Rep. Robert F. Onder, Jr.

Maddy summaryThis bill would change work requirements for food stamp benefits (SNAP) and establish new work requirements for Medicaid. For SNAP, it removes exemptions for people over 60 and adds exemptions for children under 6. For Medicaid, it requires adults to work 80 hours per month, do community service, or join a work program to maintain coverage, with exemptions for pregnant people, caregivers of young children, students, and others. States could stop Medicaid benefits for individuals who fail to meet this requirement for three consecutive months.

Maddy summaryThis bill (HR 2199) prevents private health insurance plans from discriminating against patients with end-stage kidney disease (ESRD) who require dialysis. It amends the Social Security Act to prohibit plans from treating dialysis coverage differently than other medical services or applying network restrictions that disproportionately harm ESRD patients. The law clarifies that plans cannot deny or limit benefits for dialysis based on a patient’s diagnosis, while preserving a plan’s right to choose which dialysis providers are in their network. It directly affects ESRD patients and their private health insurance coverage, ensuring dialysis is treated equally with other covered medical services. The bill does not require plans to include specific dialysis providers but stops them from unfairly restricting access to necessary care.

Maddy summaryThis bill modifies Medicare's physician self-referral rules to improve access for rural communities. It creates a new exemption for "covered rural hospitals" (defined as facilities in rural areas more than 35 miles from another hospital or critical access hospital) from certain restrictions on physicians owning hospitals. The bill also removes a prohibition on expanding existing physician-owned hospitals, allowing such expansions after the law's enactment. These changes directly affect rural hospitals seeking Medicare participation and physicians who own or operate hospitals in underserved areas.

Maddy summaryHR 2202 prohibits federal funds from being used for gender transition procedures or health plans covering them in federal programs like Medicaid and the Affordable Care Act. It does not ban these procedures but restricts federal subsidies, requiring individuals to pay for such coverage using non-federal funds (e.g., out-of-pocket or private insurance not tied to federal programs). The bill defines gender transition procedures broadly to include hormonal treatments and surgeries (e.g., mastectomy, hysterectomy), with exceptions for medically necessary treatments related to disorders of sex development or complications from such procedures. It also clarifies that ACA premium tax credits and cost-sharing reductions cannot apply to plans covering these procedures, though separate non-federal-funded coverage remains an option.

Maddy summaryThis bill protects pregnancy centers that provide non-abortion services from federal discrimination. It prohibits government entities and recipients of federal funds from forcing these centers to offer, refer for, or promote abortions, or from restricting their life-affirming services like pregnancy testing, counseling, or baby supplies. The law creates a legal path for affected centers to sue if they face retaliation for declining abortion-related activities. It amends federal health law to explicitly shield such organizations from being penalized for their stance.

Maddy summaryThe FOCA Act of 2025 prohibits federal agencies from requiring or banning contractors from using union agreements in construction project bids or contracts. It directly affects federal agencies, contractors, and subcontractors working on federally funded or assisted construction projects (like buildings or infrastructure). The law requires bid documents to not favor or penalize contractors based on whether they have union agreements, aiming to promote open competition and prevent discrimination. This changes how agencies structure bids but does not affect union agreements themselves. The bill applies to all new contracts and subcontracts after enactment, with limited exemptions only for public health/safety emergencies or national security.

Maddy summaryThis resolution urges the U.S. Secretary of State to designate Nigeria as a Country of Particular Concern (CPC) under the International Religious Freedom Act of 1998, citing ongoing violence against religious minorities. It specifically calls for Nigeria to protect religious minorities, prosecute perpetrators of attacks, and address displacement of millions caused by religiously motivated violence. The resolution also recommends increased U.S. diplomatic engagement with Nigeria and targeted sanctions against those responsible for religious freedom violations. This follows the State Department's omission of Nigeria from its CPC list in 2021-2023 and its 2024 failure to release an annual report.

Maddy summaryHR 2062 would allow taxpayers to deduct membership fees and medical expenses paid through health care sharing ministries (HCSMs) as medical expenses on their federal tax returns, similar to other health costs. It specifically adds HCSM membership to the list of deductible medical expenses under Internal Revenue Code Section 213(d)(1) and clarifies that HCSMs are not treated as health insurance under Section 7702C. This change directly affects individuals enrolled in HCSMs, which are faith-based or community-based cost-sharing groups operating outside traditional insurance. The bill would take effect for tax years beginning after December 31, 2025.

Resident Education Deferred Interest Act or the REDI Act This bill allows borrowers in medical or dental internships or residency programs to defer student loan payments until the completion of their programs.

Maddy summaryHR 2083, the Veterans First Act of 2025, redirects $2 billion from unobligated USAID funds to the Department of Veterans Affairs. This funding provides grants to states for constructing, remodeling, or modifying state-run nursing homes and domiciliary facilities that care for veterans. The bill directly affects veterans receiving care in these state facilities and the states operating them. Key provisions include permanently rescinding $2 billion from USAID and appropriating it specifically for physical infrastructure improvements at veteran care facilities under federal authorization.