Rep. Mark DeSaulnier

Resident Physician Shortage Reduction Act of 2025 This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits. The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.

Maddy summaryThis bill reauthorizes an existing program supporting students with disabilities by requiring the Secretary of Education to reissue a contract for the "Charting My Path for Future Success" project within 90 days. The project trains educators to help students with disabilities set academic and life goals, create action plans, and track progress - directly affecting 1,600 high school students across 62 schools in 13 school districts. Key provisions include continuing the established training model (used by 61 educators since January 2025) and prohibiting contract cancellation without congressional approval. The bill does not create new funding or expand eligibility but ensures the existing initiative continues uninterrupted.

Maddy summaryH.J. Res. 108 proposes a constitutional amendment to remove legal immunity for federal officials, including the President, from criminal prosecution for actions taken while performing official duties. It would prohibit the President from granting pardons to themselves and eliminate the defense that "official authority" excuses violations of federal or state law (with limited exceptions for certain congressional actions). If ratified, this amendment would require Congress to pass implementing laws to enforce these changes. The proposal is currently in the House Judiciary Committee and requires approval by three-fourths of state legislatures to become part of the Constitution.

Maddy summaryThis bill clarifies and strengthens the 340B drug discount program, which allows community health centers, hospitals, and clinics (covered entities) to purchase medications at discounted prices. It explicitly requires drug manufacturers to offer these discounts regardless of where drugs are dispensed (including through contracted pharmacies) and prohibits manufacturers from adding conditions that restrict how covered entities use these discounts - such as limiting delivery locations or demanding extra data. The bill also establishes civil penalties of up to $2 million per day for manufacturers who violate these rules, and allows covered entities to file claims for violations. This directly affects safety-net providers who rely on 340B savings to access specialty drugs (like cancer treatments) for patients in underserved communities.

Maddy summaryThis bill prohibits federal and state governments from restricting access to FDA-approved medicines. It guarantees individuals the right to obtain these medicines without coercion and allows healthcare providers (like doctors and pharmacists) to prescribe or refer for them. The law blocks governments from implementing rules that single out or hinder the sale, provision, or use of FDA-approved drugs, such as bans on specific medicines or barriers to patient access. It does not affect the FDA's drug approval process or existing health insurance coverage requirements.

Maddy summaryThe Gun Safety Incentive Act establishes voluntary best practices for safe firearm storage (e.g., in homes, vehicles, businesses) through the Attorney General, requiring public education and annual updates. It mandates that firearm manufacturers include a "SAFE STORAGE SAVES LIVES" notice with every handgun, rifle, or shotgun starting in 2027, directing consumers to a public website with storage guidance. The bill also creates a $10 million annual grant program for states and tribes to fund local safe storage device distribution programs and offers a tax credit (up to $400 per device) to manufacturers selling safe storage devices. These provisions directly affect firearm manufacturers, state/local governments, and safe storage device sellers, focusing on accessible storage education and financial incentives without restricting firearm ownership.

Maddy summaryHCONRES 44 is a symbolic resolution recognizing a health and safety emergency for children linked to the Trump administration's climate policies. It claims these policies - unleashing fossil fuel production, blocking renewable energy, and suppressing climate science - disproportionately harm children through increased air pollution, extreme weather, and denied access to climate data. The resolution calls for reversing these policies, restoring the EPA's mission, and ensuring climate action aligns with protecting children's rights. It does not enact new laws or change policy, but serves as a formal congressional statement of concern.

Maddy summaryThis resolution (HRES 585) is a symbolic congressional statement recognizing that extreme weather events - like heatwaves, wildfires, and poor air quality - pose unique health risks to children, including respiratory issues, heat illness, mental health impacts, and disruptions to education. It calls on Congress to prioritize rapid, equitable solutions tailored to children’s needs, such as improved school air filtration, accessible emergency alerts, and child-focused disaster planning. The resolution specifically highlights vulnerable groups like young farmworkers, pregnant people, and children in urban heat islands. As a non-binding resolution, it does not create new laws but urges future legislation and funding to address these climate-related health threats for children.

Maddy summaryThis bill establishes federal worker heat protection standards to prevent heat-related illness and injury. It requires employers to provide a workplace free from heat stress hazards, including access to cool water, scheduled rest breaks, shaded cooling areas, and training on heat illness symptoms. The Secretary of Labor must create these standards within one year, incorporating evidence-based practices like engineering controls (e.g., ventilation), administrative measures (e.g., adjusted schedules), and employer-paid personal protective equipment. The law directly affects all employers in high-heat work environments - such as construction, agriculture, and manufacturing - and strengthens whistleblower protections for workers reporting safety violations.

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.