Rep. Shomari Figures

Sickle Cell Disease Comprehensive Care Act This bill allows state Medicaid programs to establish health homes to provide coordinated care for individuals with sickle-cell disease. (Under current law, state Medicaid programs may establish health homes to provide coordinated care for individuals with specified chronic conditions.) States must ensure that such care includes dental and vision services. The Centers for Medicare & Medicaid Services must issue best practices for states on how to design and implement such health homes.

Maddy summaryThis bill amends the Social Security Act to remove an exclusion for rural facilities primarily treating mental health conditions from Medicare coverage. It specifically changes Section 1861(aa)(2) by deleting the phrase "or a facility which is primarily for the care and treatment of mental diseases," allowing these facilities to qualify for Medicare reimbursement. The change directly affects rural behavioral health centers specializing in mental health care that were previously excluded. The amendment takes effect on January 1, 2027, enabling these facilities to access federal Medicare funding for services.

Maddy summaryThis bill changes federal rules for rural healthcare facilities that employ physician assistants (PAs) and nurse practitioners (NPs). It requires these facilities (not run by a physician) to have arrangements consistent with state laws governing PA/NP practice, ensuring services follow state regulations. The policy directly affects rural clinics and hospitals seeking federal reimbursement for PA/NP services. The changes take effect January 1, 2027, aligning federal requirements with existing state oversight of these healthcare providers.

Maddy summaryHR 5198, the Rural Health Clinic Location Modernization Act of 2025, changes Medicare eligibility rules for rural health clinics by updating the definition of "urban area" used to determine clinic qualification. It replaces the current "urbanized area" standard with a clearer definition: any urban area (per Census Bureau data) having a population of 50,000 or more. This adjustment directly affects clinics seeking Medicare certification, ensuring they meet consistent geographic criteria for rural designation. The change takes effect January 1, 2027, aiming to simplify qualification rules without altering Medicare coverage or benefits.

Maddy summaryHR 1510, the Due Process Continuity of Care Act, expands Medicaid eligibility to cover individuals in jail or custody while awaiting trial or disposition of charges, at a state's option. This allows states to provide Medicaid benefits to this population without requiring them to be convicted first. The bill provides $50 million in planning grants to states to develop implementation plans, including assessing healthcare needs, recruiting providers (especially for behavioral health and substance use treatment), and creating electronic billing systems for correctional facilities and outpatient providers. States must also consult with stakeholders like jails, providers, and Medicaid advocates before finalizing their plans.

Maddy summaryThis bill requires most health insurance plans to cover HIV prevention services - including PrEP and PEP drugs, related lab tests, counseling, and monitoring - without cost-sharing (like copays or deductibles) or prior approval. It applies to private insurance, Medicare, Medicaid/CHIP, and federal employee health plans, directly affecting people who use HIV prevention medications. Key provisions mandate 100% coverage for FDA-approved HIV prevention drugs, eliminate cost-sharing for these services, and prohibit insurers from requiring preauthorization for them. The bill defines covered services to include all necessary components of HIV prevention care as outlined in current public health guidelines.

Maddy summaryHR 5126, the HIV Prevention Now Act, appropriates $2.165 billion for the CDC's National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention for fiscal year 2026. This funding is in addition to existing CDC appropriations and must be used exclusively by that specific center for its programs, with no transfer to other entities. The bill directly affects the CDC's public health operations by providing dedicated resources for prevention and treatment programs targeting HIV, viral hepatitis, STDs, and tuberculosis. It does not create new policies or alter eligibility but ensures sustained funding for existing prevention efforts at the federal level.

Maddy summaryThis bill prohibits Members of Congress, their spouses, and dependent children from owning or trading certain investments, including stocks, commodities, and derivatives (referred to as "covered investments"). It requires affected individuals to divest these investments within 90-180 days, with specific exemptions for Treasury bonds, diversified mutual funds, small business interests, and family trusts meeting strict conditions. Violations incur penalties of 10% of the investment's value plus disgorgement of profits, paid directly to the U.S. Treasury. The law applies to all covered individuals during federal service, with exceptions for investments acquired through inheritance or occupational trading (e.g., a spouse’s finance job).

Maddy summary# Summary of Proposed FEMA Reform Legislation (FEMA Act of 2025) This comprehensive legislative document proposes significant reforms to the Robert T. Stafford Disaster Relief and Emergency Assistance Act, with four main sections addressing: ## 1. Disaster Assistance Reforms - **Expanded eligibility** for assistance, including clarifying that absence of a fixed address doesn't disqualify individuals from sheltering assistance - **Improved rental assistance** with consideration of local post-disaster rent increases - **Direct assistance** for those unable to use financial assistance, with no requirement to show other assistance can cover costs (except insurance) - **Enhanced notices** for applicants, including documentation of denial decisions - **Clarification of displacement assistance** eligibility, stating insurance shouldn't be considered a duplication of benefits ## 2. Mitigation Program Enhancements - **Preapproved project mitigation plans** requiring states to develop plans with peer review processes - **Improved allocation of funds** with formulas prioritizing vulnerable communities, high-risk areas, and rural/economically distressed communities - **Resilient buildings** requirements for housing retrofits using the latest building codes - **Streamlined application processes** for hazard mitigation funds across multiple programs - **Study on mitigation benefits** to evaluate cost savings and effectiveness ## 3. Transparency and Accountability Measures - **Public dashboards** for both individual assistance (431) and public assistance (432) showing application status, approvals, denials, and funding - **Transparency requirements** for disaster declarations with detailed justifications for approvals/denials - **GAO studies** on numerous topics including: - Identity theft in disaster assistance (409) - Insurance utilization for public assistance facilities (410) - Wildfire management plans (411) - Effectiveness of alerting systems (412) - Cost savings of repair/rebuilding reforms (415) - **Prohibition on political discrimination** in assistance distribution ## 4. Workforce and Operational Improvements - **Study on workforce retention** in noncontiguous communities - **Pilot program** for preliminary damage assessments in remote communities - **Fast-moving disasters working group** to develop best practices for rapid response The legislation focuses on improving efficiency, transparency, and effectiveness of disaster relief programs while prioritizing vulnerable populations and communities with higher risk of disasters. It also emphasizes data-driven decision making through required studies and reports to continuously improve disaster management policies.

Maddy summaryHR 4977, the Connected MOM Act, requires the U.S. Department of Health and Human Services (HHS) to study Medicaid coverage of remote health monitoring devices (like blood pressure cuffs and pulse oximeters) for pregnant and postpartum women. Within 18 months of enactment, HHS must report to Congress on current state practices, barriers to coverage, and how these affect maternal and child health outcomes. Six months after the report, HHS must update state Medicaid resources, such as telehealth toolkits, to align with the report's recommendations. The bill directly affects pregnant and postpartum women enrolled in state Medicaid programs by aiming to improve access to these monitoring tools. It does not change Medicaid rules immediately but sets a process for future policy adjustments based on the findings.