Rep. Brittany Pettersen

Maddy summaryThe Office of Gun Violence Prevention Act of 2025 would create a new office within the Department of Justice to coordinate federal efforts on reducing gun violence. The office, led by a Director appointed by the Attorney General, would integrate existing DOJ programs, evaluate data gaps, and develop evidence-based recommendations for Congress and the President. It would also establish an advisory council including survivors of gun violence, public health officials, and community representatives to guide its work. The office would produce annual reports detailing gun violence trends and policy proposals, while collaborating with agencies like Health and Human Services and the FBI.

Maddy summaryHR 1251, the All Access Act of 2025, requires Members of Congress (House members and Senators) to present official identification to enter federal public buildings during regular business hours. For access outside these hours, Members must notify the building head at least 12 hours in advance. The bill establishes clear, procedural access rules for congressional members but does not create new policies or affect the public. It is a straightforward procedural measure governing Member access to federal facilities.

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs. Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any). The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.

Maddy summaryHR 1269, the Honoring Our Fallen Heroes Act of 2025, expands benefits for public safety officers (like police and firefighters) who develop certain cancers linked to their work. It adds 22 specific cancers - including lung, mesothelioma, and breast cancer - to the list of conditions presumed to be "exposure-related" and sustained in the line of duty. This presumption applies if the officer served at least 5 years, was diagnosed with the cancer within 15 years after last active duty, and the cancer directly caused death or permanent disability. The bill also establishes a process for adding new cancers every 3 years based on medical evidence from agencies like NIOSH, and allows claims to be filed within 3 years of the law's enactment.

Rural Obstetrics Readiness Act This bill creates and expands federal grant programs within the Health Resources and Services Administration (HRSA) to increase capacity to provide emergency obstetric health services in rural areas or areas without practitioners or facilities specializing in obstetric services.  Specifically, HRSA must establish a program for providing grants to certain hospitals or consortiums that include hospitals in rural areas or areas with maternal health care professional shortages for training, developing a workforce, and purchasing equipment relating to obstetric emergencies. In addition, the bill requires HRSA’s Alliance for Innovation on Maternal Health Capacity program to provide grants for training on emergency obstetric services for practitioners in rural health care facilities without dedicated obstetric units. HRSA must also establish a pilot program to provide grants to government entities for developing or improving telehealth access programs to support urgent maternal health care in rural facilities without a dedicated obstetric unit.

Maddy summaryThis bill restricts access to Treasury payment systems (including the Bureau of the Fiscal Service) to only Treasury employees with a "fully successful" performance rating and at least one year of civil service, or contractors/outsiders with security clearances, required privacy/cybersecurity training, ethics agreements, and no conflicts of interest. It treats non-government users accessing these systems as government employees for ethics rules and defines specific actions (like stopping payments) as "personal and substantial participation" in government matters. The Treasury Inspector General must investigate any unauthorized access within 30 days and report to Congress, detailing the breach, security risks, and any halted payments. The bill directly affects Treasury staff, contractors, and any external entities accessing federal payment systems.

Maddy summaryThis proposed bill (HR 220) would expand VA healthcare benefits to cover infertility treatments like in vitro fertilization (IVF) and fertility preservation services for veterans with infertility or at risk of infertility (e.g., due to medical treatments), and their partners. It limits VA coverage to three successful IVF cycles or ten attempts, requires consent from veterans, partners, and donors, and allows use of donated eggs or embryos. Partners would receive travel reimbursement as if they were veterans, and temporary rules during implementation will immediately allow partners to access care without marriage requirements. The bill clarifies VA isn’t required to cover maternity care beyond existing rules and defers full implementation until VA issues final regulations within one year of enactment.

Blind Americans Return to Work Act of 2025 This bill requires the Social Security Administration to carry out a demonstration project during which blind Social Security Disability Insurance (SSDI) beneficiaries receive reduced benefits commensurate with income above certain thresholds. Under current law, only individuals who earn under a specified monthly income, known as the substantial gainful activity (SGA) threshold, are considered disabled and thereby eligible for SSDI benefits. For blind workers, this limit is $2,700 per month in 2025. SSDI beneficiaries may earn beyond the SGA threshold for a limited period of time, known as the trial work period , before their benefits are suspended and ultimately terminate. The bill establishes a 20-year demonstration project during which individuals who are entitled to SSDI benefits by reason of blindness and who earn above the SGA threshold continue to receive benefits at an amount gradually reduced commensurate with their earnings beyond a specified amount. During this period, blind workers’ SSDI benefits must be reduced by $1 for every $2 that a worker earns above the sum of (1) the SGA threshold, and (2) the worker’s expenses reasonably attributable to their work. The SGA threshold may not be used to determine whether an individual is disabled during this period, and blind workers’ SSDI benefits may not be terminated due to work-related earnings. The trial work period also must not apply.  After 10 years, affected beneficiaries may opt out of the modified benefits structure.

Maddy summaryThis bill clarifies that states may use direct primary care arrangements under Medicaid, where patients pay a fixed fee for primary care only (not for other services). It requires the HHS Secretary to issue implementation guidance within one year and submit a report to Congress within two years analyzing state contracting practices and outcomes of these arrangements. The bill directly affects state Medicaid programs and managed care organizations by removing barriers to adopting this payment model. It does not change Medicaid eligibility, funding, or cost-sharing requirements. The focus is on enabling states to explore new primary care delivery methods through clear regulatory guidance.

Maddy summaryThis bill expands 529 college savings account flexibility by allowing funds to cover costs for industry-recognized postsecondary credentials, not just traditional degrees. It defines "qualified expenses" to include tuition/fees for recognized credential programs (like certifications or apprenticeships), required testing fees, and continuing education needed to maintain credentials. To qualify, programs must meet specific criteria, such as appearing on state lists under the Workforce Innovation and Opportunity Act or being listed in VA or Defense directories. The change applies to 529 distributions made after the law's enactment, giving families more options to use these accounts for job-focused training.