Rep. Salud O. Carbajal

Maddy summaryThis bill requires health plans and insurers to create a clear, timely process for patients or doctors to request exceptions when step therapy protocols (which force patients to try cheaper drugs first) might harm them. It mandates approval for exceptions in six specific cases, such as when prior treatments failed, delaying care risks severe harm, or the required drug causes adverse reactions. Plans must respond within 72 hours (24 hours for emergencies) and cover the requested drug for at least one year if approved. Additionally, health plans must report annual data on exception requests, approvals, denials, and reasons to the government for transparency.

Maddy summaryThe HEADACHE Act establishes a National Headache Disorders Initiative (NHDI) under the Department of Health and Human Services to address conditions like migraines, cluster headaches, and other headache disorders affecting vulnerable groups including children, pregnant women, and older adults. It creates an Advisory Council with patient advocates, healthcare providers, and federal agency representatives to guide research, improve diagnosis protocols, and reduce disparities in care. The bill requires federal agencies to share headache-related data and mandates an annual congressional report evaluating progress, disparities across demographics, and recommendations for better access to treatment and stigma reduction, with the initiative set to expire after five years.

Maddy summaryThe Aviation Funding Stability Act of 2025 ensures continued operation of Federal Aviation Administration (FAA) programs during government funding gaps. It allows the FAA to use unspent funds from the Airport and Airway Trust Fund to maintain critical services - including air traffic control, airport infrastructure, and safety research - at the previous fiscal year's funding level if Congress fails to pass a new budget. This prevents shutdowns for up to 30 days or until a new budget is enacted, with spending limited to prior-year rates and subject to existing program rules. The bill directly affects all FAA operations, keeping airports and air traffic systems running during budget delays.

Maddy summaryHRES 746 is a non-binding resolution passed by the U.S. House of Representatives condemning all political violence - including attacks on elected officials, candidates, and public figures - and rejecting rhetoric that dehumanizes opponents. It specifically urges law enforcement to investigate and prosecute such violence, calls on public officials and media to avoid inflammatory language, and references recent incidents like the 2025 assassination of activist Charlie Kirk and targeted shootings of Minnesota legislators. The resolution does not create new laws but formally expresses the House’s commitment to protecting public servants and promoting peaceful political discourse. It directly affects the House’s public stance and serves as a call to action for officials, media, and communities to foster civil engagement.

Maddy summaryThis bill, the Protect Adoptees and American Families Act (PAAF Act), automatically grants U.S. citizenship to certain internationally adopted children who meet specific criteria. It directly affects children adopted by U.S. citizen parents before age 18, who were living in the U.S. under legal custody before turning 18, and who were not already U.S. citizens. The key mechanism provides automatic citizenship for those already residing in the U.S. on the bill's effective date, and for those outside the U.S. upon lawful entry, subject to a criminal background check for visa issuance. It clarifies citizenship eligibility under immigration law without requiring additional naturalization steps for qualifying adoptees.

Maddy summaryThe Tyler Clementi Higher Education Anti-Harassment Act of 2025 requires U.S. colleges and universities participating in federal financial aid programs to create and distribute clear anti-harassment policies covering harassment based on race, color, national origin, sex (including sexual orientation and gender identity), disability, or religion. These policies must explicitly prohibit harassment in all settings - including online, on campus, off-campus housing, and during school-sponsored activities - and outline reporting procedures and support services for victims. The bill also establishes a $50 million annual grant program to fund schools developing prevention programs, victim support services, or staff/student training on recognizing and addressing harassment. Grants are competitive, require annual reporting on effectiveness, and must be used to improve existing efforts without replacing existing civil rights laws like Title IX.

Maddy summaryThe Redistricting Reform Act of 2025 requires states to use independent redistricting commissions for congressional redistricting, banning partisan gerrymandering and requiring plans to comply with constitutional and Voting Rights Act standards. The bill establishes ranked criteria for redistricting, prioritizing population equality, voting rights protections, and community preservation over partisan advantage. It mandates multi-partisan commission composition with public input and transparency requirements, with states facing court-developed plans if they miss deadlines. The law would apply to redistricting after the 2030 census, affecting all 50 states' congressional district maps.

Maddy summaryHJRES 122 proposes a constitutional amendment that would grant Congress and states explicit authority to regulate campaign contributions and spending intended to influence elections. It would allow for reasonable, viewpoint-neutral limits on how much money candidates and others can raise or spend, as well as enable public financing systems to reduce private wealth's influence in campaigns. The amendment would permit distinguishing between individuals and corporations in campaign finance rules, potentially banning corporate spending to influence elections. It explicitly states this amendment would not affect the freedom of the press.

Maddy summaryHRES 733 is a symbolic resolution designating the week of September 20-27, 2025, as "National Estuaries Week." It expresses congressional support for raising public awareness about the economic and ecological importance of coastal estuaries, which support millions of jobs, generate significant economic output, and provide critical services like flood protection and habitat for fish and wildlife. The resolution acknowledges estuaries' role in sustaining employment, economic growth, and environmental health without creating new policies or funding. It directly affects the public, government officials, and conservation organizations by highlighting estuaries' value through a designated awareness week.

Maddy summaryThis bill requires the 988 Suicide Prevention Lifeline to establish a dedicated "Press 3" option (via IVR) for LGBTQ+ youth seeking crisis support, directly affecting LGBTQ+ youth who face a four times higher suicide risk than peers. It mandates that at least 9% of funds allocated for the lifeline's services be reserved specifically for these specialized LGBTQ+ youth services. The bill amends existing law to formalize this dedicated resource, building on current services that handled over 1.5 million contacts from LGBTQ+ youth in 2025. This creates a concrete policy change for accessing tailored crisis support without altering other lifeline operations.