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.
Rep. Juan Vargas
Sponsored bills
Maddy summaryHRES 734 is a symbolic resolution designating the third week of September as "Latino Conservation Week." It recognizes the Latino community's longstanding engagement in outdoor recreation and conservation activities, such as hiking, stewardship events, and environmental justice efforts on public lands. The resolution affirms that including Latino voices strengthens public lands protection and climate resilience, highlighting their role as a growing force in the outdoor economy. It does not create new laws or funding but formally supports the annual observance initiated by the Hispanic Access Foundation.
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 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 summaryHR 5476, the PARA Educators Act, provides federal grants to states to help recruit and retain school support staff (paraprofessionals) in public elementary, secondary, and preschool programs. It allocates funds based on previous Title I education funding, requiring states to prioritize schools serving high numbers of low-income students or those meeting specific poverty criteria. States can use the funds for proven programs like mentoring for paraprofessionals, professional development, helping staff earn credentials (e.g., special education or English learner certificates), and increasing wages or offering retention bonuses. The law mandates annual reporting on wage baselines, paraprofessional employment, and program outcomes. This bill directly affects paraprofessionals and the schools they support, particularly in high-poverty communities.
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 summaryThis bill prohibits current and future members of the Federal Reserve's Board of Governors, Federal Reserve Bank presidents, and the First Vice President of the Federal Reserve Bank of New York from simultaneously holding any other position appointed by the President - including those held on leave. It amends the Federal Reserve Act to explicitly ban such dual appointments, ensuring these key monetary policy roles remain free from potential political conflicts. The law also terminates any current official who holds another presidentially-appointed position as of the bill's enactment date. This targets concerns about presidential influence on Fed independence, as outlined in the bill's findings. The change applies directly to the Fed's highest leadership positions, not to general Fed employees or policy decisions.
Maddy summaryHJRES 123 is a congressional disapproval resolution targeting a specific rule by the Centers for Medicare & Medicaid Services (CMS). It seeks to nullify CMS's June 2025 rule titled "Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability," which was published in the Federal Register (90 Fed. Reg. 27074). If passed, the resolution would block this rule from taking effect under procedures outlined in Title 5, U.S. Code. The bill directly affects the CMS regulation governing the Affordable Care Act's health insurance marketplace, not the broader law itself.
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 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.