Rep. Dina Titus

Maddy summaryHR 1107, the *Protecting Veteran Access to Telemedicine Services Act of 2025*, allows Department of Veterans Affairs (VA) health professionals to prescribe and dispense medications regulated under federal law (like opioids or stimulants) via telemedicine without requiring an in-person medical exam first. This directly affects veterans receiving VA care and VA-employed health professionals who provide telemedicine services. The bill requires providers to hold a valid state license, act within their professional scope, and ensure prescriptions serve a legitimate medical purpose. It does not change existing federal drug laws but streamlines access to controlled medications for veterans through telehealth, particularly benefiting those in rural or remote areas.

Equal COLA Act This bill applies a cost-of-living adjustment (COLA) for annuities paid under the Federal Employees Retirement System that is equal to the increase in inflation, regardless of the amount of the increase. Specifically, for any year in which the Consumer Price Index (CPI) has increased over the previous year, the COLA amount shall be increased by the change in the CPI from the previous year.  Current law applies an adjustment equal to the change in CPI only if the change is 2% or less. If the change is between 2% and 3%, the adjustment is limited to 2%. If the change is more than 3%, the adjustment is limited to 1% less than the change.

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 summaryHJRES 117 is a joint resolution terminating a national emergency declared by the President on July 30, 2025, under Executive Order 14323. It directly ends the legal authority granted by that emergency declaration, which would have allowed the executive branch to use special powers under the National Emergencies Act (50 U.S.C. 1622). The resolution requires congressional action to formally end the emergency, as mandated by Section 202 of the National Emergencies Act. This is a procedural step affecting federal agencies' emergency powers, not a new policy.

Maddy summaryThe Azerbaijan Sanctions Review Act of 2025 requires the President to review within 180 days whether 53 specific Azerbaijani officials meet criteria for sanctions under the Global Magnitsky Human Rights Accountability Act. These officials include military commanders, security service heads, and judges implicated in human rights violations related to the Nagorno-Karabakh conflict. The review must include a detailed justification and determine if sanctions should be imposed on individuals linked to alleged war crimes, arbitrary detention, and torture of Armenians. The bill mandates this assessment without imposing new sanctions, focusing instead on evaluating existing legal authority for action.

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 summaryThe RESULTS Act (HR 5269) changes how Medicare calculates payment rates for clinical diagnostic laboratory tests. It requires Medicare to collect data on private payor rates for widely available non-Advanced Diagnostic Laboratory Tests (non-ADLTs) from a qualifying independent claims data entity (a national nonprofit organization meeting specific criteria) rather than relying on data reported directly by laboratories. For tests where data is unavailable, the bill establishes default payment rates based on previous years' rates adjusted for inflation. The law also requires Medicare to publicly explain payment rates with supporting data, affecting Medicare beneficiaries, clinical laboratories, and private payors that provide services covered by Medicare.

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 summaryHRES 684 is a non-binding House resolution designating September 9, 2025, as "National Firearm Suicide Prevention Day." It aims to raise public awareness about firearm suicide statistics (including that firearms were used in 55% of U.S. suicides in 2023) and promote safe firearm storage as a key suicide prevention strategy. The resolution encourages health professionals to discuss safe storage with patients and supports existing awareness efforts led by organizations like Brady and End Family Fire. It directly affects the public and healthcare providers by emphasizing evidence-based prevention practices, not by creating new laws.

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.