Rep. Jim Costa

Maddy summaryThis bill expands Medicare's drug price negotiation program to cover 50 drugs (up from 20) and requires health insurers to apply negotiated prices to cost-sharing for beneficiaries. It establishes annual out-of-pocket cost-sharing limits for prescription drugs under group health plans and insurance coverage, with specific limits of $2,000 for self-only coverage in 2027 that will increase annually. The bill also sets specific cost-sharing limits for insulin products, requiring coverage with no deductible and cost-sharing of no more than $35 per 30-day supply or 25% of the negotiated price. These provisions affect Medicare beneficiaries, people with group health plans, and health insurers across the country. The bill applies to plan years beginning on or after January 1, 2027.

Maddy summaryHR 6181, the John Lewis Every Child Deserves a Family Act, prohibits child welfare agencies receiving federal funds from discriminating against children, youth, or prospective foster/adoptive parents based on religion, sex (including sexual orientation and gender identity), or marital status. It directly affects LGBTQ youth in foster care - overrepresented at 30% of the system - who face higher risks of trauma, group home placements, and suicide attempts compared to non-LGBTQ peers. Key provisions require agencies to collect data on sexual orientation and gender identity, establish a National Resource Center for LGBTQ youth support, provide cultural competency training, and eliminate discriminatory practices. The law aims to improve safety, permanency, and placement stability by expanding access to family-based care and ensuring equitable services for all children in the system.

Maddy summaryThis bill establishes fairer pay and retirement benefits for federal firefighters. It requires that overtime hours worked during a firefighter's regular schedule be included in retirement calculations, improving retirement payouts. The bill also sets a maximum 60-hour regular workweek for federal firefighters, to be defined by the Office of Personnel Management within one year. These changes directly affect federal firefighters by addressing pay disparities with municipal firefighters and enhancing recruitment and retention.

Maddy summaryHRES 895 is a symbolic House resolution designating November 20-December 20, 2025, as "National Survivors of Homicide Victims Awareness Month." It expresses congressional support for raising public awareness about the needs of families and communities affected by homicide, without creating new laws or funding. The resolution calls for promoting awareness, supporting survivors through services, and encouraging research to improve behavioral health access and homicide clearance rates. It does not impose new requirements or alter existing policies.

Maddy summaryHRES 894 is a non-binding resolution expressing the House of Representatives' view that strong public education in U.S. history and civics is vital for preserving the nation's founding ideals ahead of the 2026 250th anniversary of the Declaration of Independence. It encourages states and schools to provide age-appropriate instruction on the American Revolution, Constitution, and key figures like George Washington, while promoting voluntary partnerships between schools, museums, and historic sites. The resolution does not create new laws or funding but emphasizes the importance of teaching core principles like liberty, equality, and civic responsibility. It specifically references the 2026 anniversary as a moment to strengthen public understanding of U.S. history and citizenship. This is a symbolic statement, not a policy with enforceable requirements.

Maddy summaryThis bill would require Medicare to cover early detection screening tests for Alzheimer's disease and related dementias starting January 1, 2028. It defines eligible tests as FDA-cleared genomic blood tests, blood product analyses, or equivalent medical imaging methods (like protein expression or whole genome sequencing) that detect pre-symptomatic or early-stage conditions. Medicare beneficiaries would receive this coverage without cost-sharing for these specific screenings. The bill amends Medicare coverage rules to explicitly include these tests under Section 1861(nnn) of the Social Security Act.

Maddy summaryHR 6126 authorizes the minting of commemorative coins to mark the 100th anniversary of the U.S. Foreign Service (established in 1924). It specifies three coin types: up to 50,000 $5 gold coins (90% gold), 400,000 $1 silver coins (90% silver), and 750,000 half-dollar coins, all to be sold during 2029. A surcharge of $35 per gold coin, $10 per silver coin, and $5 per half-dollar is added to the sale price, with all surcharge funds directed to the Association for Diplomatic Studies and Training to support its diplomatic history preservation work. The coins must include standard inscriptions (e.g., "Liberty," "United States of America") and will be legal tender, but the bill does not create new policy or affect government operations.

Maddy summaryHR 6148, the Patients Over Paperwork Act of 2025, repeals Section 71107 of Public Law 119-21, which had changed how states review Medicaid eligibility. It restores the previous rules for Medicaid eligibility redeterminations as if that section had never been enacted. This directly affects Medicaid beneficiaries and state Medicaid programs by reverting to the pre-2024 process for verifying ongoing eligibility.

This bill designates the facility of the United States Postal Service located at 28201 Franklin Parkway in Santa Clarita, California, as the "Deputy Ryan Clinkunbroomer Post Office Building".

Maddy summaryThe Global Respect Act (HR 6151) requires the U.S. President to publicly list foreign officials responsible for severe human rights violations against LGBTQI individuals, including torture, prolonged detention, or violence based on sexual orientation or gender identity. It mandates denying visas and entry to listed individuals and requires annual reports on the list's updates and impacts. The bill also directs the State Department to track global violence against LGBTQI people and update annual human rights reports to include discrimination based on sexual orientation or gender identity. These provisions directly affect foreign government officials and entities implicated in such abuses, aiming to increase accountability through U.S. visa restrictions.