House Passes Mikaela Naylon Give Kids a Chance Act, Extending Pediatric Disease Research Incentives and Hospital at Home Waivers; Advances Bills on SBA, Taxpayer Rights, and Financial Market Regulation
The House convened for a major legislative day, passing 18 bills under suspension of the rules, many with bipartisan support. Key actions included the passage of the Mikaela Naylon Give Kids a Chance Act, which extends incentives for pediatric cancer and rare disease drug development and reauthorizes the Rare Pediatric Disease Priority Review Voucher Program. The House also passed the Hospital Inpatient Services Modernization Act, extending acute hospital care at home waiver flexibilities, and several bills aimed at improving Small Business Administration services, enhancing taxpayer rights, and increasing transparency in financial markets. Additionally, legislation was passed to address human trafficking survivor relief, extend fraud enforcement for pandemic programs, and improve Social Security services.
This chamber-day saw the disposition of numerous consequential measures, particularly in healthcare, financial services, and criminal justice. The extensions of critical healthcare programs and incentives for drug development have direct impacts on patient access and medical innovation. Reforms to SBA and IRS procedures aim to improve government efficiency and taxpayer protections. The passage of the Trafficking Survivors Relief Act and the No Immigration Benefits for Hamas Terrorists Act addresses significant social and national security concerns, reflecting areas of broad bipartisan consensus.
Mikaela Naylon Give Kids a Chance Act
H.R. 1262Question before the chamber
Passage of H.R. 1262, a bill to amend the Federal Food, Drug, and Cosmetic Act with respect to molecularly targeted pediatric cancer investigations, and for other purposes, as amended.
The case for
Proponents argued that the bill is crucial for increasing access to innovative treatments for rare pediatric diseases and cancer. They highlighted the success of the Rare Pediatric Disease Priority Review Voucher Program, which has spurred development for diseases previously lacking FDA-approved options. The bill extends this program for 5 years and allows the FDA to require studies of combination cancer drugs in pediatric trials, giving children the same chance to beat cancer as adults. It also supports improvements to the Organ Procurement and Transplantation Network, strengthens the medical product supply chain, and facilitates faster access to affordable generic drugs.
The case against
No opposition was aired in the Record, though one member noted that additional guardrails for the PRV program might be needed and expressed concern about the administration's broader impact on public health and research funding.
Disposition
Passed · voice vote
The bill passed the House.
Who is affected
- Children with rare pediatric diseases and cancer: Increased access to new treatments and therapies through extended incentives for drug development and expanded FDA authority for pediatric cancer investigations.
- Patients requiring organ transplants: Improvements to the Organ Procurement and Transplantation Network through new fee collection authority and modernization efforts.
- Generic drug manufacturers and patients: Increased transparency in generic drug applications, potentially leading to faster availability of lower-cost medications.
- Medical product manufacturers in Abraham Accords countries: Facilitated interactions and technical assistance with the FDA, strengthening regulatory oversight and supply chain security.
Hospital Inpatient Services Modernization Act
H.R. 4313Question before the chamber
Passage of H.R. 4313, a bill to amend title XVIII of the Social Security Act to extend acute hospital care at home waiver flexibilities, and to require an additional study and report on such flexibilities, as amended.
The case for
Proponents emphasized that the bill extends the successful 'hospital at home' program for an additional five years, allowing more Americans to receive acute care in their homes. They highlighted the program's benefits, including reduced mortality rates, lower risk of falls and infections, shorter recovery times, and cost savings compared to traditional inpatient care. The program has high patient satisfaction and is particularly beneficial for rural patients facing long drives to hospitals.
The case against
No opposition was aired in the Record, though one member used the opportunity to criticize the administration's broader healthcare policies and the impact of the 'One Big Beautiful Bill Act' on Medicaid and Medicare.
Disposition
Passed · voice vote
The bill passed the House.
Who is affected
- Medicare patients: Continued access to acute hospital-level care in their homes, potentially leading to improved outcomes and convenience.
- Hospitals and healthcare providers: Extended flexibility to offer 'hospital at home' services, supporting innovative care models and potentially reducing operational costs.
No Immigration Benefits for Hamas Terrorists Act of 2025
H.R. 176Question before the chamber
Passage of H.R. 176, a bill to amend the Immigration and Nationality Act with respect to aliens who carried out, participated in, planned, financed, supported, or otherwise facilitated the attacks against Israel, as amended.
The case for
Proponents argued that the bill is essential to explicitly bar anyone associated with Hamas or Palestinian Islamic Jihad, or who assisted their terrorist activities, from entering the United States or receiving any immigration benefits. They asserted that current law is insufficient and that the bill places the atrocities of October 7 on par with other heinous acts like Nazi persecution, ensuring such individuals are never given safe haven in the U.S.
