Rep. Steve Cohen

Maddy summaryThis bill establishes advance funding for key tribal programs starting in fiscal year 2026. It requires the Department of the Interior and Indian Health Service to include in each year's budget request sufficient funding for the *next* fiscal year's operations, specifically for accounts like "Operation of Indian Programs," "Contract Support Costs," and "Indian Health Services." The bill mandates annual reports by July 31 each year, assessing resource sufficiency and including workload estimates for the following fiscal year. These changes directly affect tribal programs administered by the Bureau of Indian Affairs, Bureau of Indian Education, and Indian Health Service, ensuring funding for future needs is planned and requested in advance.

Maddy summaryThe LINE Act (HR 5319) prohibits the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (HHS) from sharing Medicaid health data with U.S. Immigration and Customs Enforcement (ICE). Specifically, it blocks the disclosure of individually identifiable health information from Medicaid enrollment records (under Title XIX of the Social Security Act) to ICE for immigration enforcement purposes. This directly affects Medicaid enrollees, particularly those who may be immigrants, by preventing their health data from being used in immigration proceedings. The law creates a clear barrier between Medicaid health records and immigration enforcement efforts.

Maddy summaryThis bill imposes a corporate tax penalty on large companies where CEO pay exceeds 50 times the average worker's pay. Specifically, corporations with a pay ratio above 50:1 face a tax rate increase of 0.5% to 5% (depending on how high the ratio is), effective for taxable years starting after 2025. It applies only to corporations with average annual revenue of at least $100 million over the prior three years, exempting smaller businesses. The penalty is calculated using a 5-year average of compensation data from SEC filings, and the Treasury will issue rules to prevent avoidance tactics like shifting to contractor workforces.

Maddy summaryThe RESULTS Act (HR 5269) changes how Medicare calculates payment rates for clinical diagnostic laboratory tests. It requires Medicare to collect data on private payor rates for widely available non-Advanced Diagnostic Laboratory Tests (non-ADLTs) from a qualifying independent claims data entity (a national nonprofit organization meeting specific criteria) rather than relying on data reported directly by laboratories. For tests where data is unavailable, the bill establishes default payment rates based on previous years' rates adjusted for inflation. The law also requires Medicare to publicly explain payment rates with supporting data, affecting Medicare beneficiaries, clinical laboratories, and private payors that provide services covered by Medicare.

Maddy summaryHR 5224 establishes the "Healthy Kids Grant Program" to address childhood obesity and food insecurity among children ages birth through 5 in early care and education settings. The bill authorizes $5 million annually (2026-2030) to fund competitive grants for nonprofits, universities, or consortia to train childcare providers on healthy eating, physical activity, and food security strategies. Grantees must work with states and communities to build sustainable training programs, integrate nutrition policies into existing early childhood programs, and test innovative approaches - prioritizing diverse rural and urban populations. The program requires annual reporting to Congress on outcomes, including tracking state progress in obesity prevention and food security improvements.

Maddy summaryThis bill amends the Social Security Act to remove a payment limitation for certain Medicaid Home and Community-Based Services (HCBS) waivers. Specifically, it strikes a provision (subparagraph (C) of Section 1915(c)(11)) that restricted how states could fund these waivers under Medicaid. The change directly affects state Medicaid programs that use HCBS waivers to provide home and community care for people with disabilities or elderly individuals. By removing this restriction, states gain more flexibility in allocating Medicaid funds for these services, without altering eligibility or service requirements.

Maddy summaryHR 1510, the Due Process Continuity of Care Act, expands Medicaid eligibility to cover individuals in jail or custody while awaiting trial or disposition of charges, at a state's option. This allows states to provide Medicaid benefits to this population without requiring them to be convicted first. The bill provides $50 million in planning grants to states to develop implementation plans, including assessing healthcare needs, recruiting providers (especially for behavioral health and substance use treatment), and creating electronic billing systems for correctional facilities and outpatient providers. States must also consult with stakeholders like jails, providers, and Medicaid advocates before finalizing their plans.

Maddy summaryThis bill requires most health insurance plans to cover HIV prevention services - including PrEP and PEP drugs, related lab tests, counseling, and monitoring - without cost-sharing (like copays or deductibles) or prior approval. It applies to private insurance, Medicare, Medicaid/CHIP, and federal employee health plans, directly affecting people who use HIV prevention medications. Key provisions mandate 100% coverage for FDA-approved HIV prevention drugs, eliminate cost-sharing for these services, and prohibit insurers from requiring preauthorization for them. The bill defines covered services to include all necessary components of HIV prevention care as outlined in current public health guidelines.

Maddy summaryHR 5126, the HIV Prevention Now Act, appropriates $2.165 billion for the CDC's National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention for fiscal year 2026. This funding is in addition to existing CDC appropriations and must be used exclusively by that specific center for its programs, with no transfer to other entities. The bill directly affects the CDC's public health operations by providing dedicated resources for prevention and treatment programs targeting HIV, viral hepatitis, STDs, and tuberculosis. It does not create new policies or alter eligibility but ensures sustained funding for existing prevention efforts at the federal level.

Maddy summaryThe Nationwide Right to Unionize Act (HR 5159) would repeal a federal provision allowing states to pass "right-to-work" laws, which currently prevent workers from being required to join a union or pay dues as a condition of employment. By removing this allowance, the bill would permit unions and employers to negotiate agreements requiring membership or dues in all states, including those with existing right-to-work laws. This change would directly affect workers and employers in the 27 states that currently have such laws. The bill focuses on eliminating state-level barriers to union security agreements without mandating union formation or membership.