Thom Tillis

ALERT Act of 2026

The federal government would be required to improve a disease tracking system called the National Healthcare Safety Network to monitor infections and health threats in real time across nursing homes nationwide. This would help health officials quickly identify and respond to disease outbreaks in these facilities, protecting vulnerable elderly and disabled residents who live there. The system would collect and share information faster than current methods, allowing for quicker action when health problems emerge.

A resolution commending the "Donut Dollies" for their patriotic service and steadfast support of United States servicemembers in combat and honoring their extraordinary contributions to the morale and well-being of United States servicemembers during wartime.

This resolution honors the "Donut Dollies," a group of women volunteers who served alongside American troops during wartime to boost morale and provide support to soldiers in combat zones. The resolution recognizes their patriotic contributions to the well-being of servicemembers and their dedication to helping troops during difficult times. The Senate unanimously approved this measure to formally acknowledge their extraordinary service to the country.

SAVES Act of 2025

The SAVES Act would strengthen security measures and oversight for the armed forces, likely focusing on personnel protections, operational security, or defense infrastructure. The bill has been approved by a Senate committee and is now waiting for a full Senate vote. The specific changes would affect military personnel, defense contractors, and national security operations.

Semiquincentennial Congressional Time Capsule Act

Congress created a time capsule to be opened in 250 years to preserve documents, artifacts, and records representing the current era for future generations. The capsule will be stored in the Capitol building and will contain items selected to reflect American history, culture, and governance at this point in time. This symbolic project allows lawmakers to communicate with people living in the year 2274 about what mattered to Congress and the nation today.

A resolution authorizing the use of the atrium in the Philip A. Hart Senate Office Building for a Bipawtisan Doggi Gras Pawrade on February 25, 2026, from 4:00pm to 6:00pm.

The Senate has approved a resolution allowing a dog parade called "Bipawtisan Doggi Gras Pawrade" to take place in the atrium of the Philip A. Hart Senate Office Building on February 25, 2026, from 4:00 PM to 6:00 PM. This is a one-time event that gives organizers permission to use the Senate building's space for what appears to be a fun, bipartisan celebration involving dogs. The resolution passed unanimously without any changes.

Justice for Victims of Sanctuary Cities and Fallen Law Enforcement Act of 2026

This bill would likely create legal consequences for cities and states that limit cooperation with federal immigration enforcement, and establish new protections or compensation programs related to crimes involving undocumented immigrants and deaths of law enforcement officers. It appears designed to hold local governments accountable for immigration policies that the bill's sponsors view as obstructing federal enforcement, while addressing victims of crimes committed by people in the country illegally and families of officers killed in the line of duty.

National Law Enforcement Officers Remembrance, Support, and Community Outreach Act.

This bill would establish programs to honor fallen law enforcement officers and provide support services to officers and their families, including mental health resources and community outreach initiatives. The legislation aims to strengthen relationships between police departments and the communities they serve through various engagement and assistance programs. It affects police officers, their families, and communities seeking to improve public safety and officer well-being.

Connecting Caregivers to Medicare Act of 2025

This bill would help family members and unpaid caregivers who support Medicare patients by connecting them with resources, training, and support services to better care for their loved ones. The legislation aims to reduce caregiver burnout and improve the quality of care for elderly and disabled Medicare beneficiaries by making it easier for caregivers to access information and assistance programs. The bill would affect millions of family caregivers, seniors on Medicare, and healthcare providers involved in coordinating care.

Down East Remembrance Act

This bill likely proposes to establish or designate a new national park, monument, or protected area in Maine's Down East region to preserve its natural resources and historical significance. The measure would affect how the land is managed and used, potentially restricting certain activities like logging or mining while allowing public recreation and conservation efforts. Local communities, outdoor enthusiasts, and environmental groups would be most directly impacted by any changes to land use in the region.

Lumbee Fairness Act

Lumbee Fairness Act This bill extends federal recognition to the Lumbee Tribe of North Carolina and makes its members eligible for the services and benefits provided to members of federally recognized tribes. Members of the tribe residing in Robeson, Cumberland, Hoke, and Scotland Counties in North Carolina are deemed to be within the delivery area for such services. The Department of the Interior and the Department of Health and Human Services must develop, in consultation with the tribe, a determination of needs to provide the services for which members of the tribe are eligible. Interior may take land into trust for the benefit of the tribe. Finally, North Carolina must exercise jurisdiction over all criminal offenses committed, and all civil actions that arise, on North Carolina lands owned by, or held in trust for, the Lumbee Tribe or any dependent Indian community of the tribe unless jurisdiction is transferred to the United States pursuant to an agreement between the tribe and the state.

