Sen. Martin Heinrich

Maddy summaryThe HCBS Relief Act of 2025 increases federal funding for Medicaid home and community-based services (HCBS) by 10 percentage points (capped at 95%) for participating states during fiscal years 2026-2027. It directly affects states that submit approved applications, Medicaid beneficiaries receiving HCBS, and home health workers by requiring states to use funds to raise wages/benefits for HCBS workers, reduce waiting lists, support family caregivers, and improve service quality. Key provisions mandate that states detail specific activities (like wage increases, paid leave, and equipment purchases) in applications, ensure funds supplement rather than replace state spending, and report on outcomes by 2029. The bill aims to strengthen HCBS access and workforce stability without changing Medicaid eligibility rules.

Maddy summaryThe State Public Option Act creates a new Medicaid buy-in option for state residents who are not enrolled in other health insurance plans, beginning January 1, 2026. It establishes limits on premiums (capped at 8.5% of family income) and cost-sharing, while allowing participants to enroll through state health insurance exchanges and access premium tax credits similar to those for private insurance. The bill also requires coverage of comprehensive sexual and reproductive health care services, including abortion services, starting in 2026. Additionally, it includes provisions to improve payment rates for primary care services provided under Medicaid.

Aerial Firefighting Enhancement Act of 2025 This act reauthorizes the Department of Defense to sell its excess aircraft and aircraft parts that are acceptable for commercial sale for wildfire suppression purposes. Such authority begins June 12, 2025, and ends October 1, 2035. The act also provides that such aircraft may be used to deliver water by air in order to suppress wildfire (the previous authority only provided for the delivery of fire retardant). The act removes the previous limitation on providing international wildfire suppression assistance with such purchased aircraft.

Maddy summaryThe My Body, My Data Act of 2025 requires companies and services handling personal reproductive or sexual health information - such as health apps, clinics, or digital platforms - to only collect, retain, or share this data when strictly necessary for a service a person has requested. It gives individuals the right to access, correct, or delete their data easily (within 15 days, without fees), and mandates clear privacy policies explaining how data is used. The bill also prohibits companies from retaliating against people who exercise these rights, such as by charging higher prices or denying services. Enforcement will be handled by the Federal Trade Commission, with individuals able to sue for violations and seek penalties of up to $1,000 per violation per day.

Maddy summaryS 2035, the "Protect IVF Act," establishes federal rights to access and provide fertility treatment, including IVF, under widely accepted medical standards defined by the American Society for Reproductive Medicine. It directly affects patients seeking fertility care, health care providers offering IVF services, health insurance issuers covering such care, and manufacturers of fertility-related drugs or devices. The bill preempts state laws that restrict IVF access in ways inconsistent with medical standards - such as mandating unnecessary procedures, limiting telemedicine, or imposing discriminatory barriers - and allows federal court enforcement against violating state actions. This focuses on protecting existing access rather than creating new benefits or altering insurance coverage requirements.

Maddy summaryThis resolution designates June 6, 2025, as National Naloxone Awareness Day to raise public awareness about naloxone, a life-saving medication that reverses opioid overdoses. It urges federal, state, local governments, and organizations to improve access to naloxone and educate communities on its use, without creating new laws or funding. The resolution focuses on recognition and education, not policy changes or mandates.

Maddy summaryThis bill requires the Secretary of Health and Human Services to issue guidance to state Medicaid programs, CHIPs, and Indian health programs within 12 months of enactment. The guidance focuses on improving syphilis screening for pregnant women (including third trimester and delivery testing), expanding treatment access, educating medical providers and patients, and integrating telehealth services. It directly affects states administering Medicaid/CHIP programs, Indian Health Service, tribes, and urban Indian health organizations by setting best practices for preventing congenital syphilis. The bill mandates a report to Congress within two years analyzing how states implement these guidance recommendations.

Maddy summaryS 2006, the Fit to Serve Act, prohibits the U.S. military from discriminating against service members or applicants based on gender identity. It directly affects all current and prospective members of the Armed Forces by banning specific discriminatory actions, including denying medically necessary health care, requiring service in a sex assigned at birth, or separating members due to gender identity (including gender dysphoria diagnosis). The bill amends Title 10 of the U.S. Code to add new protections, explicitly stating that the military cannot deny service, reenlistment, or health coverage based on gender identity. These changes apply uniformly across all branches and service statuses, ensuring equal treatment under military policy.

Treat and Reduce Obesity Act of 2025 This bill expands Medicare coverage of intensive behavioral therapy for obesity. Specifically, the bill allows coverage for therapy that is provided by (1) a physician who is not a primary care physician; or (2) other health care providers (e.g., physician assistants and nurse practitioners) and approved counseling programs, if provided upon a referral from, and in coordination with, a physician or primary care practitioner. Currently, such therapy is covered only if provided by a primary care practitioner. The bill also allows coverage under Medicare's prescription drug benefit of drugs used for the treatment of obesity or for weight loss management for individuals who are overweight.

Maddy summaryThe Complete Streets Act of 2025 requires states to establish programs that provide technical assistance and grants for local governments, transit agencies, and other eligible entities to develop and implement street projects accommodating all transportation modes. The bill mandates that these projects prioritize safety for pedestrians and cyclists, especially in underserved communities, and must follow new design standards including protected bike lanes, accessible sidewalks, and proper lighting. States must dedicate 5% of certain federal transportation funds to support these initiatives and report on progress to the federal government. The law establishes specific deadlines for implementing these standards on new road projects, with phased requirements for different types of projects and locations. This legislation aims to create streets that safely serve people of all ages, abilities, and backgrounds, including those who walk, bike, take transit, or drive.