The Racehorse Health and Safety Act of 2025 is designed to improve the health and welfare of racehorses while ensuring the integrity and safety of horseracing. Its primary goal is to enable states to form an interstate agreement that establishes consistent medication and safety regulations across the country. This legislation marks a significant shift from the previous Horseracing Integrity and Safety Act of 2020, emphasizing state-level control and cooperation through an interstate compact rather than federal oversight.