Rep. Jill N. Tokuda

Resident Physician Shortage Reduction Act of 2025 This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits. The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.

Maddy summaryThe End Polluter Welfare Act of 2025 eliminates federal subsidies for fossil fuel production by repealing tax incentives, increasing royalty rates, and prohibiting federal funding for fossil fuel projects. It directly affects oil, gas, and coal companies by terminating tax credits like the enhanced oil recovery credit (Section 43), ending special tax treatments for fossil fuel activities, and increasing offshore royalty rates to 18 3/4 percent. The bill prohibits U.S. International Development Finance Corporation and Export-Import Bank funding for fossil fuel projects, ends interest payments on royalty overpayments, and terminates tax provisions allowing accelerated depreciation for fossil fuel infrastructure. These changes apply to taxable years beginning after the bill's enactment date, with specific provisions targeting coal, petroleum, and natural gas production.

Maddy summaryH.J. Res. 108 proposes a constitutional amendment to remove legal immunity for federal officials, including the President, from criminal prosecution for actions taken while performing official duties. It would prohibit the President from granting pardons to themselves and eliminate the defense that "official authority" excuses violations of federal or state law (with limited exceptions for certain congressional actions). If ratified, this amendment would require Congress to pass implementing laws to enforce these changes. The proposal is currently in the House Judiciary Committee and requires approval by three-fourths of state legislatures to become part of the Constitution.

Maddy summaryHR 4606, the Ally’s Act, requires private health insurance plans (including employer-sponsored plans and individual coverage) to cover hearing implants and related services. It directly affects people with hearing loss who need cochlear implants, bone conduction devices, or external sound processors, as determined by a physician or audiologist. The bill mandates coverage for devices, maintenance, repairs, upgrades every 5 years, hearing assessments, surgery, and rehabilitation - without separate cost-sharing or stricter limits than other medical services. Insurers cannot deny coverage if a provider deems the service medically necessary. The law applies to all applicable health plans and takes effect for plan years beginning January 1, 2026.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryThis bill clarifies and strengthens the 340B drug discount program, which allows community health centers, hospitals, and clinics (covered entities) to purchase medications at discounted prices. It explicitly requires drug manufacturers to offer these discounts regardless of where drugs are dispensed (including through contracted pharmacies) and prohibits manufacturers from adding conditions that restrict how covered entities use these discounts - such as limiting delivery locations or demanding extra data. The bill also establishes civil penalties of up to $2 million per day for manufacturers who violate these rules, and allows covered entities to file claims for violations. This directly affects safety-net providers who rely on 340B savings to access specialty drugs (like cancer treatments) for patients in underserved communities.

Maddy summaryThis bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.

Maddy summaryThis bill requires the Environmental Protection Agency (EPA) to consult the National Academies of Sciences before finalizing new safety standards for fluoride in drinking water. Specifically, the EPA must arrange for the National Academies to conduct a rapid evidence review (within 90-180 days) of proposed fluoride rules, provide them all relevant data, and consider their findings. The bill affects federal regulators (the EPA) and the process for setting drinking water standards, not directly impacting the public or water systems. It does not change fluoride levels or safety thresholds but mandates an additional review step in rulemaking. The summary focuses solely on the procedural requirement added to the Safe Drinking Water Act.

Maddy summaryHR 4482, the Stop NOAA Closures Act, imposes a temporary moratorium on closing, suspending, or limiting access to National Oceanic and Atmospheric Administration (NOAA) facilities, effective until a report is submitted to Congress by January 21, 2029. The bill requires NOAA and the General Services Administration to submit detailed reports to specific congressional committees before any future facility closure, suspension, lease termination, or consolidation - outlining cost-benefit analyses, service impacts, and justification. Exceptions apply only for emergencies posing immediate threats to personnel safety. This bill directly affects NOAA's facility management decisions and mandates congressional oversight for future closures.

Maddy summaryThe Black Farmers and Socially Disadvantaged Farmers Increased Market Share Act creates a new grant program to support food hubs that increase market access for socially disadvantaged farmers and ranchers. The program provides competitive grants for food hubs to develop infrastructure, equipment, and marketing services, with priority given to projects benefiting underserved communities. The bill also establishes a 25% tax credit for businesses that purchase agricultural products from these food hubs and requires USDA to prioritize purchasing from socially disadvantaged farmers in domestic food assistance programs. These provisions aim to address historical barriers to market access for socially disadvantaged farmers by supporting their participation in food distribution systems.