Rep. Steve Cohen

Maddy summaryHR 4627 amends the Foreign Assistance Act of 1961 to update U.S. foreign aid programs combating HIV/AIDS. It specifically adds funding for HIV pre-exposure prophylaxis (PrEP) medications as a covered activity and designates all HIV prevention efforts - including those targeting at-risk populations identified by the World Health Organization - as "core life-saving humanitarian assistance." This change ensures such prevention activities receive priority funding under U.S. foreign aid programs. The bill directly affects how U.S. government agencies allocate resources for global HIV/AIDS prevention initiatives.

Maddy summaryHR 4717 creates a refundable tax credit of up to 10% of a home's purchase price (capped at $15,000) for first-time homebuyers purchasing a principal residence in the United States. The credit is subject to limitations based on modified adjusted gross income (phased out if income exceeds 150% of the area median income) and home price relative to area median purchase prices in the buyer's location. Homebuyers must meet age requirements (at least 18 years old), not have owned a home in the past three years, and purchase with a federally backed mortgage. The credit is subject to a four-year recapture period if the home is sold within that timeframe, and taxpayers may transfer the credit to their mortgage lender as a down payment or closing cost assistance.

Maddy summaryHR 4752, the Reducing Hereditary Cancer Act, requires Medicare to cover genetic testing for germline mutations in individuals with a family history of hereditary cancer or suspicious personal/family history. It mandates coverage for risk-reducing surgeries (like mastectomies or hysterectomies) when guided by evidence-based clinical guidelines, and increases the frequency of cancer screenings (such as mammograms, colonoscopies, and breast MRI) for Medicare beneficiaries confirmed to have hereditary cancer gene mutations - ensuring screenings occur at least annually. The bill applies to Medicare beneficiaries with specific high-risk profiles, aligning coverage with guidelines from recognized oncology organizations like the National Comprehensive Cancer Network. It does not change eligibility but modifies Medicare’s existing coverage rules to expand access to these preventive services.

Maddy summaryThis bill requires a 3-business-day waiting period before someone can receive a handgun from another person who isn't a licensed gun seller. It applies to most private handgun transfers but includes exceptions for law enforcement, family loans (like between spouses or parents and children), temporary transfers to prevent imminent harm, and transfers for shooting or hunting under specific conditions. The waiting period begins when the recipient first offers to take possession of the gun. The law would take effect 90 days after enactment.

Resident Physician Shortage Reduction Act of 2025 This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits. The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.

Maddy summaryThe End Polluter Welfare Act of 2025 eliminates federal subsidies for fossil fuel production by repealing tax incentives, increasing royalty rates, and prohibiting federal funding for fossil fuel projects. It directly affects oil, gas, and coal companies by terminating tax credits like the enhanced oil recovery credit (Section 43), ending special tax treatments for fossil fuel activities, and increasing offshore royalty rates to 18 3/4 percent. The bill prohibits U.S. International Development Finance Corporation and Export-Import Bank funding for fossil fuel projects, ends interest payments on royalty overpayments, and terminates tax provisions allowing accelerated depreciation for fossil fuel infrastructure. These changes apply to taxable years beginning after the bill's enactment date, with specific provisions targeting coal, petroleum, and natural gas production.

Maddy summaryH.J. Res. 108 proposes a constitutional amendment to remove legal immunity for federal officials, including the President, from criminal prosecution for actions taken while performing official duties. It would prohibit the President from granting pardons to themselves and eliminate the defense that "official authority" excuses violations of federal or state law (with limited exceptions for certain congressional actions). If ratified, this amendment would require Congress to pass implementing laws to enforce these changes. The proposal is currently in the House Judiciary Committee and requires approval by three-fourths of state legislatures to become part of the Constitution.

Maddy summaryHR 4606, the Ally’s Act, requires private health insurance plans (including employer-sponsored plans and individual coverage) to cover hearing implants and related services. It directly affects people with hearing loss who need cochlear implants, bone conduction devices, or external sound processors, as determined by a physician or audiologist. The bill mandates coverage for devices, maintenance, repairs, upgrades every 5 years, hearing assessments, surgery, and rehabilitation - without separate cost-sharing or stricter limits than other medical services. Insurers cannot deny coverage if a provider deems the service medically necessary. The law applies to all applicable health plans and takes effect for plan years beginning January 1, 2026.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryHR 4587, the *Independent Acting IGs Act of 2025*, changes how acting Inspectors General (IGs) are appointed when a permanent IG position is vacant. It requires that the usual acting IG (e.g., Principal Deputy IG) must have served in their current role for at least 180 days of the prior 365 days. If that person is unavailable, the bill establishes a new process: a random federal judge appoints an acting IG from a list of candidates recommended by a committee of three IGs within 14 days. This applies to all federal agencies with IG offices, ensuring a structured, time-bound method for filling vacancies without Senate confirmation.