Rep. Madeleine Dean

Maddy summaryThe Nutrition CARE Act of 2025 requires Medicare to cover medical nutrition therapy services for beneficiaries with eating disorders starting January 1, 2026. It directly affects Medicare beneficiaries with eating disorders, including an estimated 1.6 million people on Medicare Part B, with specific focus on underserved groups like 420,500-560,700 Black, Indigenous, and People of Color beneficiaries. The bill mandates coverage through registered dietitians or nutrition professionals, requiring at least 13 hours of services in the first year (including initial assessment) and 4 hours annually thereafter, with referrals from physicians or psychologists. This addresses a current gap where Medicare does not cover medical nutrition therapy for eating disorders at any treatment level. The policy change aims to improve access to a critical treatment pillar for a condition with high mortality rates and significant healthcare costs.

Save America's Forgotten Equines Act of 2025 or the SAFE Act of 2025 This bill permanently prohibits the slaughter of equines (e.g., horses and mules) for human consumption. (Current law prohibits the slaughter of dogs and cats for human consumption. This bill extends the prohibition to equines.) Specifically, this bill prohibits a person from knowingly (1) slaughtering an equine for human consumption; or (2) shipping, transporting, possessing, purchasing, selling, or donating an equine to be slaughtered for human consumption or equine parts for human consumption. The bill subjects a violator to a fine. The bill applies to conduct in or affecting interstate or foreign commerce or within the special maritime and territorial jurisdiction of the United States. However, it does not apply to an activity carried out by an Indian for a religious ceremony. As background, in recent years, the appropriations acts have prohibited the Department of Agriculture (USDA) from using federal funds to inspect horses before they are slaughtered for human consumption. Therefore, there are currently no USDA-inspected horse slaughter facilities in the United States.

Maddy summary# Northern Rockies Ecosystem Protection Act (2023) - Summary This comprehensive environmental protection bill designates and protects vast areas across the Northern Rockies region of Idaho, Montana, Wyoming, Oregon, and Washington. ## Key Provisions 1. **Wilderness Designations**: - Creates numerous new wilderness areas totaling millions of acres across the region - Includes specific designations like Yellowstone, Glacier/Northern Continental Divide, Hells Canyon, Salmon/Selway, and Cabinet-Yaak ecosystems - Includes 108 specific wilderness areas identified in the bill (from Anaconda-Pintler to McCullough Peaks) 2. **Biological Connecting Corridors**: - Designates approximately 2.9 million acres as biological corridors - These corridors connect larger ecosystem areas to facilitate wildlife migration - Prohibits timber harvesting, mining, oil/gas development, and new road construction in these corridors 3. **Wild and Scenic Rivers**: - Adds 78 new river segments to the Wild and Scenic Rivers system - Protects rivers like the South Fork Payette, Salmon River, Yaak River, and many others - Specifies exact segments for protection 4. **Wildland Restoration**: - Designates 9 recovery areas totaling approximately 1,023,000 acres - Requires restoration of damaged lands to natural conditions - Prohibits certain activities in these recovery areas 5. **Implementation**: - Requires an interagency team to monitor and evaluate implementation - Mandates geographic information system for monitoring the Northern Rockies Bioregion - Requires annual reports to Congress on implementation progress 6. **Special Protections**: - Maintains existing water rights of the United States - Protects Indian Tribe treaty rights and cultural access to protected areas - Requires consultation with Tribes regarding management plans This bill represents a comprehensive effort to protect biodiversity, maintain ecosystem connectivity, and restore damaged lands across a significant portion of the Northern Rockies region.

Maddy summaryThis bill, HR 2411, directs the U.S. government to immediately resume funding for the United Nations Relief and Works Agency for Palestine Refugees (UNRWA) by repealing two prior funding restrictions. It requires the State Department to restart payments to UNRWA under existing authorities and mandates the President to rescind a 2025 executive order ending UNRWA support. The bill affects Palestinian refugees in Gaza, Jordan, Lebanon, Syria, and the West Bank who rely on UNRWA for humanitarian aid, as well as U.S. funding mechanisms. It also requires quarterly reports through 2028 on UNRWA’s progress implementing accountability reforms from an independent review led by Catherine Colonna.

Maddy summaryThis bill requires the VA and Department of Defense to provide stellate ganglion block therapy to eligible veterans and active-duty military members diagnosed with PTSD who have given informed consent after learning about the treatment's risks and benefits. It applies specifically to veterans enrolled in VA care and service members in the TRICARE program who meet the diagnosis and consent criteria. The bill mandates that VA and DoD update their joint clinical guidelines within 180 days to include this therapy option and its clinical indicators. The policy change takes effect 180 days after enactment, making this therapy a covered benefit through existing VA and military healthcare systems.

TAP Promotion Act This bill requires that pre-separation counseling under the Transition Assistance Program include a presentation that promotes the benefits available to veterans from the Department of Veterans Affairs (VA). The bill also requires the VA to annually report on the presentation to (1) identify veterans service organizations that participate, (2) provide the number of members of the Armed Forces who attend, and (3) provide any recommendations for changes to the presentation.

Maddy summaryThis resolution requests the President and Secretary of State to share specific documents with the House of Representatives by April 9, 2025. It seeks all records created after January 20, 2025, related to U.S. military strikes on Yemen's Houthis and the disclosure of classified information to journalist Jeffrey Goldberg via Signal. The documents include Signal chat transcripts, strike details, legal justifications, coordination with allies, and any new security reforms following the incident. This procedural request directly affects the executive branch and aims to obtain records about sensitive national security communications.

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 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.