Rep. Paul A. Gosar

Maddy summaryHR 6972 (Reporting Accountability and Abuse Prevention Act of 2026) requires health centers receiving federal funds under Title X (which supports family planning services) to comply with all state and local laws requiring reporting of child abuse, sexual abuse, intimate partner violence, and human trafficking. It mandates that these centers create written compliance plans, provide annual training for staff on reporting obligations and safety protocols, screen minors for potential abuse when presenting with STIs or pregnancy, and document all reports. Centers must maintain detailed records of minor patients and reports, and allow federal officials to review these records. Failure to comply can result in corrective action, repayment of funds, or a 36-month ban on future Title X funding for repeat violations.

Maddy summaryHR 6940, the Hope Heals Act of 2026, directs the Secretary of Health and Human Services to assess how federal agencies can better identify individuals in mental health crises and coordinate suicide prevention resources. Within 180 days of enactment, HHS must evaluate sharing information, best practices, and screening tools like the PHQ-3 across departments including Veterans Affairs, Defense, and Education. The assessment requires consultation with mental health experts and must result in a report to Congress with recommendations for improving crisis identification and support. Federal agencies would then implement these recommendations to enhance coordination and awareness of mental health crisis signs.

Maddy summaryHR 4837, the Written Informed Consent Act, requires the Veterans Health Administration (VHA) to update its existing directive on informed consent to include additional medication classes. Specifically, it mandates that written informed consent must be obtained before prescribing antipsychotics, stimulants, antidepressants, anti-anxiety medications (anxiolytics), and narcotics (opioids) to veterans. This expansion directly affects veterans receiving these medications through the VA system, ensuring they are informed about specific treatment risks and alternatives. The key mechanism is amending VHA Directive 1005 to broaden its application beyond long-term opioid therapy to cover the newly listed medication types.

Maddy summaryHR 472, the Restore VA Accountability Act of 2025, creates new disciplinary procedures for VA supervisors and management officials. It requires the VA Secretary to consider specific factors like the seriousness of misconduct and the employee's role when deciding on removal, demotion, or suspension, and limits the entire disciplinary process to 15 business days. The bill prevents courts from reviewing penalty amounts but allows review of whether procedures were followed correctly. It also strengthens whistleblower protections by requiring Special Counsel approval before disciplining employees who report misconduct, affecting VA supervisors and management officials but excluding senior executives and political appointees.

Maddy summaryHR 3492, the Protect Children’s Innocence Act, makes it a federal crime to perform genital or bodily mutilation or chemical castration on minors under 18, except for specific medical reasons. The bill broadly defines prohibited procedures to include gender transition-related surgeries (like hysterectomies or mastectomies) and medical treatments such as puberty blockers or cross-sex hormones administered to minors. It criminalizes these acts when they occur across state lines, involve payments, or use interstate commerce, while explicitly banning religious tradition as a defense. Exceptions include medically necessary procedures for health emergencies, childbirth, or conditions certified by a physician.

Maddy summaryThis bill, titled "Pet and Livestock Protection Act," is misleading; it actually focuses on gray wolf management. It requires the Secretary of the Interior to reissue a 2020 rule removing gray wolves from the endangered species list within 60 days of enactment. The bill also prohibits courts from reviewing this reissuance. This directly affects gray wolf populations and management policies in states where wolves are present, shifting regulatory control away from federal endangered species protections.

Essential Caregivers Act of 2025   This bill prohibits certain health care facilities from limiting the access of essential caregivers to residents of those facilities, including during designated emergency periods.   Specifically, the bill generally prohibits Medicare skilled nursing facilities, Medicaid nursing facilities, Medicaid intermediate care facilities, and associated inpatient rehabilitation facilities from restricting the access of essential caregivers to residents of the facilities, including during emergency periods in which visitation rights are otherwise restricted. During emergency periods, facilities may restrict access for an initial period of up to seven days and for one additional maximum seven-day period (if the additional period is approved by the state health department). Facilities may restrict access for a total of 7 days (or 14 days with the approval of the state health department) during an emergency period. Essential caregivers must agree to comply with any safety protocols set by the facility, which may be no more stringent for caregivers compared to those for staff. Caregivers who fail to comply with these requirements may be denied access, subject to an appeals process.

Maddy summaryThis bill allows groups of small businesses or self-employed individuals to form a single health plan that treats all members as one employer for coverage purposes. It directly affects small business associations and self-employed people who can join such groups to access pooled health coverage, provided they meet specific requirements (e.g., 51+ total employees, 2+ years in existence, no health-based discrimination). Key mechanisms include permitting modified community rating for premiums (based on pooled claims) while prohibiting health status-related discrimination in enrollment, premiums, or pre-existing condition coverage. The plan remains subject to federal ERISA rules, and self-employed members must meet defined criteria to participate as both employers and employees.

Miracle on Ice Congressional Gold Medal Act This act provides for the award of Congressional Gold Medals to the members of the 1980 U.S. Olympic men's ice hockey team in recognition of the team's achievement at the 1980 Winter Olympic Games.

Maddy summaryHR 6466, the Forced Abortion Prevention and Accountability Act, prohibits non-consensual administration of abortion drugs (like mifepristone or misoprostol) to pregnant women without their informed consent. It criminalizes this act with penalties up to 25 years in prison and allows victims to sue for triple damages, psychological/physical injury compensation, and attorney fees. The bill directly affects pregnant women who might face coerced procedures and medical providers or others who administer such drugs without consent. Key provisions include criminal penalties for the act itself, enhanced penalties for serious injury or death, and a civil remedy framework for victims seeking compensation.