Rep. Juan Ciscomani

Maddy summaryHR 7651, the Chloe Cole Act of 2026, prohibits healthcare providers from performing certain medical interventions on minors under 18 aimed at altering physical development to align with gender identity. These "covered interventions" include puberty blockers, hormone treatments, and specific surgeries, but exclude medically necessary care for conditions like disorders of sexual development or traumatic injuries. The bill creates a federal civil lawsuit right for affected minors or their parents against providers who perform such interventions, allowing claims for damages including emotional distress and punitive awards, with strict liability for providers after the law's enactment. It explicitly allows exceptions for legitimate medical treatments and requires providers to prove such exceptions apply if challenged.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.

Maddy summaryThis bill directs the U.S. Secretary of State to create and execute a plan to end the operations of the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) across the Middle East. The legislation requires a detailed strategy that assesses current programs like education and healthcare, identifies new organizations to take over these services, and outlines how to fund and oversee the transition without interrupting aid. Once the plan is submitted to Congress, the State Department must begin implementing it within a year while coordinating with host countries and international partners. The bill emphasizes maintaining service continuity and ensuring that any successor groups meet strict standards for transparency and accountability.

Maddy summaryThe AIR CARE for Vets Act of 2026 directs the Department of Veterans Affairs to run a five-year pilot program using specialized software to detect respiratory disorders and lung diseases in veterans receiving care at VA facilities. To implement this, the VA will lease FDA-approved four-dimensional functional lung imaging software from eligible developers to analyze lung function data. The program is funded with up to $25 million over five years, and the VA must submit a report to Congress two years after the pilot ends to evaluate its effectiveness.

Maddy summaryThis resolution expresses support for designating July 10th as Journeyman Lineworkers Recognition Day to honor the workers who maintain the nation's electrical grid. The bill specifically recognizes the dangerous conditions these employees face, such as working at heights near live power lines and responding to disasters like hurricanes and wildfires. It also commemorates Henry Miller, the first president of the International Brotherhood of Electrical Workers, who died on July 10, 1896, while performing his duties. Ultimately, the measure encourages the public to observe this day with reflection on the contributions of lineworkers.

Maddy summaryThe Jewish American Security Act aims to combat antisemitism by strengthening protections for Jewish students, securing Jewish communities, and increasing transparency regarding online hate speech. For educational institutions receiving federal funds, the bill mandates the creation of specific coordinators to handle discrimination complaints, requires annual training on handling antisemitism, and establishes a new federal clearinghouse to share best practices for campus safety. To support physical security, the legislation expands grant funding for nonprofit organizations and directs the Attorney General to provide resources for law enforcement agencies protecting houses of worship. Additionally, the act requires major online platforms with over 50 million monthly users to submit detailed reports to the Federal Trade Commission on how they detect, remove, and moderate antisemitic content.

Maddy summaryHR 4398, the Veteran Burial Timeliness and Death Certificate Accountability Act, requires Veterans Affairs (VA) physicians or nurse practitioners to certify the death of a veteran who dies of natural causes within 48 hours of learning of the death. This directly affects veterans' families, who previously faced delays of up to eight weeks in burial and access to survivor benefits due to slow death certifications. The bill mandates annual reports to Congress on VA compliance with the 48-hour rule, including statistics on delays and their causes. The key change is establishing a strict timeline for death certification to prevent unnecessary delays in honoring veterans' final arrangements.

Maddy summaryThis bill authorizes Congress to award a Congressional Gold Medal to individuals who fought for or with the United States in the Pacific theater during World War II and subsequently became prisoners of war. The legislation specifically recognizes the service and sacrifice of those who defended locations such as Bataan and Corregidor, including Filipino soldiers and civilians who served alongside U.S. forces. To implement this award, the Speaker of the House and the President pro tempore of the Senate will arrange for the creation of a gold medal by the Secretary of the Treasury, which will be presented to the Smithsonian Institution for display. The act also allows for the production of duplicate bronze medals to cover the costs of the original gold medals, with any proceeds from these sales deposited into the United States Mint Public Enterprise Fund.

Maddy summaryThis bill redesignates the existing National Parks and Public Land Legacy Restoration Fund as the America's Legacy Restoration Fund to address deferred maintenance on federal lands. It directs revenue from recreation fees and a portion of energy development income into the fund, which must be used primarily for repairing critical infrastructure like roads, trails, and buildings managed by agencies such as the National Park Service and the Forest Service. The legislation establishes strict rules requiring that most funds go toward non-transportation projects, mandates transparency through public dashboards tracking project status, and sets aside a small percentage for matching private donations. Additionally, the bill increases entrance fees for foreign visitors to ensure they contribute to the fund, while prohibiting the use of these specific funds for land acquisition or employee bonuses.

Maddy summaryThe Disaster Loan Accountability and Reform Act (DLARA) requires the Small Business Administration (SBA) to improve transparency and accountability for disaster loans. It mandates monthly reports detailing loan funding status, new budget requests with historical cost comparisons, and strict limits on loan obligations when funds fall below 10% of a 10-year average. The bill also requires GAO and SBA Inspector General reviews of funding shortfalls, cost impacts of recent policy changes, and enhanced forecasting for disaster loan budgets. These provisions directly affect the SBA’s operations and its reporting to Congress, aiming to prevent future funding crises through better data and oversight.