Rep. Melanie A. Stansbury

Maddy summaryThis bill requires health plans and insurers to create a clear, timely process for patients or doctors to request exceptions when step therapy protocols (which force patients to try cheaper drugs first) might harm them. It mandates approval for exceptions in six specific cases, such as when prior treatments failed, delaying care risks severe harm, or the required drug causes adverse reactions. Plans must respond within 72 hours (24 hours for emergencies) and cover the requested drug for at least one year if approved. Additionally, health plans must report annual data on exception requests, approvals, denials, and reasons to the government for transparency.

Maddy summaryThis bill creates a FEMA program to help people affected by dangerous wildfire smoke. It targets low-income individuals or those with health conditions (like respiratory issues or pregnancy) living in areas with unhealthy air quality for 3+ consecutive days due to wildfires. The program provides funding for qualified entities (like states or health agencies) to purchase smoke protection equipment - such as air filters, N95 masks, and home sealing items - and offers transitional shelter if equipment alone isn’t sufficient. The relief is tied to specific air quality thresholds and income criteria, directly supporting vulnerable residents during wildfire smoke events.

Maddy summaryHRES 746 is a non-binding resolution passed by the U.S. House of Representatives condemning all political violence - including attacks on elected officials, candidates, and public figures - and rejecting rhetoric that dehumanizes opponents. It specifically urges law enforcement to investigate and prosecute such violence, calls on public officials and media to avoid inflammatory language, and references recent incidents like the 2025 assassination of activist Charlie Kirk and targeted shootings of Minnesota legislators. The resolution does not create new laws but formally expresses the House’s commitment to protecting public servants and promoting peaceful political discourse. It directly affects the House’s public stance and serves as a call to action for officials, media, and communities to foster civil engagement.

Maddy summaryThis bill permanently expands Medicare telehealth coverage for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). It allows audio-only telehealth visits (not requiring video) to be covered under Medicare and removes the previous rule requiring patients to be at specific locations (like clinics) to access these services. As a result, Medicare beneficiaries in rural or underserved areas served by FQHCs/RHCs can now receive covered telehealth care from any location, including their homes, without location restrictions. The bill also ensures these clinics receive standard reimbursement rates for telehealth services, treating them the same as in-person visits for payment purposes.

Maddy summaryThis bill allocates $5 million annually (2026-2030) to states for collecting de-identified stillbirth data through existing health systems, including risk factor analysis. It also provides $1 million yearly to develop standardized guidelines for healthcare providers and public educational materials about stillbirths, requiring consultation with medical professionals, bereavement organizations, and affected families. The bill mandates that all data collection complies with privacy laws and requires the Department of Health and Human Services to publish a public report on stillbirth guidelines within five years. It directly affects state health departments, healthcare providers, and families experiencing stillbirth by improving data quality and access to resources.

Maddy summaryThe Tyler Clementi Higher Education Anti-Harassment Act of 2025 requires U.S. colleges and universities participating in federal financial aid programs to create and distribute clear anti-harassment policies covering harassment based on race, color, national origin, sex (including sexual orientation and gender identity), disability, or religion. These policies must explicitly prohibit harassment in all settings - including online, on campus, off-campus housing, and during school-sponsored activities - and outline reporting procedures and support services for victims. The bill also establishes a $50 million annual grant program to fund schools developing prevention programs, victim support services, or staff/student training on recognizing and addressing harassment. Grants are competitive, require annual reporting on effectiveness, and must be used to improve existing efforts without replacing existing civil rights laws like Title IX.

Maddy summaryHJRES 122 proposes a constitutional amendment that would grant Congress and states explicit authority to regulate campaign contributions and spending intended to influence elections. It would allow for reasonable, viewpoint-neutral limits on how much money candidates and others can raise or spend, as well as enable public financing systems to reduce private wealth's influence in campaigns. The amendment would permit distinguishing between individuals and corporations in campaign finance rules, potentially banning corporate spending to influence elections. It explicitly states this amendment would not affect the freedom of the press.

Maddy summaryThis bill requires the 988 Suicide Prevention Lifeline to establish a dedicated "Press 3" option (via IVR) for LGBTQ+ youth seeking crisis support, directly affecting LGBTQ+ youth who face a four times higher suicide risk than peers. It mandates that at least 9% of funds allocated for the lifeline's services be reserved specifically for these specialized LGBTQ+ youth services. The bill amends existing law to formalize this dedicated resource, building on current services that handled over 1.5 million contacts from LGBTQ+ youth in 2025. This creates a concrete policy change for accessing tailored crisis support without altering other lifeline operations.

Maddy summaryThe Climate Resilient Elections Act requires states to develop and update election continuity plans for climate-related disasters, with initial plans due by September 2028. It authorizes $20 million annually (2026-2030) for grants to help states improve election resilience through better equipment, training for election officials, and voter information systems. The bill also mandates a federal report analyzing how natural disasters impact voter registration and how federal assistance could better support election administration after disasters. These provisions directly affect states and election administrators, aiming to prevent election disruptions and voter disenfranchisement during increasingly frequent climate emergencies.

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.