Rep. Terri A. Sewell

Maddy summaryThis bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.

Maddy summaryHR 1522, the Federal Retirement Fairness Act, changes federal retirement rules to include temporary employees' service after January 1, 1988, in retirement benefit calculations. It directly affects temporary federal employees (including U.S. Postal Service workers) and Members of Congress who served after that date. The bill removes a previous cutoff date in retirement law, allowing their temporary service to count toward retirement eligibility. This means eligible temporary workers can now have their full service period considered when calculating retirement benefits.

Maddy summaryThe Defending American Property Abroad Act of 2025 protects U.S. property interests in Western Hemisphere countries with U.S. free trade agreements. It requires the Secretary of Homeland Security to identify and list ports, harbors, or marine terminals where a foreign government has nationalized, expropriated, or seized U.S.-owned land (since January 2024) through actions like contract repudiation or forced control. Once listed, the President must prohibit vessels using these sites from importing goods, docking passenger vessels, or conducting maintenance in the United States. This directly affects U.S. persons (citizens or businesses) with property in designated locations.

Maddy summaryHR 4559, the Prompt and Fair Pay Act, requires Medicare Advantage (MA) plans to pay healthcare providers the same amount as original Medicare (fee-for-service) for covered services starting in 2027, directly affecting MA plans and providers who treat Medicare patients. It mandates that MA plans pay "clean claims" (claims with no missing information) within 14 days for electronic submissions or 30 days for paper claims, with interest penalties for late payments based on Treasury rates. The bill also requires MA plans to clearly explain claim denials and provide timely notifications about missing information, improving transparency and reducing payment delays. These changes aim to standardize payments between MA plans and traditional Medicare while ensuring providers receive timely compensation.

Maddy summaryThis bill prohibits Medicare from paying for orthotics or prosthetics delivered directly to patients without in-person training from a qualified provider (a "drop shipment"), ensuring beneficiaries receive proper fitting and use instructions. It expands the list of healthcare providers who can prescribe these devices to include physical therapists, occupational therapists, orthotists, and prosthetists. The bill also specifically requires Medicare to cover replacements for custom-fitted orthotics and custom-fabricated orthotic devices, aligning with existing rules for prosthetic replacements. These changes aim to improve patient safety and access to properly fitted devices under Medicare.

Maddy summaryThe Black Farmers and Socially Disadvantaged Farmers Increased Market Share Act creates a new grant program to support food hubs that increase market access for socially disadvantaged farmers and ranchers. The program provides competitive grants for food hubs to develop infrastructure, equipment, and marketing services, with priority given to projects benefiting underserved communities. The bill also establishes a 25% tax credit for businesses that purchase agricultural products from these food hubs and requires USDA to prioritize purchasing from socially disadvantaged farmers in domestic food assistance programs. These provisions aim to address historical barriers to market access for socially disadvantaged farmers by supporting their participation in food distribution systems.

Maddy summaryThis bill requires Medicaid programs to cover specific treatments for individuals with breast or cervical cancer. It adds a new provision to Medicaid rules that explicitly includes these patients in mandatory coverage, ensuring states must provide necessary care. The bill also mandates that Medicaid cover breast reconstruction surgery following a medically necessary mastectomy. These changes directly affect Medicaid beneficiaries diagnosed with breast or cervical cancer who need these specific treatments. The policy update removes gaps in existing coverage for these critical cancer care services.

Maddy summaryHR 4545, the Medicare Breast Reconstruction Access and Information Act, requires healthcare providers to inform Medicare patients about coverage for breast reconstruction surgery before performing a mastectomy. The bill amends the Social Security Act to mandate that suppliers providing a mastectomy must explain that reconstruction is covered under Medicare's national coverage determination 140.2 and document this discussion in the patient's medical record. This applies specifically to Medicare beneficiaries undergoing medically necessary mastectomies. The law ensures patients receive clear information about existing coverage options prior to surgery, without changing Medicare's benefit structure.

Maddy summaryHR 4539, the Texture Positive Act of 2025, provides federal grants to states to fund subgrants for eligible entities (like minority- or women-owned businesses with 5+ years of experience) to integrate textured hair care training into cosmetology school curricula. The bill requires these entities to teach students specific techniques for shampooing, deep conditioning, braiding, twisting, and styling naturally coiled, curly, or wavy hair. It directly affects cosmetology schools, their students, and approved training providers by mandating this specialized education as part of their curriculum. The law includes reporting requirements to track how funds are used and the number of students and instructors trained.

Maddy summaryThe Child Care for Working Families Act creates a federal program to provide affordable, high-quality child care for working families with children under age 6. It would provide direct child care assistance through certificates or grants to parents, with no copayment required for families at or below 85% of state median income. The program requires states to implement quality standards for child care providers, including a tiered quality system and minimum wage requirements for staff (at least a living wage equivalent to elementary educators). The bill appropriates $20 billion for the program over five years, with additional funding for quality improvement initiatives and universal preschool services.