Maddy summaryThe Restoring Patient Protections and Affordability Act of 2025 extends enhanced premium tax credits through 2028, making health insurance more affordable for lower- and middle-income individuals. It extends the 2026 open enrollment period through May 1, 2026, and restores funding for navigator programs that help people enroll in health insurance plans. The bill requires health insurance issuers to notify enrollees about changes to premium assistance and establishes $1,000 daily penalties for failing to comply with these notification requirements. Additionally, it limits surprise premium increases for people with household incomes below 400% of the poverty line and prevents premium spikes for those with ACA or employer coverage. These changes directly affect millions of people enrolled in health insurance plans through the Affordable Care Act marketplaces.
Sponsored bills
Maddy summaryThe Medicare-X Choice Act of 2025 would establish a new public health insurance option called the "Medicare Exchange health plan" available through health insurance exchanges starting in 2028 for eligible individuals who are not enrolled in traditional Medicare. The plan would offer silver and gold coverage levels with no cost-sharing for primary care services, and would reimburse healthcare providers at Medicare rates. Healthcare providers enrolled in Medicare or Medicaid would be required to participate in this public plan, and the bill includes provisions to collect data addressing health disparities and improve care coordination. The plan would be funded through $1 billion in appropriations for each of two funds to establish and administer the program, while maintaining existing Medicare benefits and trust funds.
Maddy summaryS 3347, the Flight Delay and Cancellation Compensation Act, requires airlines to provide $750 in cash compensation, free rebooking, meals, and for overnight delays, lodging and transportation when flights are delayed or canceled due to the airline's fault. The bill mandates the Transportation Secretary to form a committee within 90 days - including airline, airport, and consumer representatives - to develop recommendations for these standards, including aligning with international rules like Canada's Air Passenger Protection Regulations. An interim rule implementing these requirements will take effect two years after enactment, mandating the compensation and services for affected passengers. This legislation standardizes passenger protections across U.S. airlines to align with global practices.
Maddy summaryThe Cargo Security Innovation Act establishes a pilot program to test advanced security technologies at up to six high-risk cargo transportation hubs, such as ports, airports, and rail yards, with elevated cargo theft rates. The Transportation Security Administration will provide grants to partnerships between transportation companies, rail police, and local law enforcement to deploy and evaluate these technologies. The bill prohibits using technology from "foreign entities of concern" and requires grantees to track fund usage for audits. After two years, the TSA must report on the technologies' effectiveness, and the pilot will end three years after initial deployment, followed by a GAO evaluation.
Maddy summaryS 3370, the "DO NOT Call Act," amends the 1993 Telephone Consumer Protection Act to strengthen penalties for illegal telemarketing calls. It adds criminal penalties (up to 1 year imprisonment) for willfully violating the law, with enhanced penalties (up to 3 years) for repeat offenders or violations involving excessive call volumes (e.g., 100,000 calls in 24 hours) or significant financial harm ($5,000+ loss). The bill also raises fines for inaccurate caller identification from $10,000 to $20,000 per violation. This directly affects businesses and individuals using auto-dialers or prerecorded messages without consent, particularly those making unsolicited calls to mobile phones or emergency numbers.
Maddy summaryS 3302, the Mikaela Naylon Give Kids a Chance Act of 2025, requires drug manufacturers developing cancer treatments to conduct pediatric-focused research for certain drugs targeting pediatric cancer mechanisms. It amends FDA drug approval processes to mandate molecularly targeted pediatric cancer investigations for drugs with new active ingredients or specific approved combinations, ensuring studies address dosing, safety, and efficacy for children. The bill also extends priority review vouchers (which expedite FDA reviews) for rare pediatric disease treatments until 2030 and mandates GAO studies to evaluate how effectively these incentives spur new pediatric cancer drug development. These changes apply to new drug applications submitted three years after the law's enactment, with reports due to Congress at 6, 8, and 10 years.
Maddy summaryThe Medical Foods and Formulas Access Act of 2025 would require Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits Program to cover medically necessary food for people with specific digestive and metabolic disorders. This includes specialized formulas and nutrients prescribed by healthcare providers for conditions like inherited metabolic disorders, inflammatory bowel disease, and food protein allergies. The bill defines "medically necessary food" to include items such as amino acid preparations, low protein modified foods, and vitamins specifically designed for these conditions, along with necessary medical equipment for administration. Coverage would apply to federal health programs with different effective dates (1-3 years from enactment) and encourages private health insurance plans to provide similar coverage for these life-sustaining treatments.
Maddy summaryThis bill reorganizes procedural rules for Inspector General (IG) investigations within the Department of Justice (DOJ). It removes specific language that previously restricted IG access to certain allegations involving DOJ personnel, streamlining the investigation process. The key change eliminates an exception clause in existing law, allowing IGs to investigate all DOJ personnel allegations without that prior limitation. This affects how DOJ investigations are conducted but does not create new policies or change substantive rights. (Procedural bill; summary focuses on specific legal reorganization.)
Maddy summaryThis bill requires the Secretaries of Defense and Veterans Affairs to evaluate existing research on menopause, perimenopause, and mid-life health for women serving in the military or who are veterans. It directs them to identify gaps in knowledge about treatments for symptoms, the impact of military service (including combat exposure and toxins like PFAS), and the availability of care and training for healthcare providers. Within 180 days of enactment, the departments must submit a report and strategic plan to Congress detailing findings and outlining steps to address research gaps and improve care. The law directly affects military women, veterans, and their healthcare providers by aiming to enhance understanding and services for menopause-related health issues.
Maddy summaryThe ADOPT Act of 2025 creates federal criminal penalties for unlicensed individuals or entities providing adoption intermediary services (like connecting birth parents with adoptive parents for profit) or placing paid "adoption advertisements" that solicit parties for placement. It prohibits payments exceeding $2,500 to birth parents before consulting a licensed agency or attorney, aiming to prevent exploitation and the commodification of children in private domestic adoptions. The law directly affects unlicensed intermediaries and commercial facilitators, while exempting licensed adoption agencies, attorneys, 501(c)(3) organizations under contract with them, and intercountry adoption programs. Violations carry fines up to $50,000 or 5 years in prison for individuals, and $100,000 for organizations per offense.