Rep. Jill N. Tokuda

Maddy summaryThe Rural Emergency Hospital Designation Improvement Act expands Medicaid coverage for services provided by rural emergency hospitals and allows these facilities to offer additional inpatient units for psychiatric, rehabilitation, and obstetric care. It also creates a pathway for existing facilities that operate similarly to rural emergency hospitals to convert their status by waiving certain requirements, while permitting them to provide skilled nursing "swing bed" services under specific agreements. To support financial sustainability, the bill increases Medicare payments for diagnostic laboratory tests performed at these hospitals by 5 percent starting in 2027 and ensures that facilities reverting to critical access hospital status can regain their necessary provider designation. Additionally, the legislation designates rural emergency hospitals as health professional shortage areas to facilitate National Health Service Corps placements and includes them in the Small Rural Hospital Improvement Program grant eligibility.

Maddy summaryThe 9-8-8 Implementation Act of 2026 expands federal funding and mandates insurance coverage for behavioral health crisis services, directly affecting individuals experiencing mental health or substance use emergencies as well as the providers who serve them. The bill authorizes grants to upgrade local lifeline call centers, build new crisis stabilization facilities, and train a larger workforce of behavioral health professionals. It requires Medicare, Medicaid, private group health plans, TRICARE, and other federal insurance programs to cover crisis response services with financial terms no more restrictive than standard medical care. Additionally, the legislation establishes a federal panel to develop training protocols for 9-1-1 dispatchers to better connect callers to appropriate crisis care rather than law enforcement responses.

Maddy summaryThe Launching with Healthcare Act extends the period during which young adults must be covered under their parents' health insurance plans from age 26 to age 31. This change directly affects individuals up to age 31 and the employers or insurers providing these family coverage plans. The bill amends the Public Health Service Act to implement this new age limit, with the provision taking effect for plan years that begin after December 31, 2026.

Maddy summaryThe 9-8-8 Community Infrastructure Act authorizes $1 billion in grants for capital projects at health centers and crisis response facilities. Eligible recipients include federally funded health centers, tribal organizations, and specialized non-hospital facilities that provide 24/7 mental health and substance use crisis services. Funds may be used for construction, renovation, expansion, or loan repayment to improve these infrastructure sites. The bill specifically defines eligible crisis facilities as those offering stabilization beds, sliding-scale payment options, and no-wrong-door admission without rejecting patients based on ability to pay or other factors.

Maddy summaryThis bill modifies tax rules to provide relief for individuals affected by major disasters. It allows taxpayers to deduct disaster-related losses (like damaged homes or personal property) more easily by creating a new "disaster loss deduction" that combines certain casualty losses and adjusts for income limits. It also excludes wildfire relief payments (such as compensation for lost wages or home damage not covered by insurance) from taxable income for people in federally declared wildfire areas, effective 2026 through 2030. These changes apply to losses incurred in taxable years starting after 2024, specifically for disasters declared between 2025 and 2027.

Maddy summaryHR 1869 creates a new DOJ task force within the Criminal Division to investigate and prosecute international trade crimes, such as customs evasion, smuggling, and trade-based money laundering. It requires the DOJ to hire specialized prosecutors, coordinate with agencies like U.S. Customs and Border Protection, and focus on specific violations covered under statutes like 18 U.S.C. §§ 541-546 and 21 U.S.C. § 331. The bill authorizes $20 million in funding for fiscal year 2026 (with 80% dedicated to criminal prosecutions), mandates annual reports to Congress on enforcement activities, and requires the DOJ to develop multi-agency partnerships to address these crimes. This directly affects federal prosecutors, border enforcement agencies, and industries impacted by trade violations.

This bill designates the facility of the United States Postal Service located at 15642 Sand Canyon Avenue in Irvine, California, as the "Mary Kageyama Nomura Post Office Building".

Maddy summaryThe Affordable Pricing for Taxpayer-Funded Prescription Drugs Act of 2026 requires federal agencies to include reasonable pricing clauses in all research grants and contracts involving biomedical products. Under this provision, U.S. residents cannot be charged more than the median price found in Canada and six other high-income OECD countries for any drug, device, or therapy developed with federal support. The Secretary of Health and Human Services is authorized to establish additional regulations, such as mechanisms to lower prices when revenues exceed targets or costs per health benefit are too high, while retaining the ability to waive these obligations if doing so serves the public interest. To ensure accountability, manufacturers must report clinical trial costs, government subsidies, and annual revenues by county, with all data made publicly available.

Maddy summaryThe Lindsey O. Graham Sanctioning Russia and Iran Act of 2026 imposes comprehensive economic restrictions on the Russian Federation, including blocking assets of government officials, state-owned financial institutions, and entities supporting the defense sector. The bill prohibits new U.S. investments in Russia, bans the purchase of Russian sovereign debt, and restricts the importation of uranium and energy products from the country. Additionally, it authorizes the imposition of tariffs up to 500 percent on goods imported directly from Russia and up to 100 percent on goods from foreign nations that continue to purchase significant volumes of Russian crude oil or natural gas. The legislation also extends the Iran Sanctions Act through 2031 and includes a five-year sunset provision for the new measures, subject to specific humanitarian and safety exceptions.