Rep. Nikki Budzinski

Maddy summaryThis bill requires the military to approve leave for abortion and fertility care without commanders needing to know the specific procedure. It mandates reimbursement for travel, lodging, meals, and transportation costs when care isn't available nearby, and prohibits punishment for using this leave. It directly affects active-duty service members and their dependents who face barriers to reproductive care due to military restrictions or location. The policy change removes command discretion in approving leave for time-sensitive reproductive health services.

Maddy summaryThe WORK to Save Lives Act requires the Occupational Safety and Health Administration (OSHA) to issue two types of guidance within 270 days of enactment. For private employers (excluding the U.S. Postal Service), OSHA must provide non-mandatory guidance on acquiring naloxone kits and offering annual employee training for opioid overdose emergencies. For all federal agencies (including the Veterans Health Administration), OSHA must issue mandatory regulations requiring agencies to maintain naloxone kits and provide annual employee training on their use. The bill directly affects private businesses and federal workplaces by establishing specific, time-bound requirements for opioid overdose response preparedness.

Maddy summaryHR 7480, the FAIR Act, sets pay adjustments for federal employees in 2027. It increases base pay by 3.1% for most federal workers under standard pay systems and for employees paid according to local civilian wages in high-cost areas. Additionally, it raises locality pay adjustments by 1% for 2027. The bill directly affects all federal employees covered by these pay systems through concrete, formula-based adjustments.

Maddy summaryHR 7391, the Community Health Center Drug Pricing Protection Act, requires that Federally Qualified Health Centers (FQHCs) pay the discounted 340B ceiling price for covered drugs **at the time of purchase**, not later through rebates or adjustments. This directly affects FQHCs, which rely on 340B discounts to provide affordable care to low-income patients. The bill amends the Public Health Service Act to prohibit manufacturers from entering agreements where FQHCs initially pay more than the ceiling price, with later reimbursement. It takes effect immediately upon enactment for all new drug purchases and applies to existing agreements starting then.

Maddy summaryThe Rebuild America's Schools Act of 2026 authorizes $20 billion annually from 2027 to 2031 to improve public school facilities nationwide. The bill provides grants to states to fund school construction, renovation, and modernization projects that focus on safety, energy efficiency, and accessibility, with priority given to schools serving high percentages of students eligible for free or reduced-price lunch. Funds cannot be used for routine maintenance, athletic facilities, or vehicles, and must meet specific environmental, safety, and energy efficiency standards. The bill also includes specific provisions for repairing school foundations affected by pyrrhotite, a mineral that causes concrete deterioration, and requires use of American-made materials for construction projects.

Maddy summaryHR 7335 establishes comprehensive humanitarian standards for individuals held in U.S. Immigration and Customs Enforcement (ICE) and U.S. Customs and Border Protection (CBP) custody. The bill requires facilities to provide immediate health screenings within 12 hours (6 hours for high-risk individuals like children, pregnant people, or those with medical conditions), ensure access to adequate water, sanitation, food (with 2,000+ calories daily for adults), and age-appropriate shelter. It mandates specific facility standards including separate housing for males and females, accessible accommodations for people with disabilities, daily outdoor access for those detained over 48 hours, and proper medical equipment and personnel on-site. The bill also requires regular inspections, staff training on humanitarian protocols, and public reporting of sexual abuse complaints. These standards directly affect all individuals detained by ICE or CBP, with special protections for vulnerable groups like children, pregnant people, and those with medical needs.

Maddy summaryHR 7265, the Vote by Mail Tracking Act, requires all government entities sending mail-in ballots for federal elections to use a standardized Postal Service barcode on ballot envelopes. This barcode enables tracking of each individual ballot, while also mandating specific envelope designs and machineability standards set by the Postal Service. The bill applies to all mail-in ballots for federal office elections starting in 2026, but excludes Federal write-in absentee ballots under the Uniformed and Overseas Citizens Absentee Voting Act. The Postmaster General must provide compliance guidance to government entities by June each year to implement the tracking system.

Maddy summaryThis bill amends federal energy conservation law to require federal agencies to consider mechanical insulation as a standard energy-saving measure during building evaluations. It defines "mechanical insulation property" as materials that reduce energy loss in mechanical systems while meeting ASHRAE 90.1 standards, including insulation placed in service with those systems. The law adds mechanical insulation to the list of measures agencies must evaluate for potential installation in federal buildings as part of their required energy and water assessments. This directly affects federal agencies managing buildings, ensuring they formally assess this specific efficiency measure during routine evaluations.

Maddy summaryThis bill expands Medicare incentives to increase mental health and substance use disorder care in underserved areas. It adds a 15% bonus payment to Medicare for specific mental health and substance use services provided by qualified non-physician providers (like clinical social workers, psychologists, and counselors) in designated "mental health professional shortage areas." The bonus applies to services furnished on or after January 1, 2027, directly benefiting Medicare beneficiaries in these areas and encouraging more providers to work there. The change modifies existing Medicare payment rules to include these new provider types and service categories.

Maddy summaryThis bill would improve Medicare reimbursement for specific care services needed by people with ALS (amyotrophic lateral sclerosis). It creates a new payment system for eight key services including specialized physician support, occupational therapy, speech pathology, physical therapy, dietary support, respiratory support, registered nurse support, and coordination of medical equipment. The bill sets a base payment of $800 for these services in 2027, with annual increases based on a specific formula. This directly affects ALS patients who would have better access to these services and the medical facilities that provide them.