Carol Miller

This resolution honors the service and sacrifice of U.S. Army Specialist Sarah Beckstrom and U.S. Air Force Staff Sergeant Andrew Wolfe as members of the West Virginia National Guard and extends sympathy, gratitude, and support for their families in the wake of the attack on November 26, 2025, in Washington, DC. The resolution also honors the bravery of the other National Guard members on the scene, expresses gratitude for the action of first responders, and condemns the attack.

**United States Trade Leadership in the Indo-Pacific Act** This bill requires certain actions related to trade in the Indo-Pacific region. Specifically, the bill directs the U.S. International Trade Commission to investigate the effects of existing Indo-Pacific regional trade agreements (e.g., the Regional Comprehensive Economic Partnership and the Comprehensive and Progressive Agreement for Trans-Pacific Partnership) on U.S. exporters and competitiveness in the region. Additionally, the bill establishes the Indo-Pacific Trade Strategy Commission to develop findings and recommendations for a comprehensive trade strategy for the Indo-Pacific region.

**Medicare Patient Access and Practice Stabilization Act of 2025** This bill increases certain payment adjustments under the Medicare physician fee schedule for services furnished between April 1, 2025, and January 1, 2026.

**Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act** This bill allows, beginning in 2028, for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. Coverage is limited to those under a certain age (age 68 in 2028, increased by one year every year thereafter) and to one test every 11 months.

**Charitable Act** This bill allows an individual taxpayer who does not itemize their tax deductions to claim a tax deduction for charitable contributions and eliminates the tax penalty for overstating charitable contributions. (Some limitations apply). Under the bill, for tax years beginning in 2026 or 2027, an individual taxpayer who does not itemize their tax deductions may deduct charitable contributions of up to one-third of the standard deduction allowed to such individual. (Under current law, an individual taxpayer generally must itemize their tax deductions to deduct charitable contributions.) The bill also eliminates the tax penalty for an underpayment of taxes attributable to overstated charitable contributions by taxpayers who do not itemize deductions. (Under current law, taxpayers who claim a deduction under this bill may be assessed a tax penalty in the amount of 50% of the portion of an understatement of tax liability attributable to overstated charitable contributions.)

**Sustainable Cardiopulmonary Rehabilitation Services in the Home Act** This bill permanently allows services relating to cardiac rehabilitation programs, intensive cardiac rehabilitation programs, and pulmonary rehabilitation programs to be furnished via telehealth at a beneficiary's home under Medicare.

**Main Street Tax Certainty Act** This bill makes permanent the qualified business income (QBI) tax deduction. Under current law, individuals, estates, and trusts may deduct the lower of (1) 20% of QBI from a qualified business, qualified real estate investment trust dividends, and qualified publicly traded partnership income; or (2) 20% of taxable income less net capital gain. (Some limitations apply.) However, under current law, the QBI tax deduction expires after December 31, 2025.