Rep. Kathy Castor

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 summaryHRES 159 is a symbolic resolution expressing the U.S. House of Representatives' support for designating February 24-28, 2025, as "Public Schools Week." It does not create new laws or allocate funds but aims to highlight the importance of public schools in communities. The resolution cites reasons such as public schools serving 90% of U.S. students, fostering critical thinking, and requiring equitable funding - though these are context, not policy changes. It directly affects public schools and their communities by raising awareness of their role in education. As a non-binding resolution, it has no direct impact on school operations or funding.

New Era of Preventing End-Stage Kidney Disease Act This bill establishes regional centers of excellence, postgraduate fellowships, and training for health professionals relating to the diagnosis and treatment of rare kidney disease. It also requires the Department of Health and Human Services (HHS) to conduct various studies on rare kidney disease. Specifically, it authorizes the National Institute of Diabetes and Digestive and Kidney Diseases to award funding to public and private nonprofit entities for establishing regional centers of excellence that will increase public awareness, conduct research, and develop resources for diagnosing and treating rare kidney diseases. A center may receive such funding for up to five years, unless extended by the institute.  The bill also requires health professions schools receiving a grant from the Health Resources and Services Administration (HRSA) Centers of Excellence program to award fellowships for training on preventing, diagnosing, and treating rare kidney disease in disproportionately impacted populations. Also, the bill expands the priorities of HRSA’s Primary Care Training and Enhancement program to include training for health care workers to care for individuals with kidney disease. Additionally, HHS must conduct several studies and report to Congress on topics such as treating rare kidney disease in disproportionately affected populations, eliminating the need for dialysis or kidney transplants, and increasing public awareness of rare kidney disease.

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 summaryThe Access Technology Affordability Act of 2025 creates a new tax credit for individuals who purchase technology designed to assist blind people, such as screen readers or braille displays. This credit covers up to $2,000 in expenses per three-year period for qualified access technology used by the taxpayer, their spouse, or a blind dependent. The credit adjusts for inflation after 2026 but does not apply to costs already covered by other tax benefits. The credit expires after 2030, with adjustments for cost-of-living changes starting in 2027.

Dentist and Optometric Care Access Act of 2025 or the DOC Access Act of 20 25 This bill prohibits private health insurance plans from setting rates for items and services, except for dental cleanings, provided by a doctor of optometry, of dental surgery, or of dental medicine (or an employer of such a doctor) for which the plan does not pay a substantial amount. Additionally, an agreement between a plan and such a doctor for limited scope dental or vision benefits may last longer than two years only with the prior acceptance of the doctor for each term extension. Plans also may not restrict such a doctor's choice of laboratories or suppliers. Such doctors may elect to waive the application of the payment amount and choice of laboratories provisions of this bill. The bill does not supersede state laws regarding health insurers and dental or vision benefit plans.

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 summaryThe Rare Earth Magnet Security Act of 2025 creates a tax credit for U.S. manufacturers producing rare earth magnets domestically. The credit pays $20 per kilogram for magnets with less than 90% of component materials sourced in the U.S., and $30 per kilogram if at least 90% of materials are domestically produced. The bill restricts the credit for magnets using components from "non-allied foreign nations" (with a temporary exception for certain materials until 2027) and phases out the credit after 2034 (reducing to 70% in 2035, 35% in 2036-2037, and 0% after 2037). The credit applies to taxable years beginning after December 31, 2024.

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.