Rep. Jill N. Tokuda

Maddy summaryThis resolution designates the week of September 8-12, 2025, as "Malnutrition Awareness Week" to highlight the issue of malnutrition in the United States. It does not create new laws or funding but serves as a symbolic gesture to raise public awareness about malnutrition's impact on vulnerable groups, including older adults, children in food-insecure households, and communities of color disproportionately affected by food insecurity. The resolution acknowledges existing programs like the Older Americans Act and Medicare nutrition services while emphasizing the need for improved access to nutrition care and prevention efforts.

Maddy summaryThis bill modifies the Family and Medical Leave Act (FMLA) to extend eligibility to school support staff, including paraprofessionals, cafeteria workers, bus drivers, and clerical staff. It allows these employees to qualify for FMLA leave if they work 60% of their expected monthly hours (instead of the standard 1,250 hours), based on their school’s assigned schedule. Employers must maintain records of expected hours for each staff member. The change directly benefits part-time and seasonal education support staff who previously faced barriers to FMLA coverage.

Maddy summaryThis bill amends the Social Security Act to remove a payment limitation for certain Medicaid Home and Community-Based Services (HCBS) waivers. Specifically, it strikes a provision (subparagraph (C) of Section 1915(c)(11)) that restricted how states could fund these waivers under Medicaid. The change directly affects state Medicaid programs that use HCBS waivers to provide home and community care for people with disabilities or elderly individuals. By removing this restriction, states gain more flexibility in allocating Medicaid funds for these services, without altering eligibility or service requirements.

Maddy summaryThe Mental Health in Aviation Act of 2025 requires the Federal Aviation Administration (FAA) to update regulations within two years to encourage pilots and air traffic controllers to seek mental health care and disclose conditions without fear of losing medical clearance. It mandates annual reviews to improve the medical clearance process for mental health conditions - such as approving additional safe medications, enhancing examiner training, and reducing backlogs - and allocates $13.74 million yearly (2026-2029) to hire more aviation medical examiners. The bill also directs the FAA to implement recommendations from a mental health rulemaking committee and fund a public campaign to reduce stigma around mental health care in aviation. These provisions aim to support aviation workers' well-being while streamlining safety-related medical evaluations.

Maddy summaryThis bill amends the Social Security Act to remove an exclusion for rural facilities primarily treating mental health conditions from Medicare coverage. It specifically changes Section 1861(aa)(2) by deleting the phrase "or a facility which is primarily for the care and treatment of mental diseases," allowing these facilities to qualify for Medicare reimbursement. The change directly affects rural behavioral health centers specializing in mental health care that were previously excluded. The amendment takes effect on January 1, 2027, enabling these facilities to access federal Medicare funding for services.

Maddy summaryThis bill changes federal rules for rural healthcare facilities that employ physician assistants (PAs) and nurse practitioners (NPs). It requires these facilities (not run by a physician) to have arrangements consistent with state laws governing PA/NP practice, ensuring services follow state regulations. The policy directly affects rural clinics and hospitals seeking federal reimbursement for PA/NP services. The changes take effect January 1, 2027, aligning federal requirements with existing state oversight of these healthcare providers.

Maddy summaryThis bill increases federal funding for Impact Aid, which supports school districts that serve students on federal property (like military bases) or have high numbers of children with disabilities. It authorizes specific annual funding amounts for four key areas: payments for federal property acquisition, basic support for heavily impacted districts, aid for children with disabilities, and school construction. The funding grows incrementally each year from 2026 through 2031, with total annual amounts rising from $85 million to $250 million for property payments, and from $1.49 billion to $2.35 billion for basic district support. This directly affects school districts in communities with significant federal land or federal facility presence.

Maddy summaryHR 5198, the Rural Health Clinic Location Modernization Act of 2025, changes Medicare eligibility rules for rural health clinics by updating the definition of "urban area" used to determine clinic qualification. It replaces the current "urbanized area" standard with a clearer definition: any urban area (per Census Bureau data) having a population of 50,000 or more. This adjustment directly affects clinics seeking Medicare certification, ensuring they meet consistent geographic criteria for rural designation. The change takes effect January 1, 2027, aiming to simplify qualification rules without altering Medicare coverage or benefits.

Maddy summaryThis bill prohibits Members of Congress, their spouses, and dependent children from owning or trading certain investments, including stocks, commodities, and derivatives (referred to as "covered investments"). It requires affected individuals to divest these investments within 90-180 days, with specific exemptions for Treasury bonds, diversified mutual funds, small business interests, and family trusts meeting strict conditions. Violations incur penalties of 10% of the investment's value plus disgorgement of profits, paid directly to the U.S. Treasury. The law applies to all covered individuals during federal service, with exceptions for investments acquired through inheritance or occupational trading (e.g., a spouse’s finance job).

Maddy summaryHR 5073, the INFORM Act of 2025, requires immigration authorities to notify the immediate family of a detained individual within 24 hours if they are transferred to a different detention facility. This applies directly to immigrants held under U.S. immigration law and their immediate family members, defined as parents, children, spouses, and certain extended family like step-relatives or domestic partners. The law mandates that notifications include the reason for the transfer and full contact details (name, address, phone number, and point of contact) for the new facility. It establishes a specific timeline and content requirement for these notifications to improve transparency during detention transfers. The bill focuses on procedural changes for facility transfers, not on altering detention policies or immigration eligibility.