Rep. Joe Neguse

Treat and Reduce Obesity Act of 2025 This bill expands Medicare coverage of intensive behavioral therapy for obesity. Specifically, the bill allows coverage for therapy that is provided by (1) a physician who is not a primary care physician; or (2) other health care providers (e.g., physician assistants and nurse practitioners) and approved counseling programs, if provided upon a referral from, and in coordination with, a physician or primary care practitioner. Currently, such therapy is covered only if provided by a primary care practitioner. The bill also allows coverage under Medicare's prescription drug benefit of drugs used for the treatment of obesity or for weight loss management for individuals who are overweight.

Maddy summaryThis bill allows seniors to use tax-free health savings account (HSA) funds for qualified home care services. It defines "qualified home care" as contracts providing three or more specific personal care services (like assistance with bathing, dressing, or medication) from state-licensed providers. The policy change directly affects seniors needing home care who use HSAs, excluding family-provided care and requiring state licensing compliance. A public awareness campaign will also inform seniors about eligible services.

Maddy summaryHR 4192, the Military PFAS Transparency Act of 2025, requires the Department of Defense to publicly report on its cleanup efforts for PFAS (toxic chemicals used in firefighting foam) at military installations. It mandates annual reports to Congress detailing site-specific funding, progress, and delays in PFAS remediation, plus a public online dashboard showing site-by-site spending, timelines, and community contact points. The bill also requires a remediation acceleration strategy prioritizing sites based on health risks and environmental impact. This directly affects military installations with PFAS contamination and the surrounding communities relying on affected water sources. The law focuses solely on increasing transparency and accountability in existing cleanup efforts, not on new funding or policy changes.

Maddy summaryHR 4169, the Preventing Crimes Against Veterans Act of 2025, creates a new federal crime for schemes to defraud veterans of their benefits. It adds Section 1352 to Title 18, making it illegal to knowingly execute or attempt to execute a scheme to defraud an individual of veterans' benefits or to obtain such benefits fraudulently for them. The law specifically defines "veterans' benefits" as any federal benefit for veterans, dependents, or survivors, and sets penalties of fines, up to 5 years in prison, or both. This directly affects veterans and their families by strengthening legal tools to prosecute fraudsters targeting their benefits.

Maddy summaryThis bill makes the Environmental Protection Agency's existing April 2024 rule on PFAS limits in drinking water legally binding. It codifies the EPA's "PFAS National Primary Drinking Water Regulation" (89 Fed. Reg. 32532), which sets enforceable limits for specific PFAS chemicals in public water systems. The rule directly affects municipal water providers and communities relying on public water sources by requiring them to meet these new contaminant standards. The bill does not create new standards but formally adopts the EPA's previously issued rule into law.

Maddy summaryThis bill prohibits defendants in federal criminal cases from using a victim's LGBTQ identity (sexual orientation, gender identity, or expression) as a defense to excuse or reduce punishment for violent crimes. It amends federal law to ban arguments that claim a "nonviolent sexual advance" or inaccurate perception of someone's LGBTQ status justified the defendant's actions. The law allows limited admission of past trauma evidence under standard federal rules but requires the Attorney General to annually report on federal prosecutions involving bias-motivated violence against LGBTQ individuals. This directly affects defendants in federal court cases where such defenses were previously used, aiming to end the practice of treating LGBTQ victims' identities as justification for violence.

Maddy summaryThe PRIDE Act of 2025 updates the Internal Revenue Code by replacing gender-specific terms like "husband and wife" with gender-neutral terms such as "married couple" or "spouse" across over 30 tax code provisions. This change affects all married couples filing federal taxes and the IRS, as it modernizes tax law language to be inclusive of all married individuals regardless of gender. The bill makes specific textual amendments to sections dealing with filing status, deductions, credits, and estate tax provisions without creating new tax benefits. It ensures tax law language does not assume the gender of spouses, making the tax code more equitable for all married couples. This is a language update to existing tax law, not a change in tax policy or benefits.

Maddy summaryHR 4132, the Prescription Information Modernization Act of 2025, allows drug manufacturers to provide FDA-approved prescribing information for prescription drugs exclusively through electronic means, while requiring them to offer paper copies at no additional cost upon request by prescribers or dispensers. The bill directly affects drug manufacturers, doctors, pharmacists, and other healthcare professionals who rely on prescribing information. Key provisions include mandating that manufacturers give prescribers/dispensers the choice to continue receiving paper copies or request them as needed, and requiring the HHS Secretary to issue implementing regulations within one year to support this transition. The law takes effect two years after enactment or when final regulations are issued, whichever comes first.

Maddy summaryThis bill makes technical corrections to the Camp Lejeune Justice Act of 2022 to streamline claims for individuals harmed by water contamination at Camp Lejeune. It clarifies the evidence required (30+ days at the base plus a link between contaminants and health harm), specifies that cases must be handled in North Carolina courts (with limited transfer options), and sets attorney fee caps (20% before suit, 25% after). These changes directly affect veterans and civilians who lived at Camp Lejeune and filed claims under the 2022 law. The bill does not create new eligibility but aims to improve the legal process for existing cases.

Maddy summaryThe Women's Health Protection Act of 2025 would protect access to abortion services across the United States by prohibiting states from imposing restrictions that are more burdensome than those on comparable medical procedures. The bill directly affects people seeking abortion care and health care providers by banning restrictions such as mandatory in-person visits, requirements for specific tests, limitations on telemedicine, and rules based on a patient's reason for seeking abortion. It prohibits state laws that single out abortion for unnecessary restrictions while allowing post-viability abortions when necessary to protect a patient's life or health. The bill preempts conflicting state laws and provides enforcement mechanisms through private lawsuits and actions by the Attorney General.