Rep. Herbert C. Conaway, Jr.

Maddy summaryThis bill rebrands the current Medicare payment system for physicians as the Data-driven Performance Payment System and updates how financial incentives are calculated starting in 2028. Under the new rules, doctors who meet performance standards will receive a 25% payment increase, while those below the standard will face a 25% decrease, with a lower penalty for those who cannot report data due to extraordinary circumstances. The legislation also creates a funding mechanism to provide lump-sum bonuses to small, under-resourced practices in rural or underserved areas when the overall system generates savings, ensuring these providers can invest in care improvements.

Maddy summaryThis bill, titled the Protecting Human Rights and Public Health in Foreign Assistance Act, aims to cancel specific regulations issued by the Department of State. It directly affects the federal government by prohibiting any department or agency from enforcing, implementing, or proposing rules related to protecting life, combating discriminatory equity ideology, and combating gender ideology in foreign aid programs. The legislation treats these cancelled rules as if they never existed, effectively nullifying their impact on future foreign assistance policies.

Maddy summaryHR 5543, the Baltic Security Assessment Act of 2025, requires the U.S. State and Defense Departments to submit a report within 180 days of enactment. The report will assess emerging military, cyber, hybrid, and political threats to Estonia, Latvia, and Lithuania, including the roles of Russia, Belarus, China, Iran, and other actors. It will also evaluate U.S. and NATO military presence in the region, opportunities for defense cooperation, and recommendations to strengthen deterrence, cybersecurity, and democratic resilience in the Baltic countries. This bill directly affects U.S. foreign policy and defense planning regarding the Baltics, but does not create new programs or funding.

Maddy summaryThis bill establishes a grant program to help vulnerable mothers and babies in areas with high climate-related health risks, such as extreme heat and air pollution. It directs the Department of Health and Human Services to award up to $105 million over four years to community groups, healthcare providers, and local organizations for initiatives that provide cooling resources, health education, and support services. The program prioritizes areas with high rates of maternal and infant health disparities and requires grantees to address racial and ethnic inequities. Additionally, the bill creates a research consortium at the National Institutes of Health to study climate impacts on birth outcomes and funds training programs for health profession schools to better prepare providers for these risks.

Maddy summaryThe Momnibus Act is a comprehensive legislative bill designed to improve maternal health outcomes across the United States by addressing social determinants of health, expanding access to care, and reducing disparities among pregnant and postpartum individuals. The bill establishes a federal task force to coordinate efforts between agencies and stakeholders to eliminate preventable maternal mortality and severe morbidity, while providing sustained funding to community-based organizations to address nonclinical factors like housing, nutrition, and transportation. Key provisions include extending WIC eligibility to 24 months postpartum, creating grants to grow and diversify the perinatal workforce, implementing respectful maternity care training for all healthcare employees, and establishing compliance programs to track and address bias in maternity care settings. The legislation also includes specific measures for incarcerated mothers, veterans, and vulnerable populations affected by climate change, alongside funding for maternal mental health services and technology-enabled care models to expand access in underserved areas.

Maddy summaryThis bill updates federal law to prohibit excluding military members from assignments or career fields based on their gender, affecting all branches of the U.S. Armed Forces. It requires the Secretary of Defense to submit annual reports detailing changes to occupational standards and data on involuntary reclassifications or separations, broken down by military job and gender. The legislation also modernizes how the military evaluates job requirements, mandating that standards be based on scientifically rigorous assessments of technical, tactical, cognitive, and physical abilities rather than gender. Additionally, it directs the Secretary of Defense to submit a full review of ground combat unit effectiveness to Congress and requires an independent audit of that review within 180 days.

Maddy summaryThis resolution formally acknowledges historical and ongoing injustices in women's healthcare, particularly affecting marginalized groups such as Black, Indigenous, immigrant, LGBTQ+, disabled, and low-income women. It highlights specific issues including dismissed pain, lack of bodily autonomy, and past medical abuses like non-consensual sterilization and coercive contraceptive testing. The bill calls for patient-centered care, expanded research, and stronger protections for reproductive and gynecological health, while urging the federal government to address systemic bias in medical settings.

Maddy summaryThis bill directs the Secretary of Health and Human Services to conduct a study on barriers that prevent patients from accessing pain management during gynecologic procedures. The study will examine factors such as insurance coverage, provider training, and resource availability, and will include input from patients, medical professionals, and health equity experts. Within 24 months of enactment, the Secretary must submit a report with findings and recommendations to relevant congressional committees. The bill does not change current laws or funding but establishes a research requirement to inform future policy decisions.

Maddy summaryThis bill would create a federal paid leave program allowing employees to take up to 96 hours of paid time off each year for reproductive health needs, including menstrual care, endometriosis, fertility treatments, and pregnancy-related procedures. It applies to private employers with at least five employees and certain government workers, requiring employers to grant this leave upon request without requiring employees to find replacements during their absence. The legislation prohibits retaliation against employees who use this leave and establishes enforcement mechanisms through the Department of Labor, including civil penalties for violations. Employers with existing paid leave policies that already cover these reproductive health reasons would not need to provide additional leave under this bill.

Maddy summaryThis bill directs the National Institutes of Health to expand research into Premenstrual Dysphoric Disorder, a severe mood and physical condition affecting 5 to 8 percent of women and people assigned female at birth. It requires the agency to collect data on PMDD prevalence, economic impact, and treatment barriers while ensuring diverse populations are included in studies. The legislation also funds public awareness campaigns and grants to train healthcare professionals in diagnosing and treating the condition. Additionally, the bill mandates a report to Congress within two years detailing progress on research, education, and access to care.