The case against
Opponents, while supporting the bill's aim, argued that it is largely unnecessary because existing immigration laws already bar noncitizens involved in terrorism or with terrorist organizations from entering the U.S. or receiving benefits. They expressed concern that directly amending the Immigration and Nationality Act for specific events sets an anomalous and potentially self-defeating precedent, preferring traditional bipartisan visa sanctions language.
Disposition
Passed · recorded vote
The bill passed the House by a vote of 385-0.
385
Who is affected
- Individuals who carried out, participated in, planned, financed, supported, or otherwise facilitated the October 7, 2023 attacks against Israel by Hamas: Explicitly deemed inadmissible to the United States and ineligible for any immigration relief under U.S. law.
- U.S. immigration authorities: Provided with explicit statutory grounds for denying entry and benefits to individuals associated with the specified terrorist acts.
Count the Crimes to Cut Act
H.R. 2159Question before the chamber
Passage of H.R. 2159, a bill to direct the Attorney General of the United States to submit to the Congress a report on Federal criminal offenses, and for other purposes, as amended.
The case for
Proponents argued that the Federal criminal code has become so bloated and disorganized that no one, including the Department of Justice, knows the exact number of Federal crimes, many of which are buried in regulatory codes. This opacity undermines due process and puts ordinary citizens at risk of unknowingly violating laws. The bill is a commonsense first step to provide transparency by requiring a comprehensive inventory of all Federal criminal statutes and regulations, including penalties, mens rea requirements, and prosecution history.
The case against
No opposition was aired in the Record.
Disposition
Passed · voice vote
The bill passed the House.
Who is affected
- American citizens and businesses: Increased clarity and transparency regarding the vast number of federal criminal laws and regulations they are subject to, potentially reducing the risk of unknowing violations.
- Congress and the Department of Justice: Provided with a comprehensive inventory of federal criminal offenses to inform future legislative and enforcement decisions, and to identify redundant or outdated laws.
Social Security Child Protection Act of 2025
H.R. 5348Question before the chamber
Passage of H.R. 5348, a bill to amend title II of the Social Security Act to provide for the reissuance of social security account numbers to young children in cases where confidentiality has been compromised, as amended.
The case for
Proponents highlighted that over a million children become victims of identity fraud annually, and current SSA policy makes it difficult to obtain a new Social Security number for a child even when the original is known to be compromised. The bill provides a simple fix by requiring the SSA to issue a new number to children under 14 if their card is lost or stolen during transmission, preventing a lifetime of financial harm without waiting for actual fraud to occur.
The case against
No opposition was aired in the Record.
Disposition
Passed · recorded vote
The bill passed the House by a vote of 386-0.
386
Who is affected
- Children under 14 years of age: Increased protection against identity theft by allowing the reissuance of a Social Security number if the original card is compromised during transmission.
- Parents and guardians of young children: Simplified process for obtaining a new Social Security number for a child whose card has been lost or stolen, reducing the burden of dealing with potential fraud.
Fair and Accountable IRS Reviews Act
H.R. 5346Question before the chamber
Passage of H.R. 5346, a bill to amend the Internal Revenue Code of 1986 to reform certain penalty and interest provisions, as amended.
The case for
Proponents argued that the bill restores clarity to a longstanding statute requiring supervisory approval for IRS penalties. They stated that recent regulatory interpretations have allowed agents to impose penalties without prior review and seek approval from a wide range of individuals, undermining transparency and accountability. The bill reaffirms that an agent's immediate supervisor must provide written approval at the initial determination of a penalty, ensuring proper oversight and protecting taxpayers from unfair imposition of fines.
The case against
No opposition was aired in the Record.
Disposition
Passed · voice vote
The bill passed the House.
Who is affected
- American taxpayers: Enhanced protections against arbitrary IRS penalties by requiring timely supervisory approval, promoting fairness and transparency in the tax system.
- Internal Revenue Service: Clarified procedures for penalty assessments, reinforcing internal oversight and accountability.
Tax Court Improvement Act
H.R. 5349Question before the chamber
Passage of H.R. 5349, a bill to amend the Internal Revenue Code of 1986 to improve services provided to taxpayers by the Internal Revenue Service by providing greater judicial review, as amended.
The case for
Proponents stated that the bill strengthens taxpayer rights during judicial proceedings before the U.S. Tax Court by making four commonsense reforms. It modernizes subpoena rules to allow for document production without physical appearance, expands the types of cases special trial judges can hear with party consent to address backlogs, applies ethical disqualification standards to Tax Court judges, and clarifies the court's authority to use equitable tolling for filing deadlines in deficiency cases. These changes aim to make the Tax Court process clearer, more timely, efficient, and just.
