New Era of Preventing End-Stage Kidney Disease Act

House Bill

H.R. 1518

119th Congress

New Era of Preventing End-Stage Kidney Disease Act

In Committee

Introduced:Aug 12, 2025

Primary Sponsor

Debbie Dingell

Representative

Democratic

MI-6

Cosponsors

11

Quick Stats

Policy Area

Economics and Public Finance

Summary

This bill would require automatic cuts to the budgets of federal programs whose legal authorization to receive funding has expired. The goal is to encourage Congress to regularly review and renew these programs, rather than letting them continue without oversight.

Latest Action

Referred to the Committee on Oversight and Accountability, and in addition to the Committees on Rules, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

AI Summary

Plain-English explanation of this bill

This bill would require automatic cuts to the budgets of federal programs whose legal authorization to receive funding has expired. The goal is to encourage Congress to regularly review and renew these programs, rather than letting them continue without oversight.

Last updated: 12/30/2025

Official Summary

Congressional Research Service summary

Unauthorized Spending Accountability Act of 2023 This bill establishes a three-year budgetary level reduction schedule for unauthorized programs funded through the annual appropriations process. Under the bill, a budgetary level is an allocation provided to the congressional appropriations committees under Section 302(a) of the Congressional Budget Act of 1974 by a congressional budget resolution or a deeming resolution. The schedule applies to programs included in the Congressional Budget Office's annual report listing programs that are funded through the appropriations process and have an authorization of appropriations that has either expired or will expire during the year. For the first year after a program's authorization has expired, the bill requires the budgetary level to be reduced by 10% of the funds appropriated for the program in the expiring fiscal year. The bill then requires reductions of 15% in the second and third years before terminating the program at the end of the third unauthorized year. Programs that are reauthorized during the three-year period are exempt from the budgetary level reductions if the reauthorization contains a sunset provision limiting the authorization of appropriations period to no more than three years. The bill establishes the Spending and Accountability Commission to review all mandatory spending programs and submit to Congress a legislative proposal to establish an authorization cycle for discretionary spending programs. The commission may recommend legislation to replace the budgetary level reductions required by this bill with reductions in mandatory spending. The commission's reauthorization schedule must limit reauthorizations to three years, include the budgetary level reductions established by this bill, and establish a mechanism for replacing the budgetary level reductions with reductions to mandatory spending programs. The House of Representatives must consider the commission's proposal using specified expedited legislative procedures.

Key Points

Main provisions of the bill

Programs whose funding authorization has expired would face 10% budget cuts in the first year, 15% in the second and third years, and then be terminated.
The bill creates a commission to review all mandatory spending programs and propose a new authorization cycle for discretionary spending.
The commission's proposal would have to include a mechanism to replace the budget cuts with reductions to mandatory spending instead.

How This Impacts Americans

Potential effects on citizens and communities

This bill would impact any federal program that receives annual appropriations but does not have its funding authorization regularly renewed by Congress. This could affect a wide range of government services and benefits, from national parks to medical research. If enacted, it could lead to reduced funding or elimination of some programs, potentially disrupting services for many Americans.

Policy Areas

Primary Policy Area

Economics and Public Finance

Related Subjects

Advisory bodies

Appropriations

Budget process

Congressional agencies

Congressional operations and organization

Executive agency funding and structure

House of Representatives

Members of Congress

Scope & Jurisdiction

Jurisdiction Level

federal

Congressional Session

119th Congress

Citation Reference

1518, 119th Congress (2025). "New Era of Preventing End-Stage Kidney Disease Act". Source: Voter's Right Platform. https://votersright.org/bills/118-hr-1518