Rep. Jill N. Tokuda

Maddy summaryThis bill authorizes $30 million annually (2026-2030) to fund grants for partnerships between sexual assault programs and health/wellness providers, behavioral health programs, and disability services. It directly supports survivors of sexual assault - especially adult survivors of childhood abuse - by requiring grantees to develop trauma-informed, culturally relevant services like therapy, housing assistance, and care coordination. Eligible recipients include state/tribal coalitions, nonprofit rape crisis centers, and tribal organizations, which must use funds for specific activities including prevention, screening, and staff training while protecting survivor privacy. Grantees must report on program effectiveness, and the bill also updates existing law to explicitly include sexual assault in related provisions.

Maddy summaryThis bill establishes the Office of Climate Change and Health Equity within the Department of Health and Human Services to coordinate federal efforts addressing climate change's health impacts. It requires the creation of a National Strategic Action Plan to identify communities most affected by climate-related health threats - including environmental justice communities, medically underserved communities, and Tribal communities - and develop strategies for preparedness and response. The plan must address specific health impacts like extreme heat, air pollution, infectious diseases, and mental health effects, while prioritizing health equity and environmental justice. The bill also creates a Science Advisory Board to provide expert guidance and authorizes funding for these initiatives over several years. These provisions are designed to strengthen the health sector's ability to respond to climate change impacts across the United States.

Maddy summaryThe Gun Safety Incentive Act establishes voluntary best practices for safe firearm storage (e.g., in homes, vehicles, businesses) through the Attorney General, requiring public education and annual updates. It mandates that firearm manufacturers include a "SAFE STORAGE SAVES LIVES" notice with every handgun, rifle, or shotgun starting in 2027, directing consumers to a public website with storage guidance. The bill also creates a $10 million annual grant program for states and tribes to fund local safe storage device distribution programs and offers a tax credit (up to $400 per device) to manufacturers selling safe storage devices. These provisions directly affect firearm manufacturers, state/local governments, and safe storage device sellers, focusing on accessible storage education and financial incentives without restricting firearm ownership.

Maddy summaryThe INSURE Act establishes a federal reinsurance program to help property insurers cover losses from natural disasters like hurricanes, wildfires, and floods. Participating insurers must offer "all-perils" property insurance policies covering these perils and develop loss prevention partnerships with policyholders to reduce disaster risks. The program will be phased in over several years, starting with wind and hurricane coverage, and will be funded by quarterly premiums from participating insurers based on expected losses. This aims to stabilize property insurance markets and ensure coverage remains available in high-risk areas.

Maddy summaryHR 4530, the STOP Shells Act, requires U.S. export licensing for subsidiaries owned 50% or more by companies listed on Commerce Department "Entity Lists" or "Military End User Lists" due to national security concerns. It mandates that the Commerce Secretary assess whether applying export controls to these subsidiaries would advance U.S. national security interests before adding entities to the lists. The bill also requires the Commerce Secretary to notify Congress within two days of both adding entities to the lists and granting any exemptions for subsidiaries. These provisions aim to prevent entities on restricted lists from circumventing export controls through subsidiary companies.

Maddy summaryHCONRES 44 is a symbolic resolution recognizing a health and safety emergency for children linked to the Trump administration's climate policies. It claims these policies - unleashing fossil fuel production, blocking renewable energy, and suppressing climate science - disproportionately harm children through increased air pollution, extreme weather, and denied access to climate data. The resolution calls for reversing these policies, restoring the EPA's mission, and ensuring climate action aligns with protecting children's rights. It does not enact new laws or change policy, but serves as a formal congressional statement of concern.

Maddy summaryThe Palliative Care and Hospice Education and Training Act creates federal funding programs to improve training for health professionals in palliative and hospice care. It authorizes $15 million annually for 2026-2030 to support grants for education programs that train doctors, nurses, social workers, and other health professionals in palliative care. The bill prioritizes programs serving rural or medically underserved areas, pediatric patients, and racial/ethnic minority populations. It establishes specific training requirements including interprofessional team-based care, patient and family engagement, and integration with primary care settings. The legislation also includes provisions to disseminate information about palliative care benefits to patients, families, and health professionals.

Maddy summaryThis bill prohibits U.S. Immigration and Customs Enforcement (ICE) from using federal funds to detain or transport U.S. citizens during civil immigration enforcement actions. It directly affects ICE operations by blocking funding for any activity that would hold or move citizens outside the U.S. under immigration laws. The key mechanism is a specific funding restriction in the bill text, stating no funds may be used for detaining or transporting citizens. This applies to all civil immigration enforcement activities defined under the Immigration and Nationality Act. The bill does not create new enforcement powers but limits how existing funds can be spent.

Maddy summaryThis bill establishes federal worker heat protection standards to prevent heat-related illness and injury. It requires employers to provide a workplace free from heat stress hazards, including access to cool water, scheduled rest breaks, shaded cooling areas, and training on heat illness symptoms. The Secretary of Labor must create these standards within one year, incorporating evidence-based practices like engineering controls (e.g., ventilation), administrative measures (e.g., adjusted schedules), and employer-paid personal protective equipment. The law directly affects all employers in high-heat work environments - such as construction, agriculture, and manufacturing - and strengthens whistleblower protections for workers reporting safety violations.

Maddy summaryHR 4470, the *Removing Burdens From Organ Donation Act*, requires hospitals to electronically notify organ procurement agencies when a potential donor is deceased or near death, with remote access to updated electronic health records (EHRs). This applies to most hospitals starting two years after the law's enactment, but allows exemptions for rural hospitals lacking reliable internet, those hit by cyberattacks, or disaster-affected facilities. The bill mandates federal guidance for hospitals and EHR companies on implementation, plus annual reports on exemptions and a GAO study on costs, rural challenges, and transplant outcomes. It directly affects hospitals, organ procurement agencies, and EHR providers by streamlining donor notification processes.