Rep. Paul Tonko

Maddy summaryHR 2381, the SCREENS for Cancer Act of 2025, reauthorizes and updates the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). It directly affects low-income, uninsured, or underinsured women across all 50 states, territories, and tribal communities by expanding access to breast and cervical cancer screenings, diagnostic services, and patient navigation support. Key provisions include updating program language to emphasize prevention alongside detection and control, adding specific strategies to reduce disparities, and appropriating $235 million annually for fiscal years 2026-2030. The bill also requires a GAO study by 2027 to assess program eligibility, service trends, and barriers to screening access.

Maddy summaryThis bill, titled "Abolish Super PACs Act" but actually regulating them, would impose contribution limits on super PACs by redefining them as "independent expenditure committees" under federal election law. It sets a $5,000 annual threshold for activities qualifying a committee as a super PAC, capping individual contributions to these entities to reduce corruption risks from unlimited donations. The legislation targets the top contributors who gave over 96% of super PAC funds in 2024, aiming to limit the appearance of quid pro quo arrangements. It would apply to all qualifying committees starting in the first full calendar year after enactment.

Maddy summaryThis bill would require federal firearms licensees to prohibit sales of specific high-capacity rifles and shotguns to people under 21. It targets semiautomatic centerfire rifles and shotguns capable of holding more than 5 rounds in their magazines, raising the age limit from 18 to 21 for these weapons. Exceptions apply for active military members and certain government employees authorized to carry firearms. The law directly affects gun retailers and individuals under 21 seeking to purchase these specific firearms. It modifies existing federal gun sale rules without changing age requirements for other firearms.

Maddy summaryHR 2366, the American Families United Act, amends immigration law to expand discretion for the Attorney General and Secretary of Homeland Security regarding family-related cases. It allows them to halt removal proceedings or grant relief for spouses and children of U.S. citizens if removal would cause "hardship" (with family separation presumed to constitute hardship), including special provisions for widows/orphans of deceased citizens. The bill also permits waiving certain inadmissibility grounds and excludes cases involving serious violations like terrorism or criminal offenses. This policy change directly affects noncitizens facing removal proceedings who have U.S. citizen family members, without creating new benefits but modifying existing discretionary authority.

Maddy summaryThis resolution (HRES 253) symbolically designates May 15, 2025, as "Prader-Willi Syndrome Awareness Day" to raise public awareness about Prader-Willi syndrome (PWS), a rare genetic disorder causing life-threatening obesity, cognitive challenges, and behavioral issues. It directly affects the estimated 10,000-20,000 individuals in the U.S. living with PWS, their families, and advocacy groups like the Prader-Willi Syndrome Association. The resolution expresses congressional support for efforts to promote early diagnosis, research, and improved treatments - without creating new laws or funding - but emphasizes the need for greater public education and research advancement. As a non-binding resolution, it has no direct policy impact but aims to highlight the disorder’s health challenges and support ongoing advocacy.

Maddy summaryThis bill automatically qualifies certain Medicaid beneficiaries for Medicare Part D prescription drug subsidies when they turn 65. Specifically, it treats individuals enrolled in Medicaid under specific state plan provisions (as defined in Section 1902(a)(10)(A)) with income below 200% of the poverty line as "subsidy eligible" for Part D, without requiring additional application. The provision applies to those who were enrolled in Medicaid the day before turning 65, and the subsidy period is limited as determined by the Secretary. It takes effect for Medicare plan years beginning January 1, 2027. The bill does not change drug pricing but streamlines access to existing subsidy programs for this group.

Maddy summaryThis bill adds Medicare coverage for home-based treatment of Alpha-1 Antitrypsin Deficiency Disorder (a rare genetic condition causing lung and liver damage). It specifically covers "augmentation therapy" (replacement protein therapy) delivered at home by qualified suppliers to Medicare Part A and B enrollees with this diagnosis who aren't in Medicare Advantage plans. The bill establishes payment for intravenous kits and up to 2 hours of nursing services per session, set at 80% of the lesser of actual cost or a defined rate. It amends Medicare rules to include this treatment under coverage, effective January 2027.

Maddy summaryThe Paycheck Fairness Act strengthens equal pay protections by expanding the definition of "sex" to include pregnancy, childbirth, sexual orientation, gender identity, and sex characteristics. It modifies employer defenses for pay disparities to require proof that any pay difference is job-related, not based on sex, and accounts for the entire pay gap. The bill prohibits employers from asking about salary history, enhances penalties for violations, and requires employers with 100+ employees to collect and report detailed pay data by race, sex, and job category. It also establishes training programs for employers on eliminating pay bias and creates a National Equal Pay Enforcement Task Force to coordinate enforcement efforts. This legislation directly affects employers, particularly those with 100+ employees, and aims to address pay disparities impacting women, people of color, and other underrepresented groups.

Maddy summaryH.J. Res. 80 would declare the Equal Rights Amendment (ERA) part of the U.S. Constitution, asserting it has been ratified by 38 states (three-fourths of the states) despite the original 1972 deadline. If passed, this resolution would formally establish the ERA as a constitutional amendment, requiring all federal and state laws to align with its gender equality protections. The bill does not create new laws but confirms the ERA's status as part of the Constitution, affecting how laws are interpreted and enforced. It is a procedural step to resolve the legal dispute over the ERA's validity after decades of debate.

Maddy summaryHRES 238 is a non-binding House resolution expressing the House's position that every person has the basic right to emergency health care, including abortion care during medical emergencies. It does not create new laws or alter existing regulations but formally states the House's view that abortion restrictions in emergencies endanger patients' health and lives. The resolution specifically highlights how current abortion bans put pregnant people at risk during life-threatening conditions like hemorrhage or infection, disproportionately impacting Black, Indigenous, people of color, immigrants, and low-income individuals. It serves as a symbolic statement opposing policies that restrict emergency reproductive care access.