Rep. Doris O. Matsui

Maddy summaryThe Ethics in Energy Act of 2025 prohibits large electric and natural gas utilities from charging customers (ratepayers) for expenses related to political influence activities. It directly affects major covered utilities - defined as electric companies with high annual sales volumes or major natural gas companies - and their customers. Key provisions require these utilities to publicly report all political-related expenses (including lobbying, PR campaigns, or trade association dues) and prevent them from recovering such costs through customer bills. The Federal Energy Regulatory Commission must create rules within 18 months to enforce this, impose penalties (up to triple the expense amount for large violations), and distribute half of collected penalties as customer rebates.

Maddy summaryHR 4696 amends Section 249 of the Immigration and Nationality Act to update eligibility for a registry program that provides a pathway to legal status for long-term residents. It changes the requirement from entering the U.S. before January 1, 1972, to entering at least 7 years before the application date. This adjustment bases eligibility on a rolling 7-year window instead of a fixed historical cutoff, allowing more recent long-term residents to qualify. The bill directly affects individuals who entered the U.S. after 1972 but maintained continuous residence for at least seven years prior to applying.

Maddy summaryHR 4752, the Reducing Hereditary Cancer Act, requires Medicare to cover genetic testing for germline mutations in individuals with a family history of hereditary cancer or suspicious personal/family history. It mandates coverage for risk-reducing surgeries (like mastectomies or hysterectomies) when guided by evidence-based clinical guidelines, and increases the frequency of cancer screenings (such as mammograms, colonoscopies, and breast MRI) for Medicare beneficiaries confirmed to have hereditary cancer gene mutations - ensuring screenings occur at least annually. The bill applies to Medicare beneficiaries with specific high-risk profiles, aligning coverage with guidelines from recognized oncology organizations like the National Comprehensive Cancer Network. It does not change eligibility but modifies Medicare’s existing coverage rules to expand access to these preventive services.

Maddy summaryThe Healthy H2O Act creates a federal grant program to help rural households and small facilities (like child-care centers) install certified water filtration systems that remove health contaminants such as lead, arsenic, and PFAS. Eligible recipients must live in rural areas, have tested water containing contaminants, and meet income limits (under 150% of their state’s median nonmetropolitan household income). Grants cover the cost of purchasing, installing, maintaining, and testing certified point-of-use or point-of-entry filtration systems. The program requires annual reports to Congress analyzing water quality trends, filter effectiveness, and emerging needs in affected communities. This initiative addresses immediate drinking water safety gaps where long-term infrastructure projects cannot yet provide solutions.

Maddy summaryThe Keep Kids Covered Act extends continuous health coverage under Medicaid and CHIP for children. It requires states to maintain coverage for children under age 6 for six years (previously one year) and for children under age 19 for two years (previously one year), without requiring reapplication. Former foster youth will now remain covered until age 26. States must also annually update contact information for enrolled children and inform them about their coverage status and remaining eligibility period.

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 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 summaryHR 4606, the Ally’s Act, requires private health insurance plans (including employer-sponsored plans and individual coverage) to cover hearing implants and related services. It directly affects people with hearing loss who need cochlear implants, bone conduction devices, or external sound processors, as determined by a physician or audiologist. The bill mandates coverage for devices, maintenance, repairs, upgrades every 5 years, hearing assessments, surgery, and rehabilitation - without separate cost-sharing or stricter limits than other medical services. Insurers cannot deny coverage if a provider deems the service medically necessary. The law applies to all applicable health plans and takes effect for plan years beginning January 1, 2026.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

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.