Rep. Madeleine Dean

Maddy summaryHR 6423, the HELP Copays Act, requires health insurance plans and coverage to count financial assistance from non-profits or drug manufacturers toward patient cost-sharing limits like deductibles and copayments. This directly affects patients enrolled in health insurance who receive such assistance for prescription drugs, ensuring the help they get reduces their out-of-pocket costs faster. The bill amends key health laws to mandate that these payments are included when calculating whether a patient has met their deductible or copayment threshold. The change applies to all prescription drugs, including specialty drugs and those subject to prior authorization, but does not alter how insurers manage drug access through tools like step therapy. It takes effect for plan years starting in 2026.

Maddy summaryThe Dignity for Detained Immigrants Act establishes minimum standards for detention facilities operated by the Department of Homeland Security, requiring them to follow the American Bar Association's Civil Immigration Detention Standards. It mandates annual unannounced inspections by the DHS Inspector General, with penalties including fines for noncompliant private facilities and transfers of detainees from noncompliant facilities. The bill requires DHS to publicly report on facility compliance, phase out private detention facilities over three years, and prohibit solitary confinement. It also ensures detainees have access to legal orientation, counsel, and more frequent custody review hearings. The bill directly affects all individuals detained in DHS custody, including immigrants, asylum seekers, and refugees held in facilities operated by or contracted to DHS.

Maddy summaryThis bill would protect unaccompanied children by repealing fee requirements and other provisions in the "One Big Beautiful Bill Act" that have created barriers to their access to humanitarian protections. It specifically exempts unaccompanied children from paying fees for asylum applications, employment authorization, and immigration court proceedings, and requires the government to refund fees already paid under the repealed provisions. The bill also repeals provisions allowing for summary removal of children without due process, intrusive body examinations without safeguards, and sharing of sponsor information with immigration enforcement that has led to family separations. These changes would directly affect unaccompanied children seeking asylum or other protections in the United States, ensuring they can access legal processes without financial barriers or heightened risks of exploitation. The bill aims to uphold protections for unaccompanied children established under the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA).

Maddy summaryThis bill creates several tax credits to increase housing affordability for individuals and families. It establishes a first-time homebuyer credit of up to $25,000 (or $50,000 for first-generation homebuyers) for purchasing a principal residence, with income limits based on household size. It also creates a starter home construction credit for building homes under 1,200 square feet priced below 80% of local median home prices, and a renter tax credit for tenants paying more than 30% of their income in rent. Additionally, it provides a credit for converting non-residential buildings to affordable housing that meets specific income and rent restrictions. The bill includes provisions for inflation adjustments and reporting requirements for these tax credits.

Maddy summaryHRES 925 is a non-binding resolution condemning the Iranian government's ongoing persecution of the Baha'i religious minority. It directly affects Baha'is in Iran, who face systemic discrimination, imprisonment, denial of education and employment, and violence due to their faith. The resolution calls on Iran to immediately release Baha'i prisoners, end hate propaganda targeting them, and reverse policies banning their access to education and jobs. It also urges the U.S. President and Secretary of State to demand Iran's compliance and use existing sanctions authorities against officials responsible for human rights abuses against Baha'is.

Maddy summaryHR 6358, the Veteran Education Empowerment Act, creates a federal grant program to help colleges establish or improve dedicated Student Veteran Centers. These centers provide veterans, active-duty service members, and their families with lounge space, benefits counseling, academic support, and mental health services. Institutions must serve significant numbers of veterans and have sustainability plans to qualify for grants, with funding capped at $500,000 per institution over four years. The bill directly affects colleges serving veterans and aims to address challenges like isolation and transition difficulties through centralized campus support.

Give Kids a Chance Act of 2025 This bill expands the Food and Drug Administration’s (FDA’s) authority with respect to research on rare pediatric diseases, including by permitting the FDA to take enforcement action against drug sponsors that fail to satisfy pediatric study requirements and by reauthorizing programs that support pediatric research.  Specifically, the bill modifies requirements relating to molecularly targeted pediatric cancer investigations to permit research on new drugs in combination with active ingredients that have already been approved, provided certain conditions are met; permits the FDA to take enforcement action against drug sponsors that fail to comply with pediatric study requirements, if such sponsors demonstrated a lack of due diligence in satisfying the requirement; renews the FDA’s authority to award priority review vouchers to sponsors of new products intended to treat rare pediatric diseases through September 30, 2029; and reauthorizes through FY2027 certain funding for the National Institutes of Health to support priority pediatric research.  The bill also provides statutory authority for the FDA’s interpretation of the orphan drug exclusivity period. The bill specifies, consistent with FDA regulations, that the seven-year market exclusivity period for drugs for rare diseases or conditions (i.e., orphan drugs) prohibits the approval of the same drug for the same approved use or indication with respect to the disease or condition. (In Catalyst Pharmaceuticals, Inc. v. Becerra , a court rejected the FDA’s interpretation and held that orphan drug exclusivity extends to all uses or indications for the disease or condition.)

Maddy summaryThis bill expands Medicare coverage to include genetic counseling services provided by licensed or certified genetic counselors, effective January 1, 2027. It defines "covered genetic counseling services" as those furnished by qualified counselors under state law or certification, with payments set at 80% of the lesser of the actual charge or 85% of the physician fee schedule. Medicare beneficiaries seeking genetic counseling will gain access to these services through covered providers, while preventing balance billing for these specific services. The bill does not restrict physicians from billing for similar services under existing Medicare rules.

Maddy summaryHR 6268, the LEAD Act of 2025, requires the use of non-lead ammunition on all lands and waters managed by the U.S. Fish and Wildlife Service (USFWS), effective one year after enactment. It directly affects hunters and recreational shooters using USFWS lands, with exceptions for law enforcement, military personnel, and government officials performing official duties. The bill mandates the USFWS to establish a list of certified non-lead ammunition (defined as containing ≤1% lead by weight) and imposes civil penalties of up to $500 for first violations and $1,000-$5,000 for repeat offenses. This policy aims to protect wildlife, human health, and food safety by reducing lead exposure from spent ammunition, which the bill cites as a documented risk to ecosystems and consumers.

Maddy summaryHRES 898 is a non-binding resolution recognizing November 2025 as "National Family Caregivers Month" in the U.S. It directly acknowledges the work of approximately 63 million family caregivers who provide unpaid care worth an estimated $600 billion annually. The resolution encourages federal agencies, states, and the private sector to support existing efforts like the 2022 National Strategy to Support Family Caregivers, and urges policies such as tax credits, paid leave, respite care, and home-based services. It does not create new laws or funding but aims to raise awareness and advocate for caregiver support. This is a symbolic recognition measure, not a legislative change.