Rep. Chellie Pingree

Maddy summaryThis bill creates a new Medicare payment model (the "Comprehensive Alternative Response for Emergencies Model") that allows Medicare Part B to cover ground ambulance services provided in response to emergency medical calls *without* a full transport. It directly affects Medicare beneficiaries receiving emergency ambulance care and ambulance providers, ensuring they are paid for services like dispatch and initial response that don't include transport. The model requires payment rates to align with standard transport payments, mandates compliance with state protocols, and operates for a 5-year test period. A report by the Comptroller General will evaluate the model's impact on beneficiary access, outcomes, and regional differences after 4 years.

Workplace Violence Prevention for Health Care and Social Service Workers Act This bill requires the Department of Labor to address workplace violence in health care, social service, and similar sectors. Specifically, Labor must issue an occupational safety and health standard that requires certain employers to take actions to protect workers and other personnel from workplace violence. The standard applies to employers in the health care sector, in the social service sector, and in sectors that conduct activities similar to those in the health care and social service sectors. Among other elements, the standard must require each employer to (1) develop a workplace violence prevention plan, (2) promptly investigate incidents of workplace violence, and (3) provide relevant training and education to employees.  The bill requires certain hospitals and skilled nursing facilities to comply with this standard as a condition of Medicare participation.

Maddy summaryHR 2586, the Reentry Act of 2025, amends Medicaid rules to allow incarcerated individuals to receive Medicaid coverage during the 30 days immediately before their release from prison or jail. This directly affects people leaving correctional facilities, ensuring they can access health care as they transition back into communities. The bill requires a report within 18 months analyzing current health care standards in prisons, the number of people who would gain coverage, and current discharge practices to improve Medicaid enrollment for newly released individuals. The report will also assess how to better connect people with community health services and addiction treatment after release.

Sanctioning Russia Act of 2025   This bill imposes penalties on certain persons (individuals and entities) if the President determines that the Russian government or a person acting at Russia's direction is involved with (1) refusing to negotiate a peace agreement with Ukraine; (2) violating a negotiated peace agreement; (3) initiating another invasion of Ukraine; or (4) overthrowing, dismantling, or seeking to subvert the Ukrainian government.   If the President makes such a determination, the bill requires certain actions including the President must impose visa- and property-blocking sanctions on specified persons such as the Russian president, certain Russian military commanders, and any foreign person that knowingly provides defense items to the Russian armed forces; the President must increase the rate of duty on all goods and services imported from Russia into the United States to at least 500% relative to the value of such goods and services; the President must increase the rate of duty on all goods and services imported into the United States from countries that knowingly engage in the exchange of Russian-origin uranium and petroleum products to at least 500% relative to the value of such goods and services; the Department of the Treasury must impose property-blocking sanctions on any financial institution organized under Russian law and owned wholly or partly by Russia, and any financial institution that engages in transactions with those entities; and the Department of Commerce must prohibit the export, reexport, or in-country transfer to or in Russia of any U.S.-produced energy or energy product.

Maddy summaryHJRES 86 blocks a specific cost increase for an existing U.S. defense sale to Israel. It prohibits a $624 million upgrade to Major Defense Equipment and $269 million in other defense services, as reported in a March 3, 2025 congressional notice. The bill uses Congress’s authority under the Arms Export Control Act to disapprove this adjustment to a pre-approved sale. This directly affects the Government of Israel’s defense procurement by halting the implementation of the increased costs. The resolution targets a specific transaction (Transmittal No. 25-0C) rather than creating new policy.

Maddy summaryHJRES 84 is a congressional resolution that would block a specific proposed military sale to Israel. It targets defense articles including D9R and D9T Caterpillar bulldozers, spare parts, technical support services, and related logistics support described in a March 3, 2025, congressional notice. If passed, the resolution would prohibit the sale of these items by preventing the foreign military sale from moving forward under the Arms Export Control Act.

Maddy summaryHJRES 85 is a resolution that would block a specific proposed U.S. military sale to Israel. It targets the sale of 201 MK 83 bombs, 4,799 BLU-110 bombs, and 5,000 guidance kits for these weapons, as detailed in a government transmittal. If approved, the resolution would prevent the U.S. government from moving forward with this transaction. The measure directly affects the transfer of these defense articles to Israel. It is a disapproval resolution for one specific sale, not a new law.

Maddy summaryHJRES 83 is a joint resolution seeking congressional disapproval of a specific proposed U.S. military sale to Israel. It directly targets the sale of 35,529 MK 84 or BLU-117 general-purpose bomb bodies and 4,000 I-2000 Penetrator warheads, as detailed in a March 2025 government transmittal. If passed, the resolution would prohibit the U.S. government from proceeding with this particular foreign military sale under the Arms Export Control Act. The bill affects the executive branch's ability to authorize the sale and Israel as the intended recipient of these defense articles.

Maddy summaryThe Nutrition CARE Act of 2025 requires Medicare to cover medical nutrition therapy services for beneficiaries with eating disorders starting January 1, 2026. It directly affects Medicare beneficiaries with eating disorders, including an estimated 1.6 million people on Medicare Part B, with specific focus on underserved groups like 420,500-560,700 Black, Indigenous, and People of Color beneficiaries. The bill mandates coverage through registered dietitians or nutrition professionals, requiring at least 13 hours of services in the first year (including initial assessment) and 4 hours annually thereafter, with referrals from physicians or psychologists. This addresses a current gap where Medicare does not cover medical nutrition therapy for eating disorders at any treatment level. The policy change aims to improve access to a critical treatment pillar for a condition with high mortality rates and significant healthcare costs.

Maddy summaryHR 2485, the Arts Education for All Act, requires states and school districts to integrate arts education into K-12 curricula and report on its availability. It mandates states to describe how they will support arts courses, increase certified arts educators (especially in high-need schools), and use arts to enhance teaching in core subjects like math and science (Section 202). Schools must track and report on arts course offerings, teacher qualifications, and student access - including disaggregated data by school poverty levels (Section 203). The bill also expands arts access in juvenile justice programs (Section 301) and funds research on effective arts education methods (Section 401). It directly affects public schools, arts educators, and youth in after-school and correctional settings.