Rep. Janelle S. Bynum

Medicare for All Act This bill establishes a national health insurance program that is administered by the Department of Health and Human Services (HHS). Among other requirements, the program must (1) cover all U.S. residents; (2) provide for automatic enrollment of individuals upon birth or residency in the United States; and (3) cover items and services that are medically necessary or appropriate to maintain health or to diagnose, treat, or rehabilitate a health condition, including hospital services, prescription drugs, mental health and substance abuse treatment, dental and vision services, long-term care, gender affirming care, and reproductive care, including contraception and abortions. The bill prohibits cost-sharing (e.g., deductibles, coinsurance, and copayments) and other charges for covered services. Additionally, private health insurers and employers may only offer coverage that is supplemental to, and not duplicative of, benefits provided under the program. Health insurance exchanges and specified federal health programs terminate upon program implementation. However, the program does not affect coverage provided through the Department of Veterans Affairs or the Indian Health Service. The bill also establishes a series of implementing provisions relating to (1) health care provider participation; (2) HHS administration; and (3) payments and costs, including the requirement that HHS negotiate prices for prescription drugs. Individuals who are age 18 or younger, age 55 or older, or already enrolled in Medicare may enroll in the program starting one year after enactment of this bill; other individuals may buy into the program at this time. The program must be fully implemented two years after enactment.

Maddy summaryThis bill requires most private health insurance plans to cover diagnostic and supplemental breast exams with no out-of-pocket costs (like deductibles or copays) for enrolled patients. It specifically covers exams used to evaluate abnormalities found in screenings (diagnostic) or for high-risk screening without abnormalities (supplemental), based on medical guidelines. Plans can still require prior authorization for these exams, and state laws offering stronger protections remain in effect. The rule takes effect for plan years starting January 1, 2026.

Maddy summaryHR 3045, the West Bank Violence Prevention Act of 2025, imposes U.S. sanctions on foreign individuals and entities responsible for violence, displacement, or property destruction in the West Bank. It targets those directly involved in attacks on civilians, forced displacement, or property seizures, including settler leaders or officials of groups engaged in such activities. Key provisions require freezing assets of sanctioned individuals within U.S. jurisdiction and blocking their entry into the United States via visa restrictions. The law applies to foreign nationals meeting specific criteria outlined in the bill, not U.S. citizens or entities.

Maddy summaryHR 3006 would limit Medicare coinsurance for certain surgical procedures performed in ambulatory surgical centers (ASCs). Specifically, it prevents patients from paying coinsurance exceeding the annual inpatient hospital deductible for those procedures. If the coinsurance amount would surpass the deductible, the Medicare program must reduce the patient's share to match the deductible and reimburse the ASC for the difference. This change applies to services provided on or after January 1, 2026, directly affecting Medicare beneficiaries using ASCs for qualifying surgeries.

Maddy summaryThe Hunger-Free Future Act of 2025 amends the SNAP program to require that any update to the thrifty food plan must not increase food insecurity. It mandates that adjustments to the diet cost must continue following existing rules while explicitly ensuring updates do not worsen food insecurity, defined as households lacking adequate food due to insufficient money or resources. This directly affects SNAP beneficiaries by setting a new standard for how the program's cost calculations are reviewed. The bill changes the procedural requirement for SNAP re-evaluations without altering benefit amounts or eligibility rules.

Maddy summaryThe Fight Fentanyl Act increases annual funding for fentanyl-related law enforcement efforts to $333 million from 2025 through 2030. It requires the Office of National Drug Control Policy to report annually on how HIDTA (High Intensity Drug Trafficking Area) funds target fentanyl trafficking, including seizure data and threat assessments. The bill also mandates the Attorney General to prioritize fentanyl prosecutions by temporarily reassigning U.S. attorneys to these cases. These provisions directly affect federal, state, local, and tribal law enforcement agencies working on fentanyl interdiction and prosecution.

Maddy summaryThe DRIVE Act of 2025 requires the Department of Veterans Affairs (VA) to set mileage reimbursement rates for veterans at the federal government's current standard rate for employees using personal vehicles on official business, replacing the previous fixed rate of 41.5 cents per mile. It also mandates that the VA process and pay these reimbursements within 90 days of a veteran's valid request. This directly affects veterans who travel for VA medical appointments or services using their personal vehicles. The bill aligns veteran travel reimbursements with federal employee standards and ensures timely payments.

Supplemental Oxygen Access Reform Act of 2025 or the SOAR Act of 2025 This bill establishes certain requirements with respect to the payment and provision of supplemental oxygen and related services under Medicare. For example, the bill provides for separate payments, indexed to inflation, of oxygen and related equipment, supplies, and services under Medicare (rather than under the competitive acquisition program). It also specifically covers services that are provided by respiratory therapists under Medicare and provides for an additional payment adjustment for these services. Additionally, the bill (1) requires the Centers for Medicare & Medicaid Services to develop an electronic template for providers to use when prescribing oxygen and related equipment, supplies, and services; and (2) establishes certain rights for beneficiaries receiving these items and services, such as the right to choose their suppliers and to receive clear communications and be informed about the services provided.

Maddy summaryHRES 317 is a non-binding resolution urging the U.S. government to lead global efforts to halt and reverse the nuclear arms race. It calls on the President to pursue negotiations with nuclear-armed states to reduce arsenals, end the U.S. policy allowing first use of nuclear weapons, eliminate immediate launch readiness, stop developing new weapons, and support communities affected by nuclear programs. The resolution emphasizes diplomatic action over military modernization to reduce nuclear risks and prevent catastrophic conflict.

Maddy summaryThe GOSAFE Act prohibits the sale, manufacture, transfer, and possession of gas-operated semi-automatic firearms and large capacity ammunition feeding devices (those holding more than 10 rounds). It defines gas-operated firearms as those that use gas from fired cartridges to cycle the action, requiring the Attorney General to publish a list of prohibited firearms within 180 days. The bill establishes a process for manufacturers to seek approval for new firearm designs before selling to civilians and creates a "Firearm Safety Trust Fund" to cover related costs. Certain firearms are exempt, including single-shot, muzzle-loading, and firearms with permanently fixed magazines holding 10 or fewer rounds. Violations could result in fines up to $5,000 or up to 12 months in prison.