Rep. Adelita S. Grijalva

Maddy summaryHR 4074, the Optimizing Postpartum Outcomes Act of 2025, requires the Health and Human Services Secretary to issue guidance within one year on improving Medicaid and CHIP coverage for pelvic health services during pregnancy and the postpartum period (defined as up to 6 months after birth or during lactation). The bill directs the GAO to study coverage gaps for these services and mandates a new CDC-led education campaign to train healthcare providers and inform postpartum women about pelvic floor exams and physical therapy. Key provisions include standardizing terminology for pelvic health conditions, sharing state best practices for payment models, and authorizing $2 million annually for the education program through 2030. This bill directly affects postpartum women covered by Medicaid or CHIP by aiming to increase access to evidence-based pelvic health care.

Maddy summaryThe Downpayment Toward Equity Act of 2025 creates a federal program to provide financial assistance to first-generation homebuyers for down payments, closing costs, and other home purchase expenses. It authorizes $100 billion in funding to be distributed through states and eligible entities, with grants that can cover up to $20,000 or 10% of a home's purchase price (whichever is greater). To qualify, homebuyers must meet income limits (up to 120-140% of median area income), be first-time homebuyers with no prior home ownership by their parents, and complete homebuyer counseling. The program requires recipients to occupy homes as primary residences for at least five years, with repayment required if they sell sooner, and states must report on program demographics to ensure equitable outcomes.

Maddy summaryThe Autism Family Caregivers Act of 2025 creates a 5-year pilot program funding grants to community organizations for free, evidence-based skills training for family caregivers of children (ages 0-9) with autism spectrum disorder or other developmental disabilities or delays. The program requires training in communication, social engagement, daily living skills, and caregiver self-care strategies, with emphasis on cultural competence and coordination with local health, education, and community services. Grants must support at least 25 organizations across 15+ states, using $10 million annually (2026-2030), and mandate stakeholder committees including caregivers and local providers. It directly affects families caring for young children with these conditions by expanding access to structured support, while requiring programs to supplement - rather than replace - existing Medicaid, education, or insurance-covered services.

Maddy summaryThis bill requires major internet companies (including social media, streaming services, and app stores) and broadband providers to contribute to the Universal Service Fund, which subsidizes affordable broadband in rural and high-cost areas. It exempts smaller companies that transmit less than 3% of U.S. broadband data or earn under $5 billion annually. The Federal Communications Commission must create a new support mechanism to help rural broadband providers cover costs, while ensuring contributions remain fair and predictable. The bill explicitly states it does not grant the FCC new authority over these companies.

Improving Access to Medicare Coverage Act of 2025 This bill deems an individual receiving outpatient observation services in a hospital as an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement with respect to Medicare coverage of skilled nursing facility (SNF) services. (Generally, individuals must have been an inpatient at a hospital for at least three days in order to qualify for SNF services. An individual's time spent under observation at a hospital for purposes of determining whether the individual should be admitted does not count towards this requirement.)

Maddy summaryThe Domestic Workers Bill of Rights Act (HR 3971) would establish key labor protections for domestic workers, including nannies, housekeepers, and caregivers who work in private homes. The bill requires written agreements for workers employed 8+ hours per week, provides earned sick days (1 hour for every 30 hours worked), mandates fair scheduling practices with 72-hour notice for schedule changes, and extends overtime protections to live-in domestic employees. It also prohibits unfair wage deductions, guarantees meal and rest breaks, and ensures privacy protections including no monitoring in private living spaces. The bill directly affects approximately 2.2 million domestic workers across the U.S., who are disproportionately women of color and immigrants. Enforcement would be handled by the Department of Labor through new complaint resolution mechanisms and oversight.

Maddy summaryThis bill codifies existing protections for designated roadless areas within the National Forest System by prohibiting new road construction, road reconstruction, and logging in these areas. It directly affects National Forest lands already identified as "inventoried roadless areas" under the current Roadless Rule, which covers roughly 58 million acres. The key mechanism requires the Secretary of Agriculture to enforce these prohibitions, maintaining current protections without expanding restrictions to other lands or altering existing multiple-use management. The bill does not create new protected areas but legally solidifies the existing regulatory framework to preserve ecological and recreational values.

Maddy summaryThis bill, HR 3916 (My Body, My Data Act of 2025), requires businesses and other "regulated entities" to minimize collection and sharing of personal reproductive or sexual health data - such as pregnancy status, contraceptive use, or abortion-related information - and gives individuals specific rights. It mandates that entities provide individuals with easy access to their data, the ability to correct inaccuracies, and the right to request deletion of such information within 15 days. The law also requires clear privacy policies detailing data practices and prohibits retaliation against individuals who exercise these rights, such as charging higher prices or denying services. It applies broadly to most businesses (excluding HIPAA-covered healthcare providers) and is enforced by the FTC with private lawsuits allowed for violations.

Maddy summaryHR 3906, the Medical Research for Our Troops Act, restores funding levels for military medical research by increasing the Defense Health Agency's research budget from $40.395 billion to $41.576 billion in the 2025 appropriations act. It ensures Congressionally Directed Medical Research Programs funds are used consistently with the Consolidated Appropriations Act, 2024, requiring the Defense Secretary to support all previously identified research programs and maintain existing funding allocations. The bill directly affects military medical research initiatives and the Defense Health Agency's budget implementation. This is a procedural funding adjustment, not a new policy, maintaining continuity for ongoing research projects.

Maddy summaryThe IHS Provider Expansion Act creates a new Office of Graduate Medical Education Programs within the Indian Health Service (IHS) to expand healthcare workforce training. It directly affects IHS facilities and Native American communities by establishing pipelines for healthcare professionals through residency programs and improving recruitment/retention at IHS sites. Key provisions include overseeing existing programs, coordinating with academic institutions, and forming an interagency working group (with VA, HHS, and CMS) to develop long-term plans. The bill authorizes $4 million annually for the office starting in fiscal year 2027, requiring quarterly progress reports to Congress until the working group terminates after 10 years.