Maddy summaryThis bill ensures Medicare coverage for new medical devices designated as "breakthrough devices" during a 4-year period after FDA approval. To qualify, devices must meet specific criteria, including FDA priority review, clinical data from Medicare beneficiaries, and a safety review showing benefits outweigh risks. Medicare must finalize coverage decisions within 6 months of manufacturer applications and before the 4-year period ends. The law appropriates $10 million annually (2025-2030) for Medicare to administer this process.
Rep. Maggie Goodlander
Sponsored bills
Maddy summaryThis bill permanently bans nitazenes and all structurally related synthetic opioids under federal law, creating a broad definition that covers numerous chemical variations designed to evade current restrictions. It directly affects anyone manufacturing, distributing, or possessing these substances without authorization, including illicit drug producers and users. The key mechanism is a class-wide Schedule I classification that includes specific structural features (like modified benzimidazole rings) and excludes new analogs from legal loopholes. This approach aims to prevent new nitazene variants from entering the illegal market and addresses their role in overdose deaths. Substances previously temporarily banned under similar rules will now be permanently prohibited as of the bill's enactment.
Maddy summaryHR 5401, the Pay Our Troops Act of 2026, ensures military personnel, civilian Defense workers, and supporting contractors receive pay during government funding gaps in fiscal year 2026. It appropriates emergency funds for active-duty service members, reserves, and their supporting personnel (including Coast Guard staff under DHS) if regular appropriations aren't enacted by the end of the fiscal year. The bill provides necessary pay and allowances during any period when full-year funding is unavailable, covering both active service and support roles. Funding expires when regular appropriations are passed, a funding resolution is enacted, or January 1, 2027, whichever comes first. This is a procedural measure to prevent pay delays for military and support staff during fiscal year 2026 funding lapses.
Maddy summaryThe FAMILY Act would establish a national paid family and medical leave insurance program that provides wage replacement benefits for workers needing time off for caregiving or medical reasons. It defines "qualified caregiving" to include caring for a family member with a serious health condition, personal medical needs, or recovery from violence (including domestic violence, sexual assault, or stalking). Benefits would be calculated based on earnings, with a minimum monthly benefit of $580 and maximum of $4,000, administered by a new Office of Paid Family and Medical Leave within the Social Security Administration. Eligible individuals would need to have worked for at least 8 quarters in the previous year and file an application with required documentation, while existing state paid leave programs would continue to operate alongside this federal program.
Saving the Civil Service Act This bill generally prohibits changes to the classification of positions in the competitive service and excepted service unless certain conditions are met. (Competitive service positions are subject to competitive examination while excepted service positions are appointed under one of five schedules. Competitive service positions have notice and appeal requirements for adverse actions that are not applicable to most excepted positions, including those of a confidential, policy-determining, policy-making, or policy-advocating character under Schedule C.) On October 21, 2020, President Donald Trump issued an executive order that placed executive agency positions that are of a confidential, policy-determining, policy-making, or policy-advocating character, and that are not normally subject to change as a result of a presidential transition, under a new Schedule F in the excepted service. The order was subsequently revoked by President Joe Biden. The bill prohibits executive agency positions in the competitive service from being placed in the excepted service, unless such positions are placed in a schedule in the excepted service as in effect on September 30, 2020. The bill also prohibits positions in the excepted service from being placed in any schedule other than the aforementioned schedules. Additionally, agencies may not (1) transfer occupied positions from the competitive or excepted service into Schedule C without the consent of the Office of Personnel Management, or (2) transfer employees in the excepted service to another schedule or transfer employees in the competitive service to the excepted service without employee consent.
Maddy summaryHRES 704 is a non-binding resolution expressing the House's opposition to the proposed "Wasteful and Inappropriate Service Reduction Model" (WISeR) for traditional Medicare. It opposes expanding prior authorization requirements for Medicare services by 30% - requiring doctors to seek approval before treatment - using private companies with a history of incorrect denials and AI tools reported to have high error rates. The resolution states this would undermine beneficiary access to timely care, citing data showing prior authorization causes physician burnout and that Medicare Advantage denials are overturned 81.7% of the time. It urges CMS to terminate the model but does not change existing law.
Maddy summaryHR 5309, the Congressional Tribute to Constance Baker Motley Act of 2025, authorizes a posthumous Congressional gold medal for Constance Baker Motley, a pioneering civil rights attorney and judge. The bill directs the Treasury Secretary to strike the medal with her image and name, to be presented to her son, Joel W. Motley III, and her niece, Constance Royster. It also permits the sale of bronze duplicates at cost to cover expenses, with proceeds going to the U.S. Mint fund. This is a commemorative measure with no substantive policy changes, honoring Motley’s legacy as the first African-American woman appointed to a federal judgeship.
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 changes how the military calculates income for the Basic Needs Allowance. It excludes the Basic Allowance for Housing (BAH) from the gross household income calculation for eligible service members. As a result, service members' housing payments will no longer count toward their income when determining their Basic Needs Allowance eligibility or amount. This directly affects active-duty military members and their families who receive the Basic Needs Allowance. The change modifies the existing calculation method under Title 37, U.S. Code, to simplify the process.