The case against
No opposition was aired in the Record.
Disposition
Passed · voice vote
The bill passed the House.
Who is affected
- Taxpayers disputing IRS decisions: Improved access to and efficiency of the U.S. Tax Court process, including easier document submission, faster case resolution, and the ability for deadlines to be extended in equitable circumstances.
- U.S. Tax Court judges and special trial judges: Expanded authority for special trial judges and codified ethical standards, enhancing the court's capacity and integrity.
HUD Transparency Act of 2025
H.R. 225Question before the chamber
Passage of H.R. 225, a bill to require the Inspector General of the Department of Housing and Urban Development to testify before the Congress annually, and for other purposes, as amended.
The case for
Proponents argued that the bill strengthens accountability and enhances oversight of the Department of Housing and Urban Development (HUD) by requiring its Inspector General to testify annually before Congress. This ensures transparency in how federal housing dollars are spent, addresses issues like outdated reporting and inconsistent data, and helps identify opportunities for program improvement and fraud prevention.
The case against
Opponents, while supporting the bill, noted that the debate ignores broader challenges facing HUD and the housing market, including the administration's actions to undermine affordable housing efforts and the arbitrary firing of IGs. They emphasized the need for an independent IG and for Congress to address rising housing costs and other critical issues.
Disposition
Passed · voice vote
The bill passed the House.
Who is affected
- Department of Housing and Urban Development (HUD): Increased congressional oversight and accountability through mandatory annual testimony from its Inspector General.
- American taxpayers and beneficiaries of HUD programs: Greater transparency into the management and effectiveness of federal housing programs, aiming to reduce waste, fraud, and abuse.
No New Burma Funds Act
H.R. 4423Question before the chamber
Passage of H.R. 4423, a bill to continue the pause on disbursements and new financing commitments to the Government of Burma, as amended.
The case for
Proponents stated that the bill ensures the United States continues to oppose any new World Bank financing that could benefit Burma's illegitimate military junta, which overthrew the democratically elected government in 2021. They highlighted the ongoing humanitarian crisis, violence, and displacement caused by the regime, arguing that the bill supports international efforts to restore democratic governance and prevents international funds from empowering a brutal dictatorship.
The case against
No opposition was aired in the Record.
Disposition
Passed · recorded vote
The bill passed the House by a vote of 385-0.
385
Who is affected
- Government of Burma (military junta): Continued financial pressure through the World Bank, limiting access to new disbursements and financing commitments.
- People of Burma: Support for democratic aspirations by preventing international funds from inadvertently strengthening the military regime.
Systemic Risk Authority Transparency Act
H.R. 3716Question before the chamber
Passage of H.R. 3716, a bill to amend the Federal Deposit Insurance Act to require reports on the use of the systemic risk authority applicable to winding up a failed insured depository institution, and for other purposes, as amended.
The case for
Proponents argued that the bill enhances transparency and accountability when federal banking regulators invoke the systemic risk exception following bank failures, as occurred with Silicon Valley Bank and Signature Bank. It requires the Government Accountability Office and appropriate Federal banking agencies to produce detailed post-failure reports, including the basis for the determination, its effects, any mismanagement, supervisory shortcomings, and recommendations for improving financial stability. This transparency is crucial for maintaining public confidence in the financial system.
The case against
No opposition was aired in the Record.
Disposition
Passed · voice vote
The bill passed the House.
Who is affected
- Federal banking regulators (FDIC, Federal Reserve, OCC): Required to provide detailed reports to Congress on the use of systemic risk authority and bank failures, increasing oversight burden but enhancing accountability.
- Congress and the public: Provided with greater transparency and information regarding the causes and responses to bank failures, potentially informing future policy decisions.
Developing and Empowering our Aspiring Leaders Act of 2025
H.R. 4429Question before the chamber
Passage of H.R. 4429, a bill to require the Securities and Exchange Commission to revise the definition of a qualifying investment, for purposes of the exemption from registration for venture capital fund advisers under the Investment Advisers Act of 1940, to include an equity security issued by a qualifying portfolio company and to include an investment in another venture capital fund, and for other purposes, as amended.
The case for
Proponents stated that the bill aims to ensure the U.S. remains entrepreneurial by modernizing outdated rules that limit venture capital investment. They highlighted the geographic imbalance of venture capital, with most funding concentrated in a few states. The bill strengthens capital allocation by allowing larger venture funds to invest directly in smaller, regional funds (fund-of-funds investments), thereby channeling more funding to startups and communities outside traditional financial hubs, while maintaining investor protections.
