Rep. Chrissy Houlahan

Maddy summaryThe PBM Reform Act of 2025 aims to increase transparency and fairness in pharmacy benefit manager (PBM) operations within Medicare Part D and Medicaid programs. The bill requires Medicare Part D plans to allow any pharmacy meeting standard terms to join their networks, establishes "essential retail pharmacies" in underserved areas (with limited pharmacy access), and mandates detailed reporting on drug pricing, rebates, and reimbursement rates. It creates a process for pharmacies to report PBM violations of reasonable contract terms and prohibits "spread pricing" in Medicaid, where PBMs retain the difference between what they pay pharmacies and what they charge plans. These provisions aim to improve pharmacy access for Medicare beneficiaries and ensure fairer reimbursement practices for pharmacies.

Maddy summaryHR 4329, the Building Civic Bridges Act, creates an Office of Civic Bridgebuilding within the Corporation for National and Community Service to support projects reducing community divisions. It establishes a 3-year pilot grant program funding nonprofits, community groups, and schools to run projects that foster respect across diverse communities, address unmet needs like health or safety concerns, and improve social cohesion. Grants require projects to use research-based approaches, engage polarized communities, ensure participant safety, and track outcomes using standardized criteria. The program is funded exclusively through existing donations (not new federal funds) and mandates consultation with diverse community leaders and researchers. The Office will also compile research on civic bridgebuilding best practices for public access.

Maddy summaryThis bill requires the Transportation Security Administration (TSA) to create and update guidance within 90 days (and every five years) to ensure hygienic handling of breast milk, baby formula, infant water, juice, and cooling accessories during airport security screening. The guidance must be developed with maternal health organizations and set standards to minimize contamination risks when these items undergo re-screening or additional testing. It also mandates a one-year audit by the DHS Inspector General to assess TSA compliance and evaluate how screening technologies impact the processing of these infant items. The bill directly affects traveling parents and caregivers who transport these essential supplies.

Maddy summaryThe Expanding Access to Mental Health Services in Schools Act of 2025 creates a federal grant program to help high-need schools hire and retain mental health professionals like counselors, psychologists, and social workers. It targets schools in the top 15% of need (based on student poverty or counts) that lack required staff ratios, such as one counselor per 250 students. Grants fund recruitment incentives (e.g., student loan repayment), retention programs, and evidence-based mental health services, with recipients required to contribute 25% of costs from non-federal funds. Schools must report annually on staff numbers, student-to-staff ratios, and retention rates to track progress toward improved mental health access.

Maddy summaryThe GLOBE Act of 2025 aims to advance global LGBTQI human rights by requiring the U.S. State Department to document and report on violence and discrimination against LGBTQI people worldwide. It establishes a permanent Special Envoy for LGBTQI rights at the State Department and creates an interagency group to coordinate U.S. government responses to threats against LGBTQI populations. The bill authorizes sanctions against foreign individuals responsible for human rights violations against LGBTQI people, including banning them from entering the United States. It also includes provisions to improve U.S. foreign assistance programs to better protect LGBTQI rights and makes changes to immigration policy to better protect LGBTQI asylum seekers.

Treat and Reduce Obesity Act of 2025 This bill expands Medicare coverage of intensive behavioral therapy for obesity. Specifically, the bill allows coverage for therapy that is provided by (1) a physician who is not a primary care physician; or (2) other health care providers (e.g., physician assistants and nurse practitioners) and approved counseling programs, if provided upon a referral from, and in coordination with, a physician or primary care practitioner. Currently, such therapy is covered only if provided by a primary care practitioner. The bill also allows coverage under Medicare's prescription drug benefit of drugs used for the treatment of obesity or for weight loss management for individuals who are overweight.

Maddy summaryThe No Secret Police Act of 2025 requires U.S. Immigration and Customs Enforcement (ICE) and other Department of Homeland Security officers working on border security or immigration enforcement to visibly display their official badges or uniforms and provide identification during detentions or arrests. It prohibits officers from wearing face coverings that conceal their face during these interactions. The bill also mandates that the Department report to Congress about tactical gear policies and research technology to improve badge visibility in different conditions like weather or lighting. These changes aim to increase transparency in immigration enforcement encounters.

Maddy summaryThe CONNECT for Health Act of 2025 expands Medicare telehealth coverage by removing geographic restrictions that limited where patients could receive care, expanding the types of health care providers who can offer telehealth services, and eliminating the requirement for an in-person visit before receiving telemental health services. The bill includes specific provisions to support telehealth use for Native American health facilities, rural health clinics, and Federally Qualified Health Centers. It requires the Centers for Medicare & Medicaid Services to collect and publish data on telehealth usage and impacts, and to develop resources to improve accessibility for people with disabilities and limited English proficiency. Program integrity measures are added to monitor telehealth billing practices and prevent fraud while maintaining coverage for telehealth services during public health emergencies.

Maddy summaryThis bill makes payments to clinical trial participants tax-free and ensures those payments won't count toward income limits for federal programs like Medicaid or food assistance. It covers both compensation for participation and reimbursement of reasonable expenses (like travel) related to approved clinical trials for life-threatening conditions. The exclusion applies to payments made after December 31, 2025, and is defined in the bill using existing IRS and Public Health Service Act terms.

Maddy summaryThe PRIDE Act of 2025 updates the Internal Revenue Code by replacing gender-specific terms like "husband and wife" with gender-neutral terms such as "married couple" or "spouse" across over 30 tax code provisions. This change affects all married couples filing federal taxes and the IRS, as it modernizes tax law language to be inclusive of all married individuals regardless of gender. The bill makes specific textual amendments to sections dealing with filing status, deductions, credits, and estate tax provisions without creating new tax benefits. It ensures tax law language does not assume the gender of spouses, making the tax code more equitable for all married couples. This is a language update to existing tax law, not a change in tax policy or benefits.