Rep. Adelita S. Grijalva

Maddy summaryThis bill requires Medicare to cover lung cancer biomarker testing for beneficiaries diagnosed with lung cancer, starting January 1, 2027. It defines the testing as procedures analyzing tissue, blood, or bodily fluids to identify specific biomarkers (like genes or proteins) for treatment planning. Medicare will pay 100% of reasonable charges for these tests, removing out-of-pocket costs for patients. The policy directly affects Medicare patients with lung cancer who need this specialized testing to guide personalized treatment options.

Maddy summaryHRES 911 is a symbolic resolution recognizing National Native American Heritage Month (November 1-30) and Native American Heritage Day, as established by prior law. It urges the public to observe these occasions through programs that celebrate Native American cultures, heritages, and contributions to U.S. history, including fields like agriculture, medicine, military service, and language. The resolution does not create new legal requirements but formally acknowledges the ongoing significance of Native American communities and their historical impact. It aligns with existing congressional support for Tribal self-governance and honors the contributions of Native Americans as documented in the 2009 Native American Heritage Day Act.

Maddy summaryThis bill expands Medicare's drug price negotiation program to cover 50 drugs (up from 20) and requires health insurers to apply negotiated prices to cost-sharing for beneficiaries. It establishes annual out-of-pocket cost-sharing limits for prescription drugs under group health plans and insurance coverage, with specific limits of $2,000 for self-only coverage in 2027 that will increase annually. The bill also sets specific cost-sharing limits for insulin products, requiring coverage with no deductible and cost-sharing of no more than $35 per 30-day supply or 25% of the negotiated price. These provisions affect Medicare beneficiaries, people with group health plans, and health insurers across the country. The bill applies to plan years beginning on or after January 1, 2027.

Maddy summaryHR 6212, the Good Samaritan Menstrual Products Act, protects donors and nonprofits from liability when providing menstrual products in good faith. It shields people, manufacturers, distributors, and nonprofits from civil or criminal liability for the condition of "apparently usable" donated products (those meeting all safety standards but not necessarily marketable). The law applies to products like tampons, cups, and liners distributed to individuals in need through nonprofits. Liability protection does not apply if gross negligence or intentional misconduct causes injury or death.

Maddy summaryHR 6181, the John Lewis Every Child Deserves a Family Act, prohibits child welfare agencies receiving federal funds from discriminating against children, youth, or prospective foster/adoptive parents based on religion, sex (including sexual orientation and gender identity), or marital status. It directly affects LGBTQ youth in foster care - overrepresented at 30% of the system - who face higher risks of trauma, group home placements, and suicide attempts compared to non-LGBTQ peers. Key provisions require agencies to collect data on sexual orientation and gender identity, establish a National Resource Center for LGBTQ youth support, provide cultural competency training, and eliminate discriminatory practices. The law aims to improve safety, permanency, and placement stability by expanding access to family-based care and ensuring equitable services for all children in the system.

Maddy summaryThis bill establishes a pilot program requiring the Secretary of Defense to partner with certified nonprofit diaper banks to provide free diapers and diapering supplies to military families in need. Covered diaper banks must be nonprofit members of the National Diaper Bank Network with at least five years of experience distributing diapers at no cost. The program will connect these banks directly with military installations to address diaper access gaps, with the National Diaper Bank Network providing technical support and evaluating the pilot's effectiveness. It directly affects military families facing financial barriers to basic necessities like diapers, creating a new federal partnership mechanism for support.

Maddy summaryThis bill requires oil, gas, and geothermal companies to test nearby underground drinking water sources before, during, and after hydraulic fracturing ("fracking") operations. Companies must conduct testing at specified intervals (e.g., before starting, every 6 months during operations, annually for 5 years after) and submit results to the EPA within two weeks. The EPA will maintain a public database of all test results, making it searchable by ZIP code for community access. The requirement does not apply to sites with no accessible drinking water sources within one mile.

Maddy summaryThis bill requires oil and gas companies conducting hydraulic fracturing operations to disclose detailed chemical ingredients before starting and within 30 days after completing operations. Companies must provide full chemical names, CAS numbers, safety data sheets, and volumes to state or federal authorities, who then make this information publicly available online. The bill includes an exception allowing immediate disclosure of proprietary chemical formulas during medical emergencies, though companies can later request confidentiality agreements. It directly affects fracking operators in oil, gas, and geothermal production, amending the Safe Drinking Water Act to mandate transparency while maintaining trade secret protections outside emergency situations.

Closing Loopholes for Oil and other Sources of Emissions Act or the CLOSE Act This bill amends the Clean Air Act to revise requirements for hazardous air pollutants. Specifically, the bill allows (1) emissions from oil or gas exploration or production wells and emissions from pipeline compressors or pump stations to be aggregated with emissions from other similar sources and regulated as a major source of toxic air pollutants, (2) emissions from those wells to be aggregated for purposes of emissions standards for hazardous air pollutants, and (3) emissions from oil or gas production wells to be regulated as an area source of toxic air pollutants. The Environmental Protection Agency must (1) issue a final rule adding hydrogen sulfide to the list of hazardous air pollutants; and (2) revise the list of air pollution sources within 365 days after issuing the rule to include categories and subcategories of major sources and area sources of hydrogen sulfide, including oil and gas wells.

Maddy summaryHR 6056, the International Human Rights Defense Act of 2025, establishes a permanent Special Envoy at the State Department to lead U.S. foreign policy efforts addressing discrimination and violence against LGBTQI+ people globally. The bill requires the U.S. government to develop and update a biannual global strategy to prevent criminalization and violence against LGBTQI+ individuals, mandate detailed reporting on such abuses in annual country reports, and ensure all U.S. foreign assistance programs include inclusive nondiscrimination policies. This legislation directly affects U.S. foreign policy implementation, federal agencies receiving funding, and LGBTQI+ communities facing persecution worldwide. The bill aims to coordinate U.S. government efforts across departments and with international partners to advance LGBTQI+ rights globally through concrete policy mechanisms.