The case against
No opposition was aired in the Record.
Disposition
Passed · voice vote
The bill passed the House.
Who is affected
- Venture capital funds: Increased flexibility in investment strategies, allowing for fund-of-funds investments and potentially broader geographic reach.
- Startups and small businesses in underserved regions: Improved access to capital, fostering innovation and job creation in communities outside major financial centers.
Improving Capital Allocation for Newcomers Act of 2025
H.R. 4431Question before the chamber
Passage of H.R. 4431, a bill to amend the Investment Company Act of 1940 with respect to the definition of qualifying venture capital funds, and for other purposes, as amended.
The case for
Proponents argued that the bill supports innovation and entrepreneurship by updating the qualifying venture capital fund exemption. They noted that current rules limit venture funds' ability to invest in secondary acquisitions and other VC funds, which is crucial for liquidity in a market where companies stay private longer. The bill raises the capital cap from $10 million to $50 million and the investor limit from 250 to 500, allowing more capital to flow to startups and small businesses, particularly those outside traditional financial hubs.
The case against
No opposition was aired in the Record.
Disposition
Passed · voice vote
The bill passed the House.
Who is affected
- Qualifying venture capital funds: Increased capacity to raise capital and invest in small and growing businesses by raising asset and investor limits.
- Startups and small businesses: Improved access to venture capital funding, supporting growth and innovation.
Expanding WKSI Eligibility Act
H.R. 4430Question before the chamber
Passage of H.R. 4430, a bill to lower the aggregate market value of voting and non-voting common equity necessary for an issuer to qualify as a well-known seasoned issuer, as amended.
The case for
Proponents argued that the bill rightsizes regulatory burdens and supports investments and jobs by expanding the eligibility for 'well-known seasoned issuer' (WKSI) status. They stated that WKSI status, which allows qualified public companies to use automatic shelf registration, has a proven track record of success. The bill lowers the market value threshold from $700 million to $400 million, allowing more small and mid-sized public companies to benefit from reduced costs and complexity in public offerings, while maintaining existing good governance requirements.
The case against
No opposition was aired in the Record.
Disposition
Passed · voice vote
The bill passed the House.
Who is affected
- Small and mid-sized public companies: Expanded eligibility for 'well-known seasoned issuer' status, reducing the cost and complexity of raising capital in public markets.
- Investors: Increased transparency regarding companies that have been disqualified from WKSI status but sought waivers, through new SEC reporting requirements.
Pediatric Cancer and Rare Disease Drug Development Incentives Extended
highThe House passed H.R. 1262, the Mikaela Naylon Give Kids a Chance Act, which extends the Rare Pediatric Disease Priority Review Voucher Program for another 5 years and authorizes the FDA to direct companies to study combination cancer drugs and therapies in pediatric trials. This aims to accelerate the development of treatments for children with rare diseases and cancer, a critical area where treatment options have historically been limited.
Hospital at Home Program Extended for Five Years
highH.R. 4313, the Hospital Inpatient Services Modernization Act, passed, extending the successful hospital at home waiver program for an additional five years. This program allows hospitals to treat Medicare patients safely in their homes, reducing infection risks, improving patient satisfaction, and potentially lowering costs.
Enhanced Oversight and Fraud Enforcement for SBA Programs
mediumThe House approved H.R. 4491, the SBA IT Modernization Reporting Act, to improve the SBA's IT infrastructure and oversight, and H.R. 4495, the SBA Fraud Enforcement Extension Act, which extends the statute of limitations for fraud related to the Shuttered Venue Operators Grant and Restaurant Revitalization Fund programs from 5 to 10 years, aiming to hold fraudsters accountable.
Taxpayer Rights and Tax Court Procedures Improved
mediumTwo bills, H.R. 5346, the Fair and Accountable IRS Reviews Act, and H.R. 5349, the Tax Court Improvement Act, passed. These measures aim to ensure fair imposition of IRS penalties by requiring supervisory approval and to enhance judicial review processes in the U.S. Tax Court, including allowing equitable tolling for filing deadlines.
Human Trafficking Survivor Relief and Immigration Restrictions for Terrorists
highThe House passed H.R. 4323, the Trafficking Survivors Relief Act, providing a Federal pathway for human trafficking victims to vacate certain convictions and expunge arrest records for nonviolent offenses committed as a direct result of their trafficking. Concurrently, H.R. 176, the No Immigration Benefits for Hamas Terrorists Act of 2025, was approved, explicitly barring individuals associated with Hamas or Palestinian Islamic Jihad from entering the U.S. or receiving immigration benefits.