Rep. Nanette Diaz Barragán

Maddy summaryThis bill prohibits pharmacy benefit managers (PBMs) from receiving payments tied to prescription drug prices or rebates starting January 1, 2027. Instead, PBMs may only charge flat, itemized fees for actual services performed (e.g., claim processing), not based on drug costs or discounts. It directly affects PBMs and health insurance plans by requiring compensation to be decoupled from drug pricing, while allowing rebates to be passed through to lower net drug costs. The law aims to reduce conflicts of interest in PBM operations without changing drug pricing itself.

Maddy summaryHR 2092, the SPEAK Act of 2025, requires the Health and Human Services Secretary to create guidance for healthcare entities within one year of enactment. This guidance focuses on improving telehealth access for people with limited English proficiency, directly affecting health IT companies, hospitals, insurers, language service providers, and interpreters. Key provisions include best practices for using interpreters during video appointments, providing multilingual patient materials (like appointment reminders and prescriptions), and making digital health portals accessible. The bill aims to standardize language access in telehealth services without changing existing laws.

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.

Maddy summaryThe Access to Family Building Act establishes legal rights for individuals seeking fertility care and health care providers offering assisted reproductive technology (ART) services. It prohibits states or localities from imposing unreasonable restrictions on ART access - such as excessive costs, health barriers, or arbitrary limitations - that don’t advance safety or health outcomes. The bill allows patients, providers, or insurers to sue to enforce these rights, while explicitly preserving state health/safety regulations that protect patient safety. It does not override existing state insurance laws or require changes to medical facility safety standards. This bill directly affects patients pursuing fertility treatment, fertility clinics, and health insurers covering ART services.

Maddy summaryHR 2029, the "Stop Comstock Act," amends federal obscenity laws to remove outdated restrictions on abortion and contraception. It deletes references to "indecent" materials and abortion-related language from Title 18 (e.g., removing "or means for procuring abortion" from section 552 and revising definitions in sections 1461 and 1462). The bill clarifies that federal law does not prohibit the distribution of materials related to abortion or contraceptives, updating how "obscene" is defined. These changes directly affect federal enforcement of obscenity laws, particularly regarding medical information and devices. The bill focuses on modernizing statutory language to align with current legal standards for protected speech and healthcare access.

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.

Maddy summaryThis bill requires the Transportation Security Administration (TSA) to transition its workforce from a special personnel management system to the standard federal personnel system under Title 5 of the U.S. Code by December 31, 2025. It protects TSA employees by ensuring no reduction in pay, benefits, or retirement rights during the transition, while preserving collective bargaining rights for screening agents. The legislation also mandates consultation with labor unions during the process and requires several reports on workforce issues including recruitment, harassment policies, and workplace safety.

Maddy summaryHR 2040, the NEWBORN Act, creates federal grants for local health departments to run infant mortality pilot programs in the 50 highest-risk counties. The $10 million annual funding (2025-2029) requires grantees to develop community-specific plans addressing causes like preterm birth, maternal complications, and infant injuries. Programs must include outreach to at-risk mothers, standardized services (postpartum care, smoking cessation, nutrition counseling), rural health initiatives, and public education campaigns. Grantees must report annually on program outcomes, with funds limited to 10% for evaluation. The bill directly affects communities with high infant mortality rates and at-risk mothers and infants through these targeted, evidence-based interventions.

Maddy summaryThis bill would expand Medicare to cover dental, vision, and hearing services for beneficiaries 65 and older (and some younger people with disabilities), effective January 1, 2026. It would provide 100% coverage for preventative dental services in 2026, with basic and major dental services gradually increasing to 80% coverage by 2029. Vision benefits would include 80% coverage for annual eye exams and specific limits on eyeglasses, frames, and contact lenses ($100 per year for lenses, $100 every two years for frames, $200 every two years for contacts). Hearing services would include 80% coverage for hearing exams and hearing aids, with a limit of one hearing aid per ear every 48 months. The bill also adds oral health professionals to the United States Preventive Services Task Force to help guide coverage decisions.

Maddy summaryHR 2033, the Military Spouse Hiring Act, expands the Work Opportunity Tax Credit to include spouses of active-duty military personnel. It adds "qualified military spouse" as an eligible category for the tax credit, meaning employers who hire such spouses can claim the credit. A "qualified military spouse" is defined as someone certified by a local agency as married to an active-duty service member at the time of hire. The credit applies to hires occurring after the bill's enactment date. This directly affects military spouses seeking employment and employers hiring them, providing a tax incentive to encourage their hiring.