alaska Native patients whenever possible. The PRC program pays for medical or dental care that is provided away from an IHS or tribal health care facility. The PRC program must be notified of requests for authorization of payment for health care services from a non-IHS provider. Currently in emergency cases, the patient, an individual on behalf of the patient, or the medical care provider must, within 72 hours after the beginning of treatment for the condition or after admission to a health care facility, notify a PRC authorizing official of the need for the emergency medical care. This bill instead allows the patient, other individual, or provider to notify PRC within 15 days of the treatment or admission.

Gene Murphy Veterans’ Bill of Rights Act of 2026

Portal for Appraisal Licensing Act of 2026

Dakota Mainstem Water Supply Project Feasibility Study Act

The federal government would fund a study to examine whether a major water supply project in the Dakota region is practical and economically viable, looking at factors like cost, environmental impact, and water availability. This would help determine if the project could reliably deliver water to communities and agriculture in the area while identifying potential challenges and benefits. The study would give policymakers the information they need to decide whether to move forward with actually building such a project.

USPS Executive Benefit and Bonus Removal Act

ARCH Act

RANCH Act

Robotics Supply Chain Improvement Act

REACH Our Tribes Act

A bill to require the Under Secretary of Defense for Policy and the Chairman of the Joint Chiefs of Staff to submit a strategy for cyber cooperation in the Indo-Pacific region, and for other purposes.

The Department of Defense would be required to develop and submit a detailed strategy for how the U.S. military can work with other countries in the Indo-Pacific region to improve cybersecurity and defend against digital attacks. This plan would come from the top policy official at the Pentagon and the highest-ranking military officer, and would help coordinate efforts to protect military networks and critical infrastructure across Asia and the Pacific. The strategy would guide how the U.S. partners with allies in that region to address growing cyber threats.

National Quantum Readiness Act of 2026

The Department of Defense would be required to invest in and support the development of quantum computing and related technologies that could give the U.S. military advantages in communications, data processing, and sensing capabilities. This would affect defense contractors, technology companies, and military research institutions that work on cutting-edge computing projects. The bill aims to ensure the U.S. stays competitive with other countries in this emerging technology field.

Homestake AI Act of 2026

The Department of Energy would launch a research program to map the complete genetic codes of extremophile organisms—creatures that survive in extreme environments like hot springs, frozen tundra, or highly acidic conditions. Scientists and biotechnology companies could use this genetic information to develop new materials, medicines, and industrial processes inspired by how these organisms function. The initiative would advance scientific understanding while potentially creating practical applications in fields like medicine, manufacturing, and environmental cleanup.

Dismemberment Abortion Ban Act of 2026

The bill would make it a federal crime to perform a specific abortion procedure involving dismemberment of fetal tissue, with exceptions for cases where the pregnant person's life is in danger. It would apply to doctors and medical professionals who perform this procedure, potentially resulting in criminal penalties. The measure is currently under review by the Senate Judiciary Committee.

Stop Stealing our Chips Act

Stop Stealing our Chips Act This bill creates a whistleblower incentive program and establishes whistleblower protections for individuals who provide information to the Department of Commerce's Bureau of Industry and Security (BIS) related to violations of U.S. export control laws. Currently, BIS administers and enforces controls on the export of dual-use goods (e.g., items with both civilian and military uses) and certain military parts and components. These export controls are implemented primarily under the Export Control Reform Act of 2018 (ECRA) through the Export Administration Regulations. Under the bill, BIS must establish a whistleblower incentive program to reward individuals who voluntarily report original information that results in BIS imposing fines under ECRA on persons that violate, attempt to violate, conspire to violate, or cause a violation of ECRA or any related regulation, order, license, or authorization. Additionally, BIS must establish a secure online portal for whistleblowers to report violations of ECRA. The bill outlines requirements for BIS to review, investigate, and provide status updates related to these reports. The bill authorizes BIS to pay an award to any whistleblower who voluntarily reported original information that led to the imposition of a fine under ECRA. The bill establishes the Export Compliance Accountability Fund for paying these awards and funding related activities. The bill also sets forth whistleblower protections by (1) prohibiting retaliation against individuals who act as whistleblowers, and (2) establishing confidentiality requirements.

