Rep. Janelle S. Bynum

Maddy summaryThe Food Farmacy Act of 2025 authorizes $10 million annually (2026-2030) in federal grants to fund "healthy food pharmacies" that provide free nutritious food and nutrition guidance from qualified health professionals to low-income, rural, or food-insecure communities. These pharmacies must serve Medicaid/SNAP recipients at no cost and align with the Department of Health and Human Services' "Food is Medicine" initiative. Grants cover construction, equipment, staffing, and food acquisition, with recipients required to report annual data on patrons served, health outcomes, and program effectiveness. The bill directly supports communities facing food insecurity by integrating grocery access with healthcare services, targeting non-profits, local governments, and tribal organizations.

Maddy summaryHR 5403, the Enhancing COPS Hiring Program Grants for Local Law Enforcement Act, amends federal law to allow local law enforcement agencies facing officer recruitment shortages or high turnover to use COPS Program grants for recruitment and retention bonuses. The bill specifically adds a new provision (25) to the grant program, enabling agencies to fund bonuses for hiring or keeping officers when they experience declining recruitment or elevated retirements/resignations. This change directly affects eligible local police departments seeking to address staffing challenges through existing federal funding. The key mechanism expands the permitted uses of COPS grants to include performance-based bonuses, without creating new funding streams. The bill focuses on practical tools for agencies struggling to maintain staffing levels.

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.

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 summaryHR 5357, the College Students Continuation of Mental Health Care Act of 2025, allows college mental health providers to offer telehealth services to enrolled or recently attending students across state lines. It directly affects college mental health providers (employed by institutions of higher education) and students registered at or who attended the college within the past three months. Key provisions require providers to verify student identity, obtain consent for telehealth, maintain backup communication methods, and respect state prohibitions on specific services while operating under their home state’s licensing rules. The bill also clarifies that malpractice insurance covers these telehealth services as if provided in the provider’s home state and permits states to form compacts to facilitate cross-state telehealth.

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 summaryThe Healthcare Workforce Resilience Act (HR 5283) increases U.S. immigration visas for healthcare workers by recapturing unused employment-based visas from 1992-2024. It directly affects foreign nurses and physicians who filed petitions before 2027 (three years after enactment), reserving 25,000 visas for nurses and 15,000 for physicians. Key provisions include exempting these visas from country caps, requiring labor attestations to ensure no U.S. worker displacement, and establishing fee-free premium processing for applications. The bill aims to address healthcare staffing shortages by making these visas immediately available to qualifying professionals and their families.