Rep. Emily Randall

Pay Our Coast Guard Parity Act of 2025 This bill provides continuing appropriations to the Coast Guard for pay and benefits when there is a Coast Guard-specific funding lapse. Under the bill, a  Coast Guard-specific funding lapse occurs when (1) a bill providing appropriations for the Coast Guard for a fiscal year has not been enacted before the beginning of that fiscal year, and no joint resolution providing continuing appropriations for the Coast Guard is in effect; and (2) a bill providing appropriations for the Department of Defense (DOD) for the fiscal year has been enacted before the beginning of the fiscal year, or a joint resolution providing continuing appropriation for DOD is in effect.  If a Coast Guard-specific funding lapse occurs, the bill provides appropriations to the Coast Guard for pay and allowances for military members of the Coast Guard who perform active service or inactive-duty training; pay and benefits for certain civilian employees and contract employees; the payment of a death gratuity; payments for travel related to funerals, the dignified transfer of remains, and unit memorial services; and the temporary continuation of the basic allowance for housing for dependents of members of the Coast Guard dying on active duty. The bill generally provides the appropriations to the Coast Guard until the earlier of the enactment of specified Coast Guard appropriations legislation, the termination of the availability of appropriations for DOD, or two weeks after the beginning of the Coast Guard-specific funding lapse.

Maddy summaryHR 1410 expands access to mental health care for 9/11 responders and survivors by allowing licensed mental health providers (not just physicians) to conduct initial health evaluations and certifications under the World Trade Center Health Program. It adjusts the program’s funding formula to account for changing enrollment numbers by linking annual funding to the previous year’s enrollment ratio, and clarifies that deceased individuals are excluded from enrollment counts. The bill also extends the timeframe for adding new health conditions to the program’s list and requires a 2028 report assessing long-term funding needs through 2090. These changes aim to streamline eligibility, improve care access, and ensure sustainable funding for the program.

Improving Care and Access to Nurses Act or the I CAN Act This bill allows other health care providers besides physicians (e.g., nurses) to provide certain services under Medicare and Medicaid. Among other changes, the bill (1) allows a nurse practitioner or physician assistant to fulfill documentation requirements for Medicare coverage of special shoes for diabetic individuals; (2) expedites the ability of physician assistants, nurse practitioners, and clinical nurse specialists to supervise Medicare cardiac, intensive cardiac, and pulmonary rehabilitation programs; and (3) allows nurse practitioners to certify the need for inpatient hospital services under Medicare and Medicaid.

Maddy summaryHR 1330 establishes the Smithsonian National Museum of the American Latino, authorizing its location within the National Mall's "Reserve" area. The bill requires the Smithsonian Board to coordinate with federal agencies managing potential museum sites, including notifying relevant congressional committees before land transfers. It mandates that the museum's exhibits and programs accurately represent the diverse cultures, histories, and viewpoints of Hispanic and Latino communities in the U.S., seeking input from a broad range of community experts. The Smithsonian must also submit regular reports to Congress detailing compliance with these representation requirements.

Maddy summaryHR 1251, the All Access Act of 2025, requires Members of Congress (House members and Senators) to present official identification to enter federal public buildings during regular business hours. For access outside these hours, Members must notify the building head at least 12 hours in advance. The bill establishes clear, procedural access rules for congressional members but does not create new policies or affect the public. It is a straightforward procedural measure governing Member access to federal facilities.

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs. Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any). The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.

Maddy summaryHR 1269, the Honoring Our Fallen Heroes Act of 2025, expands benefits for public safety officers (like police and firefighters) who develop certain cancers linked to their work. It adds 22 specific cancers - including lung, mesothelioma, and breast cancer - to the list of conditions presumed to be "exposure-related" and sustained in the line of duty. This presumption applies if the officer served at least 5 years, was diagnosed with the cancer within 15 years after last active duty, and the cancer directly caused death or permanent disability. The bill also establishes a process for adding new cancers every 3 years based on medical evidence from agencies like NIOSH, and allows claims to be filed within 3 years of the law's enactment.

Rural Obstetrics Readiness Act This bill creates and expands federal grant programs within the Health Resources and Services Administration (HRSA) to increase capacity to provide emergency obstetric health services in rural areas or areas without practitioners or facilities specializing in obstetric services.  Specifically, HRSA must establish a program for providing grants to certain hospitals or consortiums that include hospitals in rural areas or areas with maternal health care professional shortages for training, developing a workforce, and purchasing equipment relating to obstetric emergencies. In addition, the bill requires HRSA’s Alliance for Innovation on Maternal Health Capacity program to provide grants for training on emergency obstetric services for practitioners in rural health care facilities without dedicated obstetric units. HRSA must also establish a pilot program to provide grants to government entities for developing or improving telehealth access programs to support urgent maternal health care in rural facilities without a dedicated obstetric unit.

Maddy summaryThe Fair Play for Women Act would require schools and athletic associations receiving federal funding to collect and publicly disclose detailed data on gender equity in sports, including participation rates, funding, facilities, and coaching. It mandates annual training for staff and athletes about Title IX rights and establishes civil penalties for schools that fail to comply with gender equity requirements. The bill directly affects all public elementary, secondary, and higher education institutions, as well as state athletic associations. Key provisions include requiring detailed reporting on gender disparities in sports participation and funding, and creating enforcement mechanisms to hold schools accountable for noncompliance.

Maddy summaryHR 1196 prohibits using federal funds to eliminate the U.S. Agency for International Development (USAID) as an independent agency, as defined by law. It requires the Secretary of State to certify annual compliance with this restriction to the House Foreign Affairs and Senate Foreign Relations committees. The bill directly affects USAID's operational status and U.S. foreign aid programs by preventing congressional or executive actions that would dismantle or merge the agency, maintaining its role in U.S. international development efforts.