Rep. Sharice Davids

Maddy summaryThe Urban Indian Health Parity Act (HR 4722) would amend the Social Security Act to extend full federal medical assistance to urban Indian health organizations. Currently, only tribal organizations receive this full federal funding level under Medicaid, but urban Indian organizations are excluded. The bill adds urban Indian organizations - defined under the Indian Health Care Improvement Act - to the list of entities eligible for full federal medical assistance when operating under a grant or contract with the Indian Health Service. This change would ensure urban Indian health organizations receive the same federal funding as tribal organizations for Medicaid services.

Maddy summaryThis bill allows employers to contribute directly to an employee's ABLE account (a savings account for people with disabilities) instead of a retirement plan, without violating retirement plan rules. It specifically ensures that when employers make these ABLE contributions, they are treated as valid contributions for retirement plan compliance purposes and do not disqualify the employee from federal benefits like Medicaid. The law requires employers to offer this option universally to all eligible ABLE account holders who participate in their retirement plans. It also clarifies that these employer contributions to ABLE accounts won't count toward income limits for means-tested federal programs. This directly affects working individuals with disabilities who use ABLE accounts to save without losing government benefits.

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 summaryHR 1522, the Federal Retirement Fairness Act, changes federal retirement rules to include temporary employees' service after January 1, 1988, in retirement benefit calculations. It directly affects temporary federal employees (including U.S. Postal Service workers) and Members of Congress who served after that date. The bill removes a previous cutoff date in retirement law, allowing their temporary service to count toward retirement eligibility. This means eligible temporary workers can now have their full service period considered when calculating retirement benefits.

Maddy summaryThis bill prohibits Medicare from paying for orthotics or prosthetics delivered directly to patients without in-person training from a qualified provider (a "drop shipment"), ensuring beneficiaries receive proper fitting and use instructions. It expands the list of healthcare providers who can prescribe these devices to include physical therapists, occupational therapists, orthotists, and prosthetists. The bill also specifically requires Medicare to cover replacements for custom-fitted orthotics and custom-fabricated orthotic devices, aligning with existing rules for prosthetic replacements. These changes aim to improve patient safety and access to properly fitted devices under Medicare.

Maddy summaryThe Price Gouging Prevention Act of 2025 prohibits selling goods or services at grossly excessive prices during exceptional market shocks like natural disasters, energy shortages, or public health emergencies. It creates a presumption of violation when companies with "unfair leverage" (revenue over $1 billion, dominant market position, or other factors) increase prices beyond normal market fluctuations. The law requires public companies to disclose detailed pricing information in SEC filings during these emergencies, including explanations for price increases and how costs affected pricing. The Federal Trade Commission and state attorneys general would enforce the law, with civil penalties up to 5% of a company's revenue for violations. The bill also appropriates $1 billion to fund FTC enforcement efforts.

Maddy summaryThe Child Care for Working Families Act creates a federal program to provide affordable, high-quality child care for working families with children under age 6. It would provide direct child care assistance through certificates or grants to parents, with no copayment required for families at or below 85% of state median income. The program requires states to implement quality standards for child care providers, including a tiered quality system and minimum wage requirements for staff (at least a living wage equivalent to elementary educators). The bill appropriates $20 billion for the program over five years, with additional funding for quality improvement initiatives and universal preschool services.