Rep. Juan Ciscomani

Give Kids a Chance Act of 2025 This bill expands the Food and Drug Administration’s (FDA’s) authority with respect to research on rare pediatric diseases, including by permitting the FDA to take enforcement action against drug sponsors that fail to satisfy pediatric study requirements and by reauthorizing programs that support pediatric research.  Specifically, the bill modifies requirements relating to molecularly targeted pediatric cancer investigations to permit research on new drugs in combination with active ingredients that have already been approved, provided certain conditions are met; permits the FDA to take enforcement action against drug sponsors that fail to comply with pediatric study requirements, if such sponsors demonstrated a lack of due diligence in satisfying the requirement; renews the FDA’s authority to award priority review vouchers to sponsors of new products intended to treat rare pediatric diseases through September 30, 2029; and reauthorizes through FY2027 certain funding for the National Institutes of Health to support priority pediatric research.  The bill also provides statutory authority for the FDA’s interpretation of the orphan drug exclusivity period. The bill specifies, consistent with FDA regulations, that the seven-year market exclusivity period for drugs for rare diseases or conditions (i.e., orphan drugs) prohibits the approval of the same drug for the same approved use or indication with respect to the disease or condition. (In Catalyst Pharmaceuticals, Inc. v. Becerra , a court rejected the FDA’s interpretation and held that orphan drug exclusivity extends to all uses or indications for the disease or condition.)

Maddy summaryHCONRES 58 is a symbolic congressional resolution denouncing socialism in all its forms. It does not create new laws or affect any policies, as it is a non-binding statement of opinion. The resolution cites historical events and quotes from Founding Fathers to argue that socialism leads to authoritarianism and economic harm, referencing examples like the Soviet Union and Venezuela. It formally "denounces" socialism and opposes implementing socialist policies in the U.S., but has no legal effect on citizens or government actions. This is a procedural resolution, not a policy measure.

Maddy summaryThis bill authorizes Congress to award two gold medals in honor of Charlie Kirk, a conservative activist and founder of Turning Point USA, who was tragically killed in 2025. One medal will go to his family, and the other will be displayed at the Smithsonian Institution to preserve his legacy. The bill does not create new policy or affect any laws - it is purely commemorative, following standard procedures for Congressional Gold Medals. It includes provisions for striking the medals and selling bronze duplicates to cover costs, but contains no substantive legislative changes.

Maddy summaryHR 6204 extends funding authorization for large-scale water recycling projects by changing the Infrastructure Investment and Jobs Act's Section 40905(k) from a 5-year to a 10-year period. This procedural bill directly affects existing water recycling projects currently funded under the Infrastructure Investment and Jobs Act (Public Law 117-58). The key provision is simply the extension of the authorization period, providing longer-term stability for these projects without creating new programs or altering eligibility.

Maddy summaryHR 6126 authorizes the minting of commemorative coins to mark the 100th anniversary of the U.S. Foreign Service (established in 1924). It specifies three coin types: up to 50,000 $5 gold coins (90% gold), 400,000 $1 silver coins (90% silver), and 750,000 half-dollar coins, all to be sold during 2029. A surcharge of $35 per gold coin, $10 per silver coin, and $5 per half-dollar is added to the sale price, with all surcharge funds directed to the Association for Diplomatic Studies and Training to support its diplomatic history preservation work. The coins must include standard inscriptions (e.g., "Liberty," "United States of America") and will be legal tender, but the bill does not create new policy or affect government operations.

Maddy summaryHR 6137 would create a new separate job code for "direct support professionals" (DSPs) within the federal Standard Occupational Classification system. This change aims to better recognize DSPs - who provide daily support for people with intellectual and developmental disabilities (like helping with daily living, community participation, and goal-setting) - as distinct from other roles like home health aides. The bill requires the Office of Management and Budget to consider this revision during the next system update, without authorizing new funding. It addresses data gaps caused by high turnover rates (39% nationally) in DSP hiring and retention.

Maddy summaryThe NEST Act (HR 6096) requires the federal government to provide newborn supply kits to new mothers, focusing on low-income families and communities with high maternal health risks. These kits include essential items like diapers, postpartum pads, breastfeeding supplies, blood pressure monitors, and health information resources. Funds for the kits come from a $5 million annual set-aside in Social Security Act funding, distributed through grants to community health centers, tribal organizations, and hospitals. Priority is given to rural areas, maternity care deserts, and mothers earning below 185% of the poverty line. The program mandates annual reporting on distribution demographics and health outcomes to Congress.

Maddy summaryHR 5992, the "Stuck On Hold Act," requires the Department of Veterans Affairs (VA) to improve wait times for veterans calling its standard customer service phone lines. Within one year of enactment, the VA must implement an automated system that tells callers their expected wait time and offers a callback if the wait exceeds 10 minutes. The bill also directs the VA Secretary to issue guidance aimed at reducing the average call wait time to 10 minutes or less. This directly affects veterans calling VA service lines (excluding the 38 U.S.C. §1720F(h) hotline and emergency department lines).

Maddy summaryHR 5981, the VA Billing Accountability Act, requires the Department of Veterans Affairs (VA) to stop billing veterans for care or medications if the VA delayed sending payment notices due to its own errors. Specifically, it creates a two-year window (ending two years after enactment) where veterans won’t have to pay if they received care or medications but weren’t notified of required payments more than 180 days later for VA facilities or more than 18 months for non-VA care. The bill also sets strict deadlines for VA to send billing notices and mandates that veterans receive clear options to apply for waivers or set up payment plans if notices are late. This directly affects veterans who received delayed billing notices due to VA administrative errors, ensuring they aren’t charged for delays the VA caused. The law terminates after two years, with the VA required to review billing procedures within 180 days of enactment.

Maddy summaryThe National Cemetery Access Act (HR 5942) requires national cemeteries managed by the Department of Defense, the Department of Veterans Affairs, or the National Park Service to be open to the public on all federal holidays specified in 5 U.S.C. § 6103(a), such as New Year's Day and Independence Day. This directly affects veterans' families and the public who visit these sites on those holidays, ensuring consistent access without closures. The bill mandates standard opening hours on designated federal holidays but does not change the list of holidays or create new benefits.