Rep. Raul Ruiz

Maddy summaryThis bill adds Medicare coverage for home-based treatment of Alpha-1 Antitrypsin Deficiency Disorder (a rare genetic condition causing lung and liver damage). It specifically covers "augmentation therapy" (replacement protein therapy) delivered at home by qualified suppliers to Medicare Part A and B enrollees with this diagnosis who aren't in Medicare Advantage plans. The bill establishes payment for intravenous kits and up to 2 hours of nursing services per session, set at 80% of the lesser of actual cost or a defined rate. It amends Medicare rules to include this treatment under coverage, effective January 2027.

Maddy summaryThe Paycheck Fairness Act strengthens equal pay protections by expanding the definition of "sex" to include pregnancy, childbirth, sexual orientation, gender identity, and sex characteristics. It modifies employer defenses for pay disparities to require proof that any pay difference is job-related, not based on sex, and accounts for the entire pay gap. The bill prohibits employers from asking about salary history, enhances penalties for violations, and requires employers with 100+ employees to collect and report detailed pay data by race, sex, and job category. It also establishes training programs for employers on eliminating pay bias and creates a National Equal Pay Enforcement Task Force to coordinate enforcement efforts. This legislation directly affects employers, particularly those with 100+ employees, and aims to address pay disparities impacting women, people of color, and other underrepresented groups.

Maddy summaryH.J. Res. 80 would declare the Equal Rights Amendment (ERA) part of the U.S. Constitution, asserting it has been ratified by 38 states (three-fourths of the states) despite the original 1972 deadline. If passed, this resolution would formally establish the ERA as a constitutional amendment, requiring all federal and state laws to align with its gender equality protections. The bill does not create new laws but confirms the ERA's status as part of the Constitution, affecting how laws are interpreted and enforced. It is a procedural step to resolve the legal dispute over the ERA's validity after decades of debate.

Maddy summaryThe SLOT Act of 2025 raises the tax reporting threshold for slot machine winnings from $1,200 to $5,000 per play, meaning casinos no longer need to report winnings under this amount to the IRS. It directly affects slot machine players who win less than $5,000 in a single play and casino operators who previously filed tax forms for smaller wins. The threshold will automatically increase annually after 2026 based on inflation, rounded to the nearest $100. The change applies to winnings occurring after December 31, 2025.

Maddy summaryThis bill (HR 2199) prevents private health insurance plans from discriminating against patients with end-stage kidney disease (ESRD) who require dialysis. It amends the Social Security Act to prohibit plans from treating dialysis coverage differently than other medical services or applying network restrictions that disproportionately harm ESRD patients. The law clarifies that plans cannot deny or limit benefits for dialysis based on a patient’s diagnosis, while preserving a plan’s right to choose which dialysis providers are in their network. It directly affects ESRD patients and their private health insurance coverage, ensuring dialysis is treated equally with other covered medical services. The bill does not require plans to include specific dialysis providers but stops them from unfairly restricting access to necessary care.

Maddy summaryThe Air America Act of 2025 authorizes one-time payments of $40,000 to individuals who worked for Air America or its affiliated companies for at least five years during 1950-1976, or to their surviving spouses, children, or dependents. Additional payments of $8,000 per full year beyond five years are allowed. The program is capped at $60 million total funding, with claims required within two years of final regulations. Payments are a single lump sum with no ongoing benefits, and the bill explicitly states it does not create new entitlements beyond this one-time award.

Preserving Patient Access to Home Infusion Act  This bill specifically includes pharmacy services and home infusion drugs that are administered without a pump as part of covered home infusion therapy under Medicare. The bill also allows nurses and physician assistants to establish and review the plan of care for home infusion therapy, and it specifies that payment may be made regardless of whether a practitioner is physically present in the home at the time the drug is administered.

Maddy summaryHR 2095, the Postal Police Reform Act of 2025, amends existing law to clarify the roles of USPS police officers and their authority over property. It explicitly includes "Postal Service police officers" alongside Postal Inspectors in Section 3061 of Title 18, U.S. Code, and gives the Postmaster General new authority to create rules for protecting USPS-owned or controlled property. These rules can include fines or up to 30 days in jail for violations, with penalties clearly defined under the law. The bill directly affects USPS police officers and individuals on USPS property by standardizing their regulatory framework.

Maddy summaryHRES 216 is a resolution condemning the leadership of the House Republican Conference for allowing a social media post that falsely questioned the immigration status and patriotism of Congressman Adriano Espaillat (Chairman of the Congressional Hispanic Caucus). The resolution specifically names House Speaker Mike Johnson, Majority Leader Steve Scalise, Majority Whip Tom Emmer, and other top Republican leaders as responsible for the post. It characterizes the post as xenophobic and inappropriate, stating such rhetoric violates the standards of conduct expected of members of Congress.

Metastatic Breast Cancer Access to Care Act This bill expedites payment of Social Security Disability Insurance (SSDI) benefits and eligibility for Medicare coverage for those with metastatic breast cancer (i.e., breast cancer that has spread to other sites in the body). Specifically, the bill eliminates the 5-month waiting period for SSDI benefits and the subsequent 24-month waiting period for Medicare coverage for individuals with metastatic breast cancer. Under current law, individuals generally must wait 5 months after the onset of disability to begin receiving SSDI benefits and an additional 24 months to become eligible for Medicare.