Mike Rounds

Cosponsor · Improving Seniors' Timely Access to Care Act of 2025 This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans. Specifically, MA plans must (1) establish an electronic prior authorization program that meets specified standards; (2) annually submit to the CMS for publication specified prior authorization information, including the percentage of requests approved and the average response time; and (3) meet other standards, as set by the Centers for Medicare & Medicaid Services (CMS), relating to the quality and timeliness of prior authorization determinations. The CMS and the Office of the National Coordinator for Health Information Technology must publish on the CMS' website a report that analyzes the information received from MA plans, the feasibility of implementing real-time decision making with respect to prior authorization requests, and the impact of decisions that are made using artificial intelligence on patient access.

Cosponsor · Strengthening Exports Against China Act This bill allows the Export-Import Bank of the United States (EXIM) to exclude financing provided to certain U. S. exporters from its default rate cap calculations. EXIM, the official export credit agency of the United States, provides financing for U.

Cosponsor · Cybersecurity for Rural Water Systems Act This bill directs the Department of Agriculture (USDA) to establish a cybersecurity circuit rider program to provide cybersecurity technical assistance for rural water and wastewater systems. The program must be structured similarly to the USDA Circuit Rider Program. Under this program, USDA provides technical assistance to rural water systems that serve areas with populations of 10,000 or fewer people and are experiencing day-to-day operational, financial, or managerial issues. Specifically, the cybersecurity circuit rider program must provide technical assistance to rural water or wastewater systems to provide rapid assessments of the system's current ability or inability to respond to cybersecurity threats and protect cyber infrastructure, develop reasonable protocols to enhance cybersecurity protection, provide assistance to address inadequate cyber protection plans, and document a system's current state of water supply cyber protection.

Cosponsor · Laken Riley Act This bill requires the Department of Homeland Security (DHS) to detain certain non-U. S. nationals ( aliens under federal law) who have been arrested for burglary, theft, larceny, or shoplifting. The bill also authorizes states to sue the federal government for decisions or alleged failures related to immigration enforcement.

Cosponsor · Protection of Women and Girls in Sports Act of 2025 This bill generally prohibits school athletic programs from allowing individuals whose biological sex at birth was male to participate in programs that are for women or girls. Specifically, the bill provides that it is a violation of Title IX of the Education Amendments of 1972 for federally funded education programs or activities to operate, sponsor, or facilitate athletic programs or activities that allow individuals of the male sex to participate in programs or activities that are designated for women or girls. (Title IX prohibits discrimination on the basis of sex in federally funded education programs or activities, including in public elementary and secondary schools and in colleges and universities. ) Under the bill, sex is based on an individual's reproductive biology and genetics at birth.