Rep. Lori Trahan

Maddy summaryHR 307, the ARC Act of 2025, aims to reduce avoidable amputations by expanding access to peripheral artery disease (PAD) screening and prevention. It requires Medicare and Medicaid to cover PAD screening tests (like ankle-brachial index tests) without cost-sharing for at-risk beneficiaries, including seniors, diabetics, and those with other vascular risk factors. The bill also establishes a federal education program to raise awareness about PAD and creates quality measures to incentivize hospitals to prioritize non-amputation treatments through early detection. These provisions directly affect millions of Americans, particularly minorities disproportionately impacted by PAD-related amputations, by making preventive care more accessible and integrated into routine care.

Head start Education And Development Workforce Advancement and Yield Act or the HEADWAY Act This bill allows some teachers in Early Head Start programs to teach while in the process of earning their Child Development Associate (CDA) credential and completing training. Currently, the Department of Health and Human Services (HHS) must ensure that all teachers providing direct services to children and families in Early Head Start centers (1) have a minimum of a CDA credential and have been trained in early childhood development, and (2) have been trained in early childhood development with a focus on infant and toddler development. The bill revises this requirement by requiring at least one teacher per classroom (instead of all teachers) to have a CDA credential and training. In particular, the bill requires HHS to ensure that (1) each additional teacher providing direct services to children and families is in the process of earning a CDA credential and completing training, and (2) the Early Head Start agency provides a mentor to oversee the progress and guide the work of a teacher who is in the process of earning a CDA credential and completing training.

Maddy summaryThe Proxy Voting for New Parents Resolution (HRES 23) would allow U.S. House Members who have given birth or whose spouse has given birth to appoint another Member as a proxy to cast their vote or record their presence in the House and committees for up to 12 weeks after childbirth. To use this, the new parent must submit a signed letter to the Clerk detailing the birth or medical condition and naming the proxy; the proxy must vote exactly as instructed and announce the vote as "by proxy." The proxy vote does not count toward quorum, and the new parent can revoke the proxy at any time by submitting a new letter or casting their own vote. This resolution applies to all House Members, including Delegates and the Resident Commissioner, though they cannot cast votes for the House itself.

This resolution honors the life, achievements, legacy, and distinguished public service of former President Jimmy Carter. The resolution also (1) acknowledges President Carter's contributions to the state of Georgia, the United States, and the world; and (2) establishes his legacy as one of the great leaders and statesmen of the United States.

Maddy summaryThis bill increases healthcare affordability for low- and middle-income people by expanding eligibility for premium tax credits under the Affordable Care Act. It removes the previous 400% of poverty level cap for subsidy eligibility and replaces it with a new sliding scale based on income tiers, ranging from 0% to 8.5% of household income for coverage costs. The scale adjusts linearly across income levels, with households earning 300-400% of poverty paying 6.0%-8.5% of income (up from the prior fixed 400% cap), while lower-income households pay progressively less. These changes apply to tax years beginning after December 31, 2025, directly affecting individuals purchasing health insurance through marketplace plans.

Maddy summaryHR 82, the Social Security Fairness Act of 2023, repeals two provisions that reduce Social Security benefits for certain government workers. It eliminates the Government Pension Offset (GPO), which cuts spousal or survivor benefits for people with pensions from jobs not covered by Social Security (like federal or state government roles), and the Windfall Elimination Provision (WEP), which lowers retirement benefits for those with similar pensions. The law takes effect for benefits paid after December 2023, requiring the Social Security Administration to adjust benefit calculations to remove these reductions. This change directly affects public-sector employees who previously had their Social Security benefits reduced due to their government pensions.

Maddy summaryHR 40 would establish a 15-member commission to study the legacy of slavery and systemic discrimination against African Americans in the United States, and develop proposals for reparations. The commission would examine historical and ongoing effects of slavery, discriminatory policies (including redlining and educational disparities), and recommend remedies through education and potential reparations. Composed of members appointed by the President, House Speaker, and Senate President pro tempore, the commission would have 18 months to submit a report to Congress, with $20 million authorized for its work. This legislation creates a study process but does not provide reparations directly.

Washington, D.C. Admission Act This bill provides for the establishment of the State of Washington, Douglass Commonwealth, and its admission into the United States. The state is composed of most of the territory of the District of Columbia (DC), excluding a specified area that encompasses the U.S. Capitol, the White House, the U.S. Supreme Court building, federal monuments, and federal office buildings adjacent to the National Mall and the U.S. Capitol. The excluded territory shall be known as the Capital and serve as the seat of the government of the United States, as provided for in Article I of the Constitution. The state may not impose taxes on federal property except as Congress permits. The bill provides for the DC Mayor to issue a proclamation for the first elections to Congress of two Senators and one Representative of the state. The bill eliminates the office of Delegate to the House of Representatives. The bill applies current DC laws to the state. DC judicial proceedings and contractual obligations shall continue under the state’s authority. The bill also provides for specified federal obligations to transfer to the state upon its certification that it has funds and laws in place to assume the obligations. These include maintaining a retirement fund for judges and operating public defender services.  The bill establishes a commission that is generally comprised of members who are appointed by DC and federal government officials to advise on an orderly transition to statehood.

Maddy summaryThis bill creates a 4-year transitional coverage period for Medicare to automatically cover "breakthrough medical devices" - new FDA-prioritized devices approved after March 2021 - as "reasonable and necessary" for treatment. During this period, these devices qualify for additional payments under Medicare's hospital and outpatient payment systems without requiring separate approval. After the 4-year period, Medicare must develop regular coverage based on additional data, with automatic coverage for all approved uses if no action is taken within two years. The bill requires Medicare to assign unique codes for these devices within three months of FDA approval and to update payment systems regularly. It also includes special provisions for "specified breakthrough devices" that lack existing Medicare benefit categories, requiring reports on their impact and cost to Congress.

Maddy summaryThis bill, HR 1097 (Everett Alvarez, Jr. Congressional Gold Medal Act of 2023), authorizes the award of a Congressional Gold Medal to Everett Alvarez, Jr., in recognition of his service as a U.S. Navy pilot and Vietnam War prisoner of war. It directly honors Alvarez, who was the first U.S. pilot shot down in the Vietnam War, spent over 8.5 years in captivity, and later served in the Peace Corps and Veterans Administration. The bill’s key mechanism is directing the U.S. Mint to strike a gold medal bearing his name and image, with bronze duplicates available for sale to cover costs. It does not create new policies or affect any group beyond the honoree.