Maddy summaryThis bill requires health plans and insurers to create a clear, timely process for patients or doctors to request exceptions when step therapy protocols (which force patients to try cheaper drugs first) might harm them. It mandates approval for exceptions in six specific cases, such as when prior treatments failed, delaying care risks severe harm, or the required drug causes adverse reactions. Plans must respond within 72 hours (24 hours for emergencies) and cover the requested drug for at least one year if approved. Additionally, health plans must report annual data on exception requests, approvals, denials, and reasons to the government for transparency.
Sponsored bills
Maddy summaryHR 5455, the Aviation Funding Stability Act of 2025, ensures continued operation of the Federal Aviation Administration (FAA) during government funding gaps. If Congress fails to pass regular appropriations or a continuing resolution before the new fiscal year begins, the bill allows the FAA to use existing funds from the Airport and Airway Trust Fund to maintain essential programs and airport infrastructure at the previous year’s funding level. This prevents shutdowns for FAA operations like air traffic control, airport grants, and safety programs for up to 30 days or until regular funding is enacted. The bill directly affects all FAA programs funded through the trust fund, including airport improvements and aviation safety initiatives, without creating new policies or altering funding levels.
Maddy summaryHRES 739 designates September 19, 2025, as "National Stillbirth Prevention and Awareness Day" to recognize the over 21,000 stillbirths occurring annually in the U.S. and highlight racial disparities affecting Black, Indigenous, and Hispanic families. The resolution urges increased awareness, supports evidence-based prevention efforts, and calls for better data collection to address the crisis. It specifically references the 2024 Maternal and Child Health Stillbirth Prevention Act as context for federal resources. The bill has no funding or regulatory changes; it is a symbolic resolution encouraging public awareness and education.
Maddy summaryThis bill, the Protect Adoptees and American Families Act (PAAF Act), automatically grants U.S. citizenship to certain internationally adopted children who meet specific criteria. It directly affects children adopted by U.S. citizen parents before age 18, who were living in the U.S. under legal custody before turning 18, and who were not already U.S. citizens. The key mechanism provides automatic citizenship for those already residing in the U.S. on the bill's effective date, and for those outside the U.S. upon lawful entry, subject to a criminal background check for visa issuance. It clarifies citizenship eligibility under immigration law without requiring additional naturalization steps for qualifying adoptees.
Maddy summaryThis bill allocates $5 million annually (2026-2030) to states for collecting de-identified stillbirth data through existing health systems, including risk factor analysis. It also provides $1 million yearly to develop standardized guidelines for healthcare providers and public educational materials about stillbirths, requiring consultation with medical professionals, bereavement organizations, and affected families. The bill mandates that all data collection complies with privacy laws and requires the Department of Health and Human Services to publish a public report on stillbirth guidelines within five years. It directly affects state health departments, healthcare providers, and families experiencing stillbirth by improving data quality and access to resources.
Maddy summaryThis bill ensures continued pay for specific Department of Homeland Security (DHS) personnel and Coast Guard members during government shutdowns in fiscal years 2026-2027. It directly affects DHS law enforcement officers (including those in job series like 0083, 1801, and 1811), DHS administrative and payroll staff, and Coast Guard personnel. The bill authorizes emergency funding from the Treasury to cover their pay and allowances when regular appropriations are not in place. This funding expires on January 1, 2027, or earlier if Congress passes a new appropriations bill covering these costs.
Maddy summaryHR 5401, the Pay Our Troops Act of 2026, ensures military personnel, civilian Defense workers, and supporting contractors receive pay during government funding gaps in fiscal year 2026. It appropriates emergency funds for active-duty service members, reserves, and their supporting personnel (including Coast Guard staff under DHS) if regular appropriations aren't enacted by the end of the fiscal year. The bill provides necessary pay and allowances during any period when full-year funding is unavailable, covering both active service and support roles. Funding expires when regular appropriations are passed, a funding resolution is enacted, or January 1, 2027, whichever comes first. This is a procedural measure to prevent pay delays for military and support staff during fiscal year 2026 funding lapses.
Maddy summaryHR 5397, the HEALING Mothers and Fathers Act, expands paid leave under the Family and Medical Leave Act (FMLA) to cover "spontaneous loss of an unborn child" (unplanned pregnancy loss not from a purposeful act). This affects private-sector employees and federal workers, allowing them to take up to 12 weeks of job-protected leave for this reason, with provisions for intermittent leave when medically necessary. The bill also creates a refundable tax credit for individuals who experienced a stillbirth (defined as spontaneous fetal death before delivery), equal to the amount of the existing section 24 credit, to help offset related expenses. These changes directly impact employees seeking leave for pregnancy loss and taxpayers who suffered stillbirths, adding specific eligibility criteria and certification requirements to both provisions.
Maddy summaryHR 5268, the FAIR Trucking Act, changes federal court jurisdiction for certain trucking accident lawsuits. It gives federal courts original jurisdiction over civil cases involving bodily harm or death from commercial motor vehicles (like large trucks) in interstate commerce, provided the damages exceed $5 million and involve parties from different states or a foreign entity. This primarily affects accident victims seeking compensation and interstate trucking companies, shifting these high-value cases from state to federal courts. The bill does not alter liability rules but changes where such cases must be filed.
Maddy summaryThis bill ensures U.S. Border Patrol Agents and Customs and Border Protection officers who continue working during a government shutdown receive their salaries. It authorizes funding from the Treasury for fiscal year 2026 to cover their salaries and expenses during any lapse in discretionary appropriations. The measure specifically applies to employees "excepted from furlough," meaning those required to work during shutdowns. It does not change eligibility for pay but guarantees funding for these personnel during funding gaps.