Small Business Investor Capital Access Act

This bill would likely make it easier for small businesses to raise money from investors by changing rules around how they can sell ownership stakes or borrow funds. The changes would probably reduce paperwork and costs for small companies trying to access capital, while potentially adjusting protections for people investing in these businesses. Small business owners, entrepreneurs, and individual investors would be the main groups affected.

Purchased and Referred Care Improvement Act of 2025

Purchased and Referred Care Improvement Act of 2025 This bill specifies that the Indian Health Service (IHS) must reimburse patients for their out-of-pocket costs for authorized purchased/referred care services within 30 days. (The IHS provides medical and dental services directly to American Indian and Alaska Native patients whenever possible. However, when services are not available, IHS beneficiaries may be referred to private providers. This is called purchased/referred care.) Specifically, the bill requires the Department of Health and Human Services (HHS) to establish and implement procedures to allow a patient who paid out of pocket for purchased/referred care services authorized by the IHS to be reimbursed by the IHS for that payment no later than 30 days after the patient submits required documentation. Additionally, the bill requires HHS to update applicable provisions of and exhibits to the Indian Health Manual, contracts with providers, and other relevant documents and administrative authorities to incorporate the provisions of the bill. The bill also replaces statutory references to contract health service with purchased/referred care .

Life at Conception Act of 2026

This bill would establish in federal law that human life begins at conception, which would likely restrict or ban abortion nationwide by defining a fertilized egg as a person with legal rights. The measure would affect women seeking abortion care, healthcare providers, and states that currently allow abortion, potentially overriding existing state laws that permit the procedure. This is a highly contested proposal that touches on fundamental questions about when life begins and reproductive rights.

Financial Stability Oversight Council Improvement Act of 2025

Financial Stability Oversight Council Improvement Act of 2025 This bill requires the Financial Stability Oversight Council, prior to determining that a U.S. nonbank financial company shall be supervised by the Federal Reserve Board and therefore subject to certain prudential standards, to first determine that certain alternative actions would not mitigate the threat the company may pose to U.S. financial stability.

Marcella LeBeau Recognition Act

Marcella LeBeau Recognition Act This bill designates the federal building located at 225 South Pierre Street in Pierre, South Dakota, as the Marcella LeBeau Federal Building.

Wounded Knee Massacre Memorial and Sacred Site Act

Wounded Knee Massacre Memorial and Sacred Site Act This bill directs the Department of the Interior to complete all actions necessary to place approximately 40 acres of land in Oglala Lakota County, South Dakota, into restricted fee status for the Oglala Sioux Tribe and the Cheyenne River Sioux Tribe. Restricted fee status refers to land that is owned by a tribe or tribal member but is subject to restrictions by the United States against alienation (i.e., sale or transfer) or encumbrance (e.g., liens, leases, or rights-of-way) by operation of law. The bill requires the land to be held and maintained as a memorial and sacred site, as outlined by the document titled Covenant Between the Oglala Sioux Tribe and the Cheyenne River Sioux Tribe and dated October 21, 2022. Further, it prohibits commercial development and gaming activity on the land.

Merchant Banking Modernization Act

The proposal would update rules for how banks can invest in and own non-financial businesses, allowing them greater flexibility in these activities while potentially requiring stronger oversight to manage risks. Banks and their investors would benefit from expanded opportunities to grow their businesses beyond traditional banking services, though regulators would need to ensure these investments don't threaten the stability of the financial system or harm consumers.

Kamisha's Law

Without access to the specific provisions of this bill, it appears to address crime and law enforcement issues, likely named after a specific case or victim. The bill has been referred to the Judiciary Committee for review, suggesting it may propose changes to criminal law, sentencing, victim protections, or law enforcement procedures that would affect how crimes are prosecuted or how the justice system handles certain offenses.

