Rep. Tracey Mann

Give Kids a Chance Act of 2025 This bill expands the Food and Drug Administration’s (FDA’s) authority with respect to research on rare pediatric diseases, including by permitting the FDA to take enforcement action against drug sponsors that fail to satisfy pediatric study requirements and by reauthorizing programs that support pediatric research.  Specifically, the bill modifies requirements relating to molecularly targeted pediatric cancer investigations to permit research on new drugs in combination with active ingredients that have already been approved, provided certain conditions are met; permits the FDA to take enforcement action against drug sponsors that fail to comply with pediatric study requirements, if such sponsors demonstrated a lack of due diligence in satisfying the requirement; renews the FDA’s authority to award priority review vouchers to sponsors of new products intended to treat rare pediatric diseases through September 30, 2029; and reauthorizes through FY2027 certain funding for the National Institutes of Health to support priority pediatric research.  The bill also provides statutory authority for the FDA’s interpretation of the orphan drug exclusivity period. The bill specifies, consistent with FDA regulations, that the seven-year market exclusivity period for drugs for rare diseases or conditions (i.e., orphan drugs) prohibits the approval of the same drug for the same approved use or indication with respect to the disease or condition. (In Catalyst Pharmaceuticals, Inc. v. Becerra , a court rejected the FDA’s interpretation and held that orphan drug exclusivity extends to all uses or indications for the disease or condition.)

Maddy summaryThis bill denies immigration benefits to individuals who participated in, supported, or facilitated Hamas attacks against Israel starting October 7, 2023. It amends immigration law to make such individuals inadmissible (barred from entering the U.S.) and ineligible for any immigration relief, including asylum or other protections. The law requires annual reports from the Homeland Security Secretary tracking how many people are denied entry or removed under these provisions. It directly affects non-U.S. nationals involved in Hamas-related violence against Israel since the October 7, 2023, attacks.

Maddy summaryHR 5563, the DRIVE-SAFE Act, creates a structured apprenticeship program for commercial drivers under age 21. It requires employers to provide a two-phase training program: a 120-hour probationary period focused on basic driving skills (like traffic navigation and safety awareness), followed by a 280-hour period covering advanced tasks (such as pre-trip inspections and load management). During both phases, apprentices must operate vehicles equipped with automatic transmissions, collision mitigation systems, and video capture, and must be accompanied by an experienced driver (26+ years old with no recent accidents or violations). The bill does not change existing commercial driver’s license requirements and mandates employers to maintain records and provide remediation for preventable accidents or violations during training.

Maddy summaryHR 4802, the Securing Infrastructure from Adversaries Act of 2025, bans the use of federal funds for certain foreign-made LiDAR technology in transportation projects. It prohibits the Secretary of Transportation from procuring, obtaining, or contracting for LiDAR technology from specified "covered foreign countries," "covered LiDAR companies," or "covered LiDAR technology" starting June 30, 2026. Contractors must certify they will not use banned technology, and the Secretary may grant limited waivers for national security reasons, requiring congressional notification. This directly affects transportation infrastructure projects funded by the Department of Transportation, including grants and contracts.

Maddy summaryThis bill requires commercial motor vehicle drivers to demonstrate English proficiency to pass knowledge tests or receive certification. Starting two years after enactment, drivers must understand English traffic signs, communicate with safety officers (like border patrol), and exchange directions in English while operating vehicles. It bans administering these tests in any language other than English and mandates the Transportation Secretary to update related regulations within two years. The law directly affects commercial drivers seeking certification or renewing licenses under federal rules.

Maddy summaryThe ADOPT Act of 2025 creates federal offenses to prevent exploitation in private domestic interstate adoptions. It prohibits unlicensed groups from acting as intermediaries between birth parents and adoptive parents, restricts certain adoption advertising, and caps payments to birth parents at $2,500 before consulting a licensed agency or attorney. The bill directly affects unlicensed adoption facilitators, birth parents, and prospective adoptive parents by requiring all adoption services to occur through licensed providers or exempt entities like attorneys and nonprofit agencies. Violations carry fines up to $100,000 for organizations or $50,000 plus 5 years in prison for individuals, with exemptions for public agencies, licensed child-placing organizations, and attorneys.

Maddy summaryHR 6167, the HEALTH Act of 2025, creates a new tax deduction for physicians providing unreimbursed charity care to patients enrolled in Medicaid (Title XIX) or CHIP (Title XXI) programs. The deduction equals the Medicare fee schedule amount for such care, but excludes services like sex reassignment surgeries and hormone treatments for gender transition. Additionally, the bill adds liability protection for physicians providing this charity care, shielding them from civil lawsuits for non-intentional harm during such services, and preempts conflicting state laws. This directly affects physicians who serve low-income patients through public health programs.

Rural Hospital Closure Relief Act of 2025 This bill temporarily allows additional hospitals to qualify as critical access hospitals (CAHs) that receive special payment under Medicare. Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (or 15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area. The bill allows a hospital to also qualify if the hospital is a small, rural hospital that (1) serves a health professional shortage area, or a high number of low-income individuals or Medicare beneficiaries; (2) has experienced financial losses for two consecutive years; and (3) attests to having a strategic plan to address financial solvency and to committing to provide a service that is in high demand in the hospital's service area. This authority expires nine years after the bill's enactment. The Government Accountability Office must study the effects of the bill's implementation. In addition, the Medicare Payment Advisory Commission must study and recommend payment systems for rural hospitals under Medicare. The Centers for Medicare & Medicaid Services must subsequently establish a mechanism and issue guidance on how newly designated CAHs may transition to different payment models under Medicare, including any new payment models recommended by the commission.

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 summaryHRES 891 is a ceremonial House resolution supporting the designation of National Rural Health Day, observed annually on the third Thursday of November (November 20, 2025, this year). It recognizes rural health care providers and the challenges rural communities face in accessing care, citing issues like hospital closures and workforce shortages. The resolution does not create new policies, funding, or requirements; it solely expresses the House's support for the day's goals and commitment to improving rural health accessibility. This is a non-binding acknowledgment, not a legislative action with concrete policy changes.