Rep. Chris Pappas

Maddy summaryThis bill directs the U.S. President to identify Pakistani officials responsible for undermining democracy and human rights within 180 days of enactment, then impose Global Magnitsky sanctions on them. It targets senior government, military, or security officials found to have committed gross human rights violations or interfered with democratic processes, such as during Pakistan’s 2024 elections or through constitutional changes. Sanctions would include asset freezes and travel bans, with exceptions for humanitarian aid, UN obligations, and national security activities. The bill expires on September 30, 2030, and aims to pressure Pakistan to uphold democratic norms, human rights, and judicial independence.

Maddy summaryHR 3593, the Title VIII Nursing Workforce Reauthorization Act of 2025, reauthorizes and expands federal funding for nursing education programs to address workforce shortages. It directly affects nursing schools, nurse practitioner, nurse-midwifery, nurse anesthesia, and clinical nurse specialist programs by expanding grant eligibility to include these specific training pathways. Key provisions include increasing annual funding from $137 million to $184 million (2026-2030), requiring schools to use funds for simulation/technology resources and faculty/student expansion, and adding clinical partnerships with healthcare facilities. The bill also updates terminology and adds protections for survivors of domestic violence and sexual assault in nursing education settings.

Maddy summaryThe Critical Infrastructure Security Act expands the scope of foreign investment reviews by requiring the Committee on Foreign Investment in the United States to evaluate transactions involving critical infrastructure (including drinking water systems) and facilities of the intelligence community or National Laboratories. It mandates that federal agencies annually review and update a list of sensitive facilities for national security or critical infrastructure reasons, then submit these reports to Congress. The bill also requires the committee to publicly report on reviews of such transactions. This law directly affects how the government assesses foreign investments in key infrastructure and government facilities.

Maddy summaryThis bill modifies the Family and Medical Leave Act (FMLA) to extend eligibility to school support staff, including paraprofessionals, cafeteria workers, bus drivers, and clerical staff. It allows these employees to qualify for FMLA leave if they work 60% of their expected monthly hours (instead of the standard 1,250 hours), based on their school’s assigned schedule. Employers must maintain records of expected hours for each staff member. The change directly benefits part-time and seasonal education support staff who previously faced barriers to FMLA coverage.

Maddy summaryThe SPACE Act of 2025 requires the General Services Administration (GSA) to work directly with federal agencies that lease office space to improve shared work arrangements. Specifically, the GSA must develop criteria for expanding shared spaces, identify how special-use areas could support this, and establish measurable goals for success with tenant agencies. This bill affects all federal agencies leasing space through GSA, aiming to make office space use more efficient. The GSA must report to Congress on these efforts within six months of the bill's enactment.

Maddy summaryThis bill amends the Social Security Act to remove an exclusion for rural facilities primarily treating mental health conditions from Medicare coverage. It specifically changes Section 1861(aa)(2) by deleting the phrase "or a facility which is primarily for the care and treatment of mental diseases," allowing these facilities to qualify for Medicare reimbursement. The change directly affects rural behavioral health centers specializing in mental health care that were previously excluded. The amendment takes effect on January 1, 2027, enabling these facilities to access federal Medicare funding for services.

Maddy summaryThis bill changes federal rules for rural healthcare facilities that employ physician assistants (PAs) and nurse practitioners (NPs). It requires these facilities (not run by a physician) to have arrangements consistent with state laws governing PA/NP practice, ensuring services follow state regulations. The policy directly affects rural clinics and hospitals seeking federal reimbursement for PA/NP services. The changes take effect January 1, 2027, aligning federal requirements with existing state oversight of these healthcare providers.

Maddy summaryHR 5198, the Rural Health Clinic Location Modernization Act of 2025, changes Medicare eligibility rules for rural health clinics by updating the definition of "urban area" used to determine clinic qualification. It replaces the current "urbanized area" standard with a clearer definition: any urban area (per Census Bureau data) having a population of 50,000 or more. This adjustment directly affects clinics seeking Medicare certification, ensuring they meet consistent geographic criteria for rural designation. The change takes effect January 1, 2027, aiming to simplify qualification rules without altering Medicare coverage or benefits.

Maddy summaryHR 5145, the Bipartisan Premium Tax Credit Extension Act, extends enhanced federal subsidies for health insurance premiums through 2026. It directly affects individuals purchasing coverage through health insurance marketplaces who qualify for premium tax credits. The bill extends the period for increased credit amounts (through 2026 instead of 2025) and maintains the rule allowing tax credits for households earning above 400% of the federal poverty level. These changes apply to tax years beginning after December 31, 2025.

Maddy summaryHR 5133, the Patients’ Right to Know Their Medication Act of 2025, requires drug manufacturers to provide standardized printed patient medication information (PMI) with each prescription dispensed in non-hospital settings. This PMI must include clear, plain-language details on drug name, usage instructions, warnings, side effects, storage, disposal, and interactions - formatted consistently with readable text and graphics. The bill directly affects patients receiving prescriptions, ensuring they get accessible, non-promotional printed information to improve safety and reduce errors. The FDA would establish regulations within one year of enactment, mandating that manufacturers include this standardized PMI on prescription drug packaging.