Rep. Pablo José Hernández

Maddy summaryHR 4545, the Medicare Breast Reconstruction Access and Information Act, requires healthcare providers to inform Medicare patients about coverage for breast reconstruction surgery before performing a mastectomy. The bill amends the Social Security Act to mandate that suppliers providing a mastectomy must explain that reconstruction is covered under Medicare's national coverage determination 140.2 and document this discussion in the patient's medical record. This applies specifically to Medicare beneficiaries undergoing medically necessary mastectomies. The law ensures patients receive clear information about existing coverage options prior to surgery, without changing Medicare's benefit structure.

Farmers First Act of 2025 This bill extends through FY2030 and revises the Farm and Ranch Stress Assistance Network (FRSAN). This Department of Agriculture program provides competitive grants to states, Indian tribes, and qualified nonprofit organizations to provide stress assistance programs (i.e., professional agricultural behavioral health counseling, helplines, and resources) to individuals engaged in farming, ranching, and agriculture-related occupations. The bill specifies that the grant funding for farm telephone helplines and websites may also be used for crisis lines. Further, FRSAN grant recipients may establish referral relationships with providers, including Certified Community Behavioral Health Clinics, health centers, rural health clinics, and critical access hospitals.

Maddy summaryHR 4382 authorizes the U.S. Mint to produce commemorative coins for the 2028 Los Angeles Olympics/Paralympics and 2034 Salt Lake City Winter Olympics/Paralympics. It specifies gold, silver, and half-dollar coin designs with defined mintage limits (e.g., up to 100,000 $5 gold coins for each event), all bearing inscriptions like "2028" or "2034" and standard coin features. A surcharge ($5-$50 per coin) is added to sales, with all funds directed to the respective Olympic committees to support event hosting and legacy programs like youth sports. The bill ensures no net cost to the government by requiring surcharge revenues to cover all design, production, and marketing expenses before funds are disbursed.

Maddy summaryHR 4339, the Renewable Energy for U.S. Territories Act, establishes a grant program administered by the Secretary of Agriculture to fund renewable energy projects in U.S. territories (Puerto Rico, Guam, U.S. Virgin Islands, American Samoa, and the Northern Mariana Islands). Eligible non-profits can use grants to develop solar/wind systems, improve energy efficiency, build energy storage, create microgrids (localized power systems that operate independently from the main grid), or train residents in renewable energy. The bill prohibits using funds for fossil fuel or nuclear projects and requires the Department of Energy to provide technical assistance. It also mandates a GAO study on renewable energy potential in territories and annual reports on program outcomes.

Maddy summaryThis bill prohibits federal agency personnel from using physical force, detaining, or interfering with Members of Congress while they conduct official oversight activities on federal property. It requires Members to identify themselves with valid congressional ID and confirms the law does not override standard security procedures or prevent action against immediate physical threats. The bill specifically protects oversight activities like investigations, reviews of federal programs, or site visits at government-owned or leased facilities (including detention centers), ensuring Congress can carry out its constitutional oversight role without physical obstruction.

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 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 summaryHRES 547 is a symbolic resolution recognizing June as National Caribbean American Heritage Month. It does not create new laws or directly affect any individuals or groups; instead, it encourages the public to observe the month through ceremonies and celebrations. The resolution affirms that Caribbean Americans' contributions are integral to U.S. history, progress, and cultural diversity. It supports the month's goals and highlights the community's longstanding role in American society, from historical figures like Alexander Hamilton to modern leaders like Kamala Harris. As a non-binding resolution, it has no legal effect but serves to honor this cultural observance.

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 establishes two grant programs to address technological abuse against victims of domestic violence, dating violence, sexual assault, and stalking. It authorizes a 5-year pilot program (with up to 15 grants of $2 million each) for partnerships between tech-focused schools, tech companies, and domestic violence centers to provide victims with new devices and combat tech abuse. A separate $20 million grant program funds nonprofits and schools to develop training materials for service providers on preventing and responding to technological abuse. The bill directly affects victims experiencing tech-based stalking or monitoring and the organizations that support them, focusing on practical resources and education rather than new legal requirements.