Rep. Mary E. Miller

Maddy summaryThe America First Act (HR 746) would restrict access to numerous federal benefits and programs for certain non-citizens by requiring citizenship verification and denying eligibility to individuals with specific immigration statuses. It affects programs including Medicaid, Medicare, Head Start, WIC, school meals, housing assistance, tax credits, and community development funds by denying benefits to people granted parole, temporary protected status (TPS), deferred action (including DACA), asylum, or who are unlawfully present. The bill also reduces funding for schools in "sanctuary jurisdictions" and limits refugee resettlement for certain Haitian immigrants. It mandates that federal agencies verify immigration status before providing benefits and prohibits use of federal funds for services to certain non-citizens.

Maddy summaryHR 778, the Safeguarding American Workers’ Benefits Act, modifies Social Security Number (SSN) requirements for claiming the Child Tax Credit (CTC) and Earned Income Tax Credit (EITC). It requires taxpayers to provide SSNs issued to U.S. citizens or under specific legal provisions (as defined in the bill) before the tax return deadline, replacing previous allowances for certain alternative numbers. This directly affects individuals filing taxes who seek these credits, as they must now use only eligible SSNs to qualify. The changes apply to taxable years beginning after December 31, 2025. The bill does not alter the credit amounts but tightens verification rules for eligibility.

Maddy summaryHR 799, the Parental Notification and Intervention Act of 2025, requires healthcare providers to notify a minor's parents (or legal guardian) in writing before performing an abortion on an unemancipated minor under 18, with a 96-hour waiting period after notification. Parents may then seek a federal court injunction to halt the procedure, which would remain in effect until the court rules. The bill includes a medical emergency exception allowing abortions without notification if a physician certifies a life-threatening condition for the minor. This law directly affects minors under 18 seeking abortions, their parents/guardians, and healthcare providers performing such procedures in facilities receiving federal funds or operating across state lines.

Maddy summaryHR 719, the "No Abortion Coverage for Medicaid Act," would prohibit federal Medicaid funds from covering abortions under any Medicaid demonstration projects or waivers, with limited exceptions. It specifically blocks federal financial assistance for abortion services or related expenses (like travel) in Medicaid programs, except in cases of rape or incest, life-threatening pregnancy conditions, or treatment for miscarriage or ectopic pregnancy. This bill directly affects Medicaid recipients in states participating in federal demonstration projects, preventing them from using Medicaid funds for abortion services except under the narrow exceptions listed. The bill aims to permanently align Medicaid funding with the longstanding Hyde Amendment restrictions.

Maddy summaryHR 727 amends federal law to expand the definition of "valuable consideration" in transactions involving human fetal tissue. The bill specifically adds provisions to prohibit payments, waived fees, canceled debts, or free/discounted services related to tissue transportation, processing, storage, or implantation. This directly affects medical providers, laboratories, and facilities handling fetal tissue by restricting how they can receive compensation for these services. The key change clarifies that even indirect financial benefits, like reduced charges or waived costs, would be considered prohibited "valuable consideration."

Maddy summaryThis bill requires the Congressional Budget Office (CBO) to publicly publish the models, data, and detailed methodology it uses to estimate the costs and effects of legislation. Specifically, it mandates that the CBO make available all fiscal models, data routines, and the underlying assumptions behind its cost estimates, allowing independent verification. This applies to all CBO analyses of proposed bills, including the specific data and computational details needed for others to replicate the results. The requirement applies to all users of CBO reports - lawmakers, researchers, and the public - except for data legally restricted from disclosure, which would still require a public list of variables and descriptive statistics.

Maddy summaryHR 729, the Teleabortion Prevention Act of 2025, prohibits healthcare providers from administering chemical abortions (using drugs to terminate pregnancy) via telehealth or remote means without being physically present during the procedure. It requires providers to physically examine the patient, be present at the location of the abortion, and schedule a follow-up visit within 14 days. The bill directly affects healthcare providers offering telemedicine abortion services, imposing fines up to $1,000 or up to 2 years in prison for violations. Exceptions apply for life-threatening medical emergencies, and the law explicitly excludes treatment for verified ectopic pregnancies. This bill targets the remote provision of abortion drugs, making in-person provider presence mandatory for such procedures.

Maddy summaryHR 720, the "Protecting Life in Health Savings Accounts Act," prohibits using Health Savings Accounts (HSAs), Archer MSAs, health flexible spending accounts, and retiree health accounts to pay for abortions, except in specific cases. The bill defines "excluded abortion" to include abortions related to rape or incest, or those necessary to prevent a life-threatening physical condition caused by pregnancy (as certified by a physician). This change would affect individuals relying on these tax-advantaged accounts for healthcare expenses, making most abortion costs non-reimbursable through such plans. The provisions would take effect for taxable years beginning after December 31, 2025.

Life at Conception Act This bill declares that the right to life guaranteed by the Constitution is vested in each human being at all stages of life, including the moment of fertilization, cloning, or other moment at which an individual comes into being. Nothing in this bill shall be construed to authorize the prosecution of any woman for the death of her unborn child.

Maddy summaryHR 21, the Born-Alive Abortion Survivors Protection Act, requires medical staff at abortion facilities to provide the same immediate care and hospital admission to any infant born alive during an abortion as they would for any newborn. It mandates reporting failures to provide this care to law enforcement and imposes penalties of up to 5 years in prison for violations, with harsher penalties for intentional killing. The bill also allows women who undergo abortions to sue for civil damages, including triple the abortion cost, and provides for attorney fees. It defines "abortion" to exclude procedures performed after viability to preserve a live birth. This law directly affects healthcare providers at abortion facilities and creates new federal legal obligations for them.