Rep. Lizzie Fletcher

Maddy summaryThe Temporary Protected Status Review Act restores the ability of courts to review decisions by the Department of Homeland Security to end Temporary Protected Status (TPS) designations for foreign nationals. Under this bill, the government must publish detailed written findings explaining why a country no longer qualifies for TPS protection, and these decisions would be subject to a legal challenge in federal court. If a TPS designation is terminated, the affected individuals would remain in the United States with their current status and work authorization intact while the legal challenge is pending. Additionally, the legislation requires the government to follow specific administrative procedures, such as considering all available evidence and avoiding bias, before making any termination decisions.

Maddy summaryThis bill establishes federal protections and funding to expand access to in vitro fertilization and intrauterine insemination for individuals, military service members, and veterans. It requires most private health plans, Medicaid programs, and Medicare to cover these fertility treatments without imposing higher cost-sharing than other medical services. Additionally, the legislation mandates that the Department of Defense and the Department of Veterans Affairs provide specific fertility preservation and treatment benefits to uniformed service members and eligible veterans. The bill also includes preemption clauses that override state laws restricting these procedures and prohibits discrimination based on marital status, sex, or sexual orientation in the provision of care.

Maddy summaryThis bill expands federal election laws to prevent foreign nationals from influencing U.S. elections by tightening restrictions on domestic companies with significant foreign ownership or control. It requires businesses that are at least 50% owned by foreign individuals, or those with specific foreign influence, to file a sworn certification proving they are not foreign-controlled before making any political donations or spending money on election activities. Additionally, the law clarifies that these rules apply to state and local ballot initiatives and mandates that corporate political action funds certify their managers and board members are U.S. citizens or permanent residents. The legislation also prohibits recipients of funds from these businesses from using the money for further political contributions unless they receive and verify the required compliance certification.

Maddy summaryThis bill, titled the Congressional Oversight and Agency Access Act, grants Members of Congress and their full-time staff guaranteed entry to all federal public buildings during regular business hours. It requires these individuals to present official congressional identification and mandates that staff members be accompanied by their employing Member of Congress. The legislation also ensures access outside of normal hours within 24 hours of a request, allows immediate entry during public meetings, and permits access to secure areas if the Member belongs to a relevant committee or obtains consent from the committee's leadership. Additionally, the bill prohibits temporary modifications to buildings that would obstruct a Member's ability to observe the facility.

Maddy summaryThe Patients First Act of 2026 modifies how Medicare reimburses physicians and primary care providers to improve access and stabilize payments. It establishes a new hybrid payment model for primary care services from 2027 to 2031, which pays a monthly fee per patient to eligible independent practices while covering specific services like care management and telehealth without cost-sharing for patients. The bill also updates the formula for calculating reimbursement rates to account for high inflation years and requires more frequent updates to the costs used in calculating payments. Additionally, the legislation reforms the performance-based payment system by adding care efficiency measures, creating a task force to recommend new quality metrics, and adjusting penalties for providers who fail to report on certain data.

Maddy summaryThis bill requires Medicare Advantage plans to implement electronic pre-approval systems for medical services by 2028 and meet transparency reporting standards starting in 2027. Plans must publicly report data on approval/denial rates, appeal outcomes, response times, and technology use for pre-approval requests, including details on how denials relate to clinical criteria. It establishes a 24-hour response timeframe for certain requests and mandates annual reviews of pre-approval requirements based on data and input from seniors and providers. The law directly affects Medicare Advantage plans, seniors enrolled in these plans, and healthcare providers who submit pre-approval requests. These changes aim to make the pre-approval process faster, more transparent, and more accountable for seniors seeking covered medical services.

Maddy summaryThis resolution expresses support for designating July 10th as Journeyman Lineworkers Recognition Day to honor the workers who maintain the nation's electrical grid. The bill specifically recognizes the dangerous conditions these employees face, such as working at heights near live power lines and responding to disasters like hurricanes and wildfires. It also commemorates Henry Miller, the first president of the International Brotherhood of Electrical Workers, who died on July 10, 1896, while performing his duties. Ultimately, the measure encourages the public to observe this day with reflection on the contributions of lineworkers.

Maddy summaryThis resolution commemorates the 250th anniversary of the United States by reaffirming the nation's historical commitment to separating church and state. It highlights key constitutional principles, such as the First Amendment and the prohibition of religious tests for public office, which protect individual religious freedom and prevent government endorsement of specific beliefs. The document cites historical figures like Thomas Jefferson and James Madison to underscore the importance of maintaining a secular government that safeguards religious pluralism. Ultimately, the measure serves as a formal statement of values rather than a law that changes existing policies or imposes new requirements.

Maddy summaryThe SAFE Training for OB-GYNs Act creates a new federal grant program to help medical residents who must leave their home states to receive training in reproductive health care due to local abortion restrictions. Funded with up to $10 million annually from 2027 to 2031, these grants support residency programs that offer specialized training in sexual and reproductive health, including abortion care. The funding can be used to expand existing programs or establish new ones specifically for out-of-state residents and to cover their travel expenses. This legislation directly affects health care professionals seeking specialized training and the medical residency programs that provide it.

Maddy summaryThe Reproductive Health Care Training Act of 2026 authorizes $25 million over five years to fund a program that provides grants to health schools and clinics for expanding abortion care training. These funds are specifically designated for institutions located in states where comprehensive abortion training is legal, with a priority on serving minority-serving schools and those training students from medically underserved areas. The program supports activities such as developing clinical curricula, utilizing telehealth, recruiting diverse healthcare workers, and offering scholarships to students pursuing this specialized training. Recipients must submit annual reports on program performance while ensuring federal funds supplement, rather than replace, existing state and private resources.