Unleashing AI Innovation in Financial Services Act

This bill would remove or reduce regulations that currently limit how banks and financial companies can use artificial intelligence in their operations, such as for loan decisions, fraud detection, and customer service. The changes would make it easier for financial institutions to develop and deploy AI tools without as much government oversight, though supporters argue this spurs innovation while critics worry it could increase risks to consumers and borrowers. The bill affects banks, investment firms, and other financial companies, as well as the customers and borrowers who use their services.

Intelligence Community Property Security Act of 2025

This bill would establish new security requirements and protections for property owned or used by U.S. intelligence agencies like the CIA and NSA. It likely aims to strengthen physical security measures, access controls, and safeguards at intelligence facilities to prevent unauthorized entry, theft, or espionage. The changes would affect how intelligence agencies manage their buildings, equipment, and sensitive materials.

Unlocking Housing Supply Through Streamlined and Modernized Reviews Act

This bill would speed up the process for approving new housing construction by streamlining environmental and regulatory reviews that currently slow down development projects. The changes would make it faster and easier for builders and developers to get permits and move forward with building homes, potentially increasing the supply of available housing. The bill affects housing developers, construction companies, and communities looking to address housing shortages.

Rural Development Hospital Technical Assistance Program Act of 2025

Rural Development Hospital Technical Assistance Program Act of 2025 This bill provides statutory authority for the Rural Hospital Technical Assistance Program within the Department of Agriculture (USDA). Under the bill, USDA must establish and maintain (directly or by grant, contract, or cooperative agreement) a program to help eligible hospital facilities in rural areas (i.e., an area with a population of 50,000 inhabitants or less). The program must provide tailored technical assistance and training to hospital facilities to identify development needs for maintaining essential health care services and support action plans for financial, operational, and quality improvement projects to meet these needs. Development needs include (1) constructing, expanding, and modernizing health care facilities; (2) increasing telehealth capabilities; and (3) acquiring or upgrading health care information systems (e.g., electronic health records). The program must also provide technical assistance and training to help hospital facilities to better manage their financial and business strategies and identify, and apply for assistance from, USDA loan and grant programs. In selecting eligible hospital facilities to participate in the program, USDA must give priority to borrowers of loans and recipients of grants from certain USDA rural assistance programs. USDA must also submit an annual report to Congress on the progress and results of the program.

Traveler's Gun Rights Act

Traveler's Gun Rights Act This bill broadens the scope of allowable firearms transactions involving active duty servicemembers and their spouses and individuals who do not have a residence in any state. Currently, federal firearms laws generally prohibit a federal firearms licensee (e.g., a gun dealer) from selling or delivering a firearm to an individual whose state of residence is different than the state where the licensee's place of business is located. This bill defines the term state of residence as the state in which an individual is present with an intention of making a home. In the case of an individual who does not have a physical residence in any state, the term state of residence means the address of the individual's private mailbox or post office box. In the case of a member of the Armed Forces on active duty, or his or her spouse, the term state of residence means (1) the state in which the member's permanent duty station is located, and (2) the state where the member maintains a place of abode from which he or she commutes to the permanent duty station.

Protect Our Military Families’ 2nd Amendment Rights Act

Protect Our Military Families' 2nd Amendment Rights Act This bill broadens the scope of allowable firearms transactions involving active-duty service members and their spouses. Specifically, the bill allows a licensed gun dealer, importer, or manufacturer to sell or ship a firearm or ammunition to the spouse of a member of the Armed Forces on active duty outside the United States. Current law already allows a licensed dealer, importer, or manufacturer to sell or ship a firearm or ammunition to a member of the Armed Forces on active duty outside the United States. The bill also specifies that, for purposes of federal firearms laws, a member of the Armed Forces on active duty, or his or her spouse, is a resident of the state in which (1) the member or spouse maintains legal residence, (2) the permanent duty station of the member is located, and (3) the member maintains a home from which he or she commutes to the permanent duty station.

A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Bureau of Consumer Financial Protection relating to "Prohibition on Creditors and Consumer Reporting Agencies Concerning Medical Information (Regulation V)".

This joint resolution nullifies the final rule issued by the Consumer Financial Protection Bureau titled Prohibition on Creditors and Consumer Reporting Agencies Concerning Medical Information (Regulation V) and published on January 14, 2025. This rule prohibits the inclusion of medical debt on credit reports and prohibits creditors from considering medical debt when making credit eligibility determinations.

PASS Act

Promoting Agriculture Safeguards and Security Act or the PASS Act This bill establishes requirements to address the national security risk to the U.S. agricultural sector. Specifically, the bill prohibits foreign persons (i.e., individuals or entities) who are acting on behalf of China, Russia, Iran, or North Korea from engaging in certain transactions that would result in the person (1) purchasing or leasing U.S. agricultural land near a military installation or another facility or property that is sensitive for national security reasons, or (2) controlling a U.S. agricultural company. The prohibition does not apply if a party to the transaction voluntarily chooses to abandon the transaction. The President may waive this prohibition, on a case-by-case basis, if the waiver is in the national interest. The bill also places the Secretary of Agriculture on the Committee on Foreign Investment in the United States (CFIUS) with respect to transactions (1) related to the purchase of agricultural land or agricultural biotechnology, or (2) otherwise related to the U.S. agricultural industry. The bill also requires CFIUS to review certain transactions involving investments by foreign persons in U.S. agricultural land. The President must direct the issuance of regulations to implement these changes. The regulations must take effect not later than one year after the bill's enactment. Further, the prohibitions and requirements in this bill (1) take effect 30 days after the effective date of the regulations; and (2) apply to any covered transactions that are proposed, pending, or completed on or after the effective date.

Farmers Freedom Act of 2025

Farmers Freedom Act of 2025 This bill excludes certain prior converted cropland from permit requirements under the Clean Water Act, including Section 404 permits for discharges of dredged materials into waters of the United States (WOTUS). The exclusion applies to areas that were converted to cropland prior to December 23, 1985. However, the bill does not exclude an area that has reverted to wetlands and has not been used for agricultural purposes in five years. In recent years, there has not been regulatory consistency about which cropland, such as cropland that has reverted to wetlands, is protected under the scope of the act as WOTUS. In 2020, the Environmental Protection Agency (EPA) and the U.S. Army Corps of Engineers issued the Navigable Waters Protection Rule that, among other provisions, defined prior converted cropland in order to specify which cropland is excluded from the scope of the act. However, the U.S. District Court for the District of Arizona vacated the rule in Pascua Yaqui Tribe v. EPA . In 2023, the EPA and the Army Corps of Engineers issued another rule that excluded prior converted cropland from the scope of the act, but they defined the exclusion more narrowly than the exclusion in the 2020 rule. Similar to the 2020 rule, this bill broadens the exclusion. The bill determines the scope of the exclusion by defining the term prior converted cropland in statute .

Cyber Conspiracy Modernization Act

TAILOR Act of 2025

Taking Account of Institutions with Low Operation Risk Act of 2025 or the TAILOR Act of 2025 This bill addresses the supervision of financial institutions. Federal financial regulatory agencies must (1) tailor any regulatory actions so as to limit burdens on the institutions involved, with consideration of the risk profiles and business models of those institutions; and (2) report to Congress on specific actions taken to do so, as well as on other related issues. The bill's tailoring requirement applies to future regulatory actions and to regulations adopted within the last seven years. The bill also reduces certain reporting requirements for community banks eligible for a simplified capital leverage ratio. Finally, federal banking agencies must report on the modernization of bank supervision, including examiner workforce and training and statutory changes necessary to achieve more effective supervision.