Rep. Doris O. Matsui

Maddy summaryThis bill expands Medicare, Medicaid, and CHIP coverage for specific cancer diagnostic tests, directly affecting cancer patients enrolled in these programs. It requires Medicare to cover genetic tests like DNA sequencing (80% of cost) and limits testing frequency to once at diagnosis, once for recurrence, and as needed for treatment planning. Medicaid and CHIP must include these tests as mandatory coverage starting January 1, 2027, with states given flexibility to comply via state legislation. The bill also mandates a new HHS education program to inform doctors and the public about genomic testing for cancer care.

Maddy summaryThe Empowering and Enforcing Environmental Justice Act of 2025 establishes a new Office of Environmental Justice within the Department of Justice to address environmental health disparities. This Office will develop strategies, coordinate enforcement efforts, and administer a $50 million annual grant program for state, local, and Tribal governments to improve environmental enforcement in affected communities. The grants will fund staff training, hiring for investigations, and community engagement programs focused on low-income, Tribal, and Indigenous populations facing disproportionate environmental risks. The bill directly impacts the Department of Justice, state/local/tribal governments, and communities experiencing environmental justice challenges.

Maddy summaryEthan's Law requires gun owners to store firearms securely in homes where minors live or where residents are legally prohibited from owning guns. It makes it unlawful to leave firearms unsecured if a minor or ineligible person could access them, with fines of $500 per violation and harsher penalties if injury or death occurs. The bill creates a federal grant program to help states implement similar secure storage laws and treats unsafe storage as negligence in legal cases. It directly affects households with children or residents who cannot legally possess firearms, aiming to reduce accidental shootings and unauthorized access.

Maddy summaryThe Conrad State 30 and Physician Access Reauthorization Act extends and reauthorizes a program that allows foreign medical graduates to work in underserved U.S. communities after completing their training. It extends the program through 2021 (with retroactive effect), adds protections for physicians who have completed service requirements, and makes changes to visa requirements to better support physicians working in underserved areas. The bill requires states to maintain a 90% utilization rate of waivers to keep receiving the full allocation, and adds reporting requirements for the program. This bill directly affects foreign physicians seeking to work in underserved areas and the health care facilities that employ them.

Maddy summaryThis bill allows physical therapists to use temporary replacement staff (locum tenens) under Medicare, similar to how physicians currently can. It directly affects physical therapists providing outpatient services and Medicare beneficiaries relying on those services. The key change modifies Medicare rules to apply the same provisions for physical therapy services as are already used for physician services. This means physical therapists can more easily fill temporary staffing gaps without disrupting patient care. The amendment applies to services provided after the bill's enactment date.

Maddy summaryHR 1532, the Scientific EXPERT Act of 2025, creates a new process for FDA to host annual "science-focused drug development meetings" (EL-SFDD meetings) specifically for rare diseases. The bill requires the Reagan-Udall Foundation to convene at least four such meetings yearly, bringing together FDA staff, drug developers, medical experts, patient groups, and scientific organizations to discuss scientific challenges and align on approaches like clinical trial designs and endpoints. The FDA must publicly summarize meeting outcomes and explain how input influenced drug approvals, while also reporting annually on meeting impact. This directly affects rare disease drug developers, FDA review divisions, and patient advocacy groups participating in these structured scientific discussions. The bill does not change drug approval standards but aims to streamline development through better scientific alignment.

More Options to Develop and Enhance Remote Nutrition in WIC Act of 2025 or the MODERN WIC Act of 2025 This bill permanently allows individuals to remotely certify their eligibility for, and receive benefits through, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Specifically, the bill requires that a state agency allow an individual seeking a WIC certification, recertification, or a nutritional risk evaluation to do so by phone or through video teleconference, in addition to the in-person option. A state agency has 90 days to collect data for a nutritional risk evaluation for a remotely certified individual. Further, a state agency may consider an applicant who meets the income eligibility standards to be temporarily eligible on an interim basis to participate in the program and may certify the individual for immediate participation without waiting for a nutritional risk evaluation. The bill also allows states to provide benefits on WIC electronic benefit transfer cards through mail or remote issuance instead of requiring participants to pick up or reload benefits in person at a WIC office. Further, the Department of Agriculture must report to Congress about the use of remote technologies and other digital tools in the WIC program. Currently, individuals are generally required to be physically present to certify their WIC eligibility and receive benefits, with exceptions. The Food and Nutrition Service  has temporarily waived these requirements and allowed remote certification and benefits using authorities that were provided by laws that were enacted to address COVID-19.

Maddy summaryHR 1505, the Public Safety Employer-Employee Cooperation Act, establishes federal standards for collective bargaining rights for public safety officers (including police, firefighters, and emergency medical personnel) in states that do not meet minimum requirements. The Federal Labor Relations Authority (FLRA) will determine after 180 days whether a state law "substantially provides" key rights, such as forming unions, negotiating wages/hours, and using binding arbitration to resolve disputes. If a state fails this assessment, federal bargaining rules apply within two years, but existing state laws with stronger protections remain valid. The bill explicitly respects state laws that exceed its standards and exempts small jurisdictions (under 5,000 population or 25 full-time employees).

Maddy summaryHR 1449, the Energy Resilient Communities Act, creates a federal grant program to fund clean energy microgrids that support critical community infrastructure like hospitals, schools, and emergency facilities. Eligible entities - including states, local governments, nonprofits, and tribal agencies - can apply for grants covering up to 90% of costs for technical assistance, community outreach, or microgrid projects in environmental justice communities. Key provisions prioritize projects that reduce emissions, lower energy costs for low-income residents, minimize land use impacts, and ensure 40% of construction labor comes from local residents meeting specific criteria (e.g., displaced workers, environmental justice community members). The program authorizes $1.5 billion over 10 years, with at least 10% reserved for community-owned microgrid projects, and requires annual reporting on project outcomes and labor practices.

Maddy summaryThis bill would require states to create a simplified process for out-of-state healthcare providers to join Medicaid and CHIP programs. Qualified providers (those already enrolled in Medicare or another state's program with low fraud risk) could enroll without excessive screening and would be approved for five years. It directly affects children under 21 enrolled in Medicaid or CHIP by expanding access to providers outside their state, particularly in underserved areas. The change applies to all states' Medicaid programs but takes effect three years after enactment.