Stratton Ridge Air Force Memorial Act

This bill would establish a memorial on federal land to honor the history and significance of Stratton Ridge, likely related to Air Force operations or personnel. The memorial would be created on public lands managed by the federal government, preserving the site for public visitation and education. The bill has advanced through the Senate and is ready for a floor vote.

Benton MacKaye National Scenic Trail Feasibility Study Act of 2025

The federal government would fund a study to determine whether a new scenic hiking trail called the Benton MacKaye Trail should be officially designated and developed as a national scenic trail. The study would examine the trail's route, condition, environmental impact, and feasibility for public use and maintenance. This would affect hikers, outdoor enthusiasts, and the communities along the proposed trail route.

RESULTS Act

The RESULTS Act would require the federal government to measure and publicly report on the effectiveness of health programs to show whether taxpayer money is actually improving people's health outcomes. This would help Congress and the public understand which health initiatives are working well and which ones need improvement, making it easier to identify where resources should be focused. The bill affects federal health agencies, healthcare providers, and ultimately patients and taxpayers who fund these programs.

TRACE Act

Tracking and Reporting Absent Community-Members Everywhere Act or the TRACE Act This bill requires the National Institute of Justice to include in the National Missing and Unidentified Persons System (NamUs) an additional data field for information about whether the last known location of a missing person was on federal land or in the territorial waters of the United States. NamUs is a national information clearinghouse and resource center for cases involving missing persons and unidentified or unclaimed remains.

National Park System Long-Term Lease Investment Act

This bill would allow private companies and investors to enter into long-term lease agreements with the National Park Service to develop and operate facilities within national parks, such as hotels, restaurants, and recreational amenities. The arrangement aims to generate revenue for park maintenance and improvements while reducing the burden on federal taxpayers, though it could affect how much public access and control citizens have over these protected lands. Park visitors and conservation groups would be the primary stakeholders affected by how these private leases are structured and managed.

Housing Supply Expansion Act of 2025

This bill aims to increase the amount of affordable housing available across the country by likely removing regulatory barriers, providing funding incentives, or streamlining the approval process for new residential construction projects. The changes would affect developers, local governments, and people struggling to find affordable places to live, particularly in high-cost urban and suburban areas.

Tackling Predatory Litigation Funding Act

This bill would regulate litigation funding companies that provide money to people or businesses involved in lawsuits, likely by imposing taxes or restrictions on how these companies operate and profit from legal cases. The goal appears to be preventing these funders from taking excessive cuts of lawsuit settlements or encouraging frivolous lawsuits for profit. The changes would affect both the litigation funding industry and people seeking financial help to pursue legal claims.

PROOF Act

Proving Reserves Of Others’ Funds Act or the PROOF Act This bill requires digital exchanges to protect customer funds and provide proof of reserves. Specifically, digital exchanges must minimize (1) customer risk of asset loss, and (2) delays experienced by a customer when accessing assets. With some exceptions, a customer’s assets must be separated from any other assets and may not be used to margin, secure, or guarantee a trade or account of a person other than the customer. Further, digital exchanges and digital custodians must report on their proof of reserves through an attestation from an independent auditing firm or a disinterested third party. The Office of Domestic Finance in the Department of the Treasury must make these attestations publicly available. The bill also provides for the creation of an industry standard for the attestations. Violations are subject to civil penalties.

Secure Family Futures Act of 2025

The proposal would make changes to tax rules affecting families and their financial planning, though the specific details of what those changes are have not yet been publicly disclosed since the bill is still in early stages of review. Once the Senate Finance Committee examines it, lawmakers will determine whether the tax modifications help families save money, protect retirement accounts, or adjust how certain income is taxed. Workers, families with children, and people planning for retirement would likely be among those affected by whatever tax changes ultimately move forward.

VETS Opportunity Act of 2025

Veterans Education and Technical Skills Opportunity Act of 2025 or the VETS Opportunity Act of 2025 This bill modifies which independent study programs are covered under veterans’ educational assistance benefits. The bill requires independent study programs that lead to a certificate that reflects graduation from a course of study to include regular and substantive interaction between students and instructors. The bill allows such independent study programs to be offered by any institutions of higher education, including for-profit institutions, that are approved to participate in the Department of Education’s financial assistance programs.

RIDE Act

The RIDE Act addresses immigration policy, though the specific details of what changes it would make are not clear from the title alone. Based on its referral to the Judiciary Committee, the bill likely proposes modifications to how the U.S. handles immigration enforcement, processing, or eligibility requirements. Once the committee reviews it, the specific impacts on immigrants, employers, or immigration agencies will become clearer.

DETERRENT Act

Defending Education Transparency and Ending Rogue Regimes Engaging in Nefarious Transactions Act or the DETERRENT Act This bill expands oversight and disclosure requirements related to foreign sources and institutions of higher education (IHEs). Specifically, the bill requires an IHE to annually disclose to the Department of Education (ED) any year in which the IHE receives a gift from a foreign country of concern (e.g., China or Russia) or foreign entity of concern of any dollar amount; receives a gift or contract from a foreign source (other than a foreign country of concern or foreign entity of concern) that is valued at $50,000 or more, considered alone or in combination with all other gifts or contracts within a calendar year (current disclosure threshold is $250,000 or more), or which has an undetermined monetary value; enters into a contract with a foreign country of concern or foreign entity of concern after receiving a waiver for such contract; or is substantially controlled by a foreign source. Additionally, the bill prohibits IHEs from entering into contracts with a foreign country of concern or with a foreign entity of concern without obtaining a waiver, and requires certain IHEs to disclose gifts or contracts between covered individuals (e.g., researchers) and foreign sources. The bill requires ED to investigate possible violations of this bill and outlines the various penalties for each violation. Penalties may include losing eligibility for federal student financial aid.

ROCR Value Based Program Act

Radiation Oncology Case Rate Value Based Program Act of 2025 or the ROCR Value Based Program Act This bill establishes a specialized payment program under Medicare for providers and suppliers of radiation oncology services. Specifically, the Centers for Medicare & Medicaid Services (CMS) must establish a program under which radiation therapy providers (i.e., hospital outpatient departments) and suppliers (i.e., physician group practices and freestanding radiation therapy centers) receive payments for each episode of care provided to individuals with specified types of cancer. An episode of care means the period beginning on the day radiation therapy planning is furnished to the individual and ending (1) for individuals with bone or brain metastases, 30 days later; and (2) for individuals with other cancer types, 90 days later. Participation in the program is mandatory for providers and suppliers that participate in Medicare, unless the provider or supplier is part of a state-based Center for Medicare & Medicaid Innovation model or qualifies for a significant hardship exemption. The CMS must set payment rates for the program based on national payment rates with specified adjustments (e.g., geographic adjustments). Providers and suppliers who provide certain transportation services for individuals under their care may receive an additional payment. Providers and suppliers must be accredited in accordance with certain standards, subject to payment reductions. The Government Accountability Office must report on (1) implementation of the program, and (2) underserved areas that are in need of more or newer radiation therapy resources.

Ensuring Justice for Camp Lejeune Victims Act of 2025

This bill would provide legal remedies and compensation for people who were exposed to contaminated water at Camp Lejeune, a major Marine Corps base in North Carolina, and suffered health problems as a result. The legislation aims to help former service members, their families, and civilian workers who lived or worked at the base get justice through the courts or settlements for illnesses they believe were caused by the water contamination. It affects veterans, military families, and civilians who were at Camp Lejeune during the period when the water supply was polluted.

EPIC Act of 2025

The EPIC Act of 2025 addresses health policy matters and has been sent to the Senate Finance Committee for review. Without access to the bill's specific provisions, the legislation likely aims to modify how health programs or services are funded, regulated, or delivered, potentially affecting patients, healthcare providers, or insurance companies. The bill is still in early stages of the legislative process.

Alternatives to PAIN Act

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.

Justice for Victims of Sanctuary Cities Act of 2025

This bill would likely create legal liability for cities and states that limit cooperation with federal immigration enforcement, allowing victims of crimes committed by undocumented immigrants to sue those jurisdictions for damages. The legislation targets so-called "sanctuary" policies that restrict local police from assisting Immigration and Customs Enforcement, aiming to hold local governments financially accountable when immigrants in the country illegally